Dental Fee Schedule

​Excel Format ​PDF Format
2017 Dental Fee Schedule 2017 Dental Fee Schedule
2016 Dental Fee Schedule 2016 Dental Fee Schedule

 

Disclaimer: Note that the absence or presence of a reimbursement code and its associated allowance on these pages does not guarantee Medicaid coverage of the item or procedure. Please refer to the appropriate West Virginia Medicaid provider manual for coverage determination.

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