23 MAC Pt. 204, R. 1.4
Non-covered Services
Cite as 23 Miss. Admin. Code Pt. 204, R. 1.4
Non-covered Services
A. Non-covered dental services include, but not limited to, the following:
1. Comprehensive oral evaluation,
2. Preventive services,
3. Amalgams, composites, and crowns,
4. Endodontics,
5. Dentures, and
6. Orthodontia.
B. The Division of Medicaid does not cover for scheduling/rescheduling for any dental or oral
surgical procedure in any treatment setting.