23 MAC Pt. 204, R. 1.5
Dental Benefit Limits
Cite as 23 Miss. Admin. Code Pt. 204, R. 1.5
Dental Benefit Limits
A. The Division of Medicaid covers dental expenditures, excluding orthodontia-related services,
up to twenty five hundred dollars ($2,500.00) per beneficiary per state fiscal year.
B. All American Dental Association (ADA) dental procedure codes, except orthodontia-related
services, are applied to the $2,500 annual limit.