R 418.10701 Scope.

Rule 701. (1) Dental services, related to, or resulting from, a covered work-related injury are covered under these rules. Incidental dental services are not covered. (2) A dental provider shall bill services on a standard American dental claim form. The workers' compensation agency shall provide a copy of the claim form and instructions for completion separate from these rules in the health care services manual on the agency’s website at www.michigan.gov/wca. (3) Dental services shall be reimbursed at either the dentist's usual and customary fee or reasonable fee, whichever is less. SUBPART A. PRACTITIONER BILLING