Oregon Medicaid Dental Procedure Codes and Coverage Rules

A dataset lists dental procedure codes and associated coverage rules for Oregon's Medicaid program. It includes columns for procedure codes, service descriptions, coverage notes, and frequency limitations. The data is provided by the State of Oregon and was last updated in March 2026.

Use Cases

• Analyze service coverage by mapping `Service Type` and `Description` to `Prioritized List Line` and `Guideline Notes`.
• Assess program utilization by examining `Frequency Limitations` and `Members Covered` columns.
• Validate billing code applicability by cross-referencing `Code` with official `Notes` and administrative rule links.

Strengths

• Includes official American Dental Association procedure codes (`Code`).
• Provides direct references to authoritative Oregon Administrative Rules.

Limitations

• Unknown row count prevents assessment of code list completeness.
• Sample data is unavailable for verifying data structure and quality.

Provenance

Source

data.oregon.gov

Collection Method

null

Time Range

Effective from January 2026.

Freshness

Last updated March 2026.

Geography

Oregon, United States.