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  • Medi-cal Rendering Provider Application/disclosure ... - Denti-...

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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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Related content

Medi-Cal Dental Rendering Provider...
“New rendering physician/allied/dental provider”—The applicant is not currently...
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Medi-Cal Rendering Provider Application/Disclosure...
Enrollment forms are available at www.medi-cal.ca.gov or by contacting the Telephone...
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You can find a Medi-Cal dentist on the Medi-Cal Dental Provider Referral List, or by calling 1-800-322-6384.

You will need to find a dentist or dental clinic that accepts Medi-Cal and seek an appointment. You can find a Medi-Cal dentist on the Denti-Cal website at http://www.denti-cal.ca.gov by clicking on Find a Medi-Cal Dentist. You can also call Denti-Cal at 1-800-322-6384.

Contact the Provider Telephone Service Center at 1-800-423-0507 to receive an application packet by mail or; Download and print applications from the Provider Enrollment page of the Medi-Cal Dental website at www.dental.dhcs.ca.gov - Providers/Application Forms.

For example, as we saw in Maggie's story, Denti-Cal covers full dentures but not partial dentures, bridges or implants, leaving many older adults with the choice of either pulling out all their teeth or getting no treatment.

For Dental Services, you can choose Medi-Cal Dental, known as Denti-Cal, or a Managed Care Dental Plan.

Under the guidance of the California Department of Health Care Services, the Medi-Cal Dental Program aims to provide Medi-Cal members with access to high-quality dental care. ... This website provides important information about the Medi-Cal Dental Program for members and providers.

Does Medi-Cal Cover Braces? Yes. But, not everyone with Medi-Cal/Denti-Cal qualifies for benefits. ... Patients covered by a managed care plan through the Denti-Cal program, in certain cases, will not have orthodontic benefits.

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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
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