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  • Dentical Reorder Form

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However if the information found on the Forms Reorder Request does not match what the forms vendor has received from Denti-Cal the order will not be filled. Please do not begin submitting NPIs before May 23 2007. Enrollment Information 2 Forms by FAX 3 Forms available are Forms Reorder Request Justification of Need for Prosthesis Periodontal Chart Electronic Data Interchange EDI Applications Clinical Screening Dentist Schedule of Maximum Allow.

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Medi-Cal offers comprehensive preventative and restorative dental benefits to both children and adults. You can find a Medi-Cal dentist on the ​ Medi-Cal Dental Provider Referral List, or by calling 1-800-322-6384.

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.

For answers to questions or for more information on document submission requirements or the EDI program, please contact the Denti-Cal Provider Customer Service line at (800) 423-0507.

This section explains how to order forms and envelopes used to bill and seek authorization for Medi-Cal services. Providers who need a Provider Forms Reorder Request for either hard copy or electronic billing should contact the Telephone Service Center (TSC) at 1-800-541-5555.

California's Medicaid program, Medi-Cal, currently offers dental services as one of the program's many benefits. Medi-Cal Dental is the program that provides free or low-cost dental services to eligible children and adults.

Tooth extractions; Fillings; Root canal treatments (anterior/posterior); Crowns (prefabricated/laboratory);

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).

Denti-Cal services include: Cleanings: Dental cleanings help prevent cavities, stop tooth loss, and lessen a person's chances of developing heart disease or suffering from a stroke. Routine exams that occur during cleanings can help spot potentially life-threatening diseases and initiate early treatment programs.

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© Copyright 1997-2025
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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
DMCA Policy
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:
1-877-389-0141
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