Medicare Dental Information

Medicare Advantage 101
Recent studies have shown that Medicare Advantage membership has grown significantly in the past decade. According to studies by the Kaiser Foundation, the percentage increased from 13% in 2005 to 31% in 2015.  Due to the rapid growth of Medicare Advantage, including dental plans, we want to empower you with information so that you may best attend to your patients’ needs.

To learn more about Medicare Advantage plans and how they benefit you, simply click on the links below to review the articles.

*Please note that the provider web site is for MediCARE members. If you are looking to verify eligibility & benefits for MediCAID, Dual Special Needs Plans (DSNP) or Care Improvement Plus (CIP) Plans, please click the Community & State Tile login on the Home page to be redirected.

If a CIP member has the Platinum Rider, you will be able to see this on the member's ID Card and you will be able to verify eligibility & benefits on This is the only system exception at this time.

2018 Provider Quick Reference Guide (QRG) for Medicare Advantage Plans
Quick Reference Guide for Medicare Advantage Plans - 2018

Quarterly Medicare Newsletters/Articles
Medicare Advantage Article/Newsletter - Q3 2017
Medicare Advantage Article/Newsletter - Q2 2017
Medicare Advantage Article/Newsletter - Q1 2017
Medicare Advantage 101 Article/Newsletter - Q3/Q4 2016
Medicare Advantage 101 Article/Newsletter - Q2 2016
Medicare Advantage 101 Article/Newsletter - Q1 2016

CDT 2017 Codes
As of 1-1-2017, Dental Benefit Providers will retire all non-active CDT 2017 Codes.  All claims submitted for procedures performed after 1-1-2017, with the retired codes, will be denied and returned with Invalid Procedure Code on the EOB.  For more information, please see the following:
CDT 2017 Provider Notice
CDT 2017 Crosswalk - Code Additions and Retired Codes

State Level Provider Education Letters
No letters currently in circulation.

Do you need a dental claim form?  Click here:
Claim Form

For a complete guide to Medicare, please refer to: