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Reasons of Medical Necessity for Dental Periapical Imaging - This provider bulletin is a reminder of the dental program regulations concerning the Department of Social Services' radiographic coverage under the Connecticut Dental Health Partnership (CTDHP).
Periapical X-rays (D0220 & D0230) are limited to four radiographs per 365 days for reasons of medical necessity. The reasons for taking periapical radiographs are solely based on reasons for medical necessity related to the structures of a specific tooth or an edentulous area and are not a covered benefit for routine screening purposes.
Please click here to read the entire bulletin.
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