23 MAC Pt. 204, R. 1.9
Periodontic Procedures
Cite as 23 Miss. Admin. Code Pt. 204, R. 1.9
Periodontic Procedures
The Division of Medicaid covers gingivectomy or gingivoplasty for beneficiaries only if the
beneficiary is on Dilantin therapy. Documentation relating to the beneficiary’s Dilantin therapy
must be retained in the dental record.