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E NUMBER CITY STATE FAX FORMS REORDER REQUEST TO: (877) 401-7534 OR MAIL TO: Denti-Cal Forms Reorder 11155 International Dr. MS C210 Rancho Cordova, CA 95670 ZIP CODE DC-202 (no carbon required) DC-209 (continuous pin-fed form) DC-217 (for laser printers) DC-206 (for TAR/Claims) DC-214A (large X-ray envelopes) DC-214B (small X-ray envelopes) TREATMENT AUTHORIZATION REQUEST (TAR)/CLAIM FORMS and Envelopes Miscellaneous Inventory DC-003 Claim Inquiry Form (CIF) DC-007 (CIFs and Corre.

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The most common misconception surrounding the Medi-Cal program and dentistry is that Denti-Cal is a separate program that people have to qualify into or out of; this is simply untrue. Nearly everyone that qualifies for Medi-Cal benefits can reap the benefit of Denti-Cal with no additional work on their part.

Providers may call Medi-Cal Dental toll-free at (800) 423-0507. When calling for information or inquiries it is important that the dental office be prepared with the following proper information, where applicable.

For automated messages providing member eligibility information, call the Automated Eligibility Verification System (AEVS) at 1-800-456-2387. When prompted, enter the information found on the Member Identification Card (BIC ID).

To contact the Medi-Cal Dental Program, please call the Member Telephone Service Center at (800) 322-6384. The call is free. Medi-Cal dental program representatives are available 8:00 a.m. to 5:00 p.m., Monday through Friday to assist you.

If you have any questions or need assistance finding a dental provider, call the Medi-Cal Dental Customer Service Line at (800) 322-6384, or visit Smile, California​. DHCS encourages non-Medi-Cal dental providers to enroll with Medi-Cal.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232