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General Instructions: The form is designed so that the Primary Payer's name and address (Item 3) is visible in a standard #10 window envelope. Please fold the form using the 'tickmarks' printed in.

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Provider Information for 1689824484 - NPPES NPI...
Sep 23, 2016 — No, 1223G0001X - Dentist General Practice, AZ, 5016. No, 1223P0300X...
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Items 5 - 11 — Endodontics. 1223E0200X. Orthodontics. 1223X0400X. Pediatric Dentistry...
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GA DoR G-7 2023 And X GA DoR G-1003 2023 IRS 14446 (zh-s) 2023

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TAXONOMY PLACEMENT ON A CLAIM CMS 1500 PAPER SUBMISSION: Rendering – Box 24i should contain the qualifier “ZZ.” Box 24j (shaded area) should contain the taxonomy code. Billing – Box 33b should contain the qualifier “ZZ” along with the taxonomy code.

Submission of taxonomy codes is required for all Medicare claims submissions, and it is highly recommended for commercial claims. Taxonomy codes are administrative codes that identify your provider type and specialization.

On a CMS-1500 paper claim, the taxonomy code is entered utilizing two fields on the claim form: Field 24I (upper shaded portion) = ID Qualifier: enter "ZZ" Field 24J (upper shaded portion) = rendering provider taxonomy code: enter the 10-digit taxonomy code.

NOTE: Numbers marked are based on tooth morphology, not anatomic position. 34a Diagnosis Code(s): Enter up to four applicable diagnosis codes after each letter (A. – D.). The primary diagnosis code is entered adjacent to the letter “A.”

A taxonomy code describes the Provider or Organization's type, classification, and area of specialization. For billing purposes, the taxonomy code is entered into Field 24J Grey on the CMS-1500 form.

DDS (which stands for Doctor of Dental Surgery) & DMD (which stands for Doctor of Medicine in Dentistry) are exactly the same degree. Whether a dentist holds a DMD or a DDS degree, they have received all of the same training.

Dental-Provider Specialty Taxonomy Codes ProviderTaxonomy CodeDentist122300000XGeneral Practice1223G0001XDental Public Health1223D0001XEndodontics1223E0200X7 more rows

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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:
1-877-389-0141
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