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2012 Texas Medicaid Provider Procedures Manual

Volume 1, General Information : Section 6: Claims Filing : 6.7 2006 American Dental Association (ADA) Dental Claim Filing Instructions

6.7
Providers billing for dental services and intermediate care facility for persons with mental retardation (ICF-MR) dental services may bill electronically or use the 2006 ADA claim form.
Note:

Texas Medicaid & Healthcare Partnership
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