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December 2016 Texas Medicaid Provider Procedures Manual

Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook : 9 Physician : 9.3 Doctor of Dentistry Practicing as a Limited Physician : 9.3.2 Benefits and Limitations : Additional Payable Procedure Codes
The following procedure codes are a benefit when prior authorized and the dentist is qualified and licensed to perform the procedures:

Texas Medicaid & Healthcare Partnership
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