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Many offices don't accept the coverage because of its low reimbursement rates. The underfunded system saw a rise in rates in July 2022 – the first increase since the 1990s – but options for ...
Make sure to consult your dentist or orthodontist before requesting lingual braces as they may not be appropriate for severe cases. ... many Low-income families who qualify for Medicaid, Children ...
The Medicaid program is only supposed to cover orthodontics if it corrects severe conditions such as cleft lip and palate or complications from another condition, such as Down's syndrome or muscular dystrophy. [10] The Office of Inspector General of the commission had investigated several companies in Texas for orthodontic Medicaid fraud. [9]
In 2011 All Smiles was one of the largest billers for braces in the State of Texas, and it had put braces on 1,000 children under the age of 12. [16] The Medicaid program is only supposed to cover orthodontics if it corrects severe conditions such as cleft lip and palate or complications from another condition, such as Down syndrome or muscular ...
With indemnity dental plans, the insurance company generally pays the dentist a percentage of the cost of services. Restrictions may include the co-payment requirements, waiting period, stated deductible, annual limitations, graduated percentage scales based on the type of procedure, and the length of time that the policy has been owned.
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