Provider types · Dental specialty

Oral and Maxillofacial Surgeon Credentialing

Oral and maxillofacial surgery is a dental specialty. Medicare lists it among the dental specialties that enroll on the CMS-855I, and Texas Medicaid dental providers declare it as an enrollment category.

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Medicare

The CMS-855I list includes physicians who are doctors of dental medicine or dental surgery in listed dental specialties, including oral and maxillofacial surgery.

Medicare excludes most dental services, with limited exceptions, so coverage depends on the service.

Texas Medicaid

Dental providers may enroll in the THSteps Dental and ICF-IID Dental programs, and must declare one or more categories, including oral and maxillofacial surgeon.

Most children receive Medicaid dental services through dental maintenance organizations. General dental services are not a Medicaid benefit for clients 21 and older who do not reside in an ICF-IID facility.

Licensure

The Texas State Board of Dental Examiners (TSBDE) licenses dentists and recognizes oral and maxillofacial surgery as a specialty area.

See dentists.

Sources

Payers and agencies set their own review pace, so we do not promise outcomes or dates. What we control is a complete, accurate file and steady follow-up.

Talk it through with a specialist.

Ask about your payers, your providers and your scope.