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Referrals, predeterminations and additional treatments

Referrals

We offer verbal referrals for:

  • Oral surgery
  • Endodontics
  • Pediatric dentistry
  • Denturists

Make a referral

To find a Medicaid specialist in your area, search our Provider Directory. You can also call customer service at 800-342-0526.

Medicaid benefit improvements

The following benefits are available for our members:

  • Stainless steel crowns for molars are covered — for all members
  • Full dentures are covered once every 10 years, instead of once per lifetime, regardless of when the last tooth was extracted
  • Partial dentures are covered once every 5 years
  • Periodontal maintenance is covered once every 6 months
  • Periodontal scaling and root planing is covered once every 2 years

Predeterminations

To help prevent treatment delays and provide more benefits, we offer predetermination services just for partial dentures, endodontic services and oral surgery. Predeterminations are optional. They are not a guarantee of payment. Additionally, you are not required to advise ODS Community Dental of the final restoration for root canal treatment.

Additional dental treatments

If you have a Medicaid patient that has a healthcare need or comorbid condition that requires them to have additional dental treatment, please send a letter and supporting chart notes to:

Attention: Dental Correspondence
601 S.W. Second Ave 
Portland, OR 97204

Updated as of July 1, 2016, for our dental Medicaid providers

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