Medicaid of California with Dentrix Ascend

In some instances, Dentrix Ascend supports sending Medicaid claims in California.

Denti-Cal (Dental Claims)

Electronic (EDI) claim submissions:

• YES

• Payer requires additional enrollment before they will accept claims electronically through the clearing house process. You can obtain the data from the Payer Search Tool https://www.dentrixascend.com/products/eservices/eclaims/payer-search

• Payer ID 94146

Payer Reporting for electronic claims submitted:

• YES

Printed claims for Denti-Cal:

• NO (These are not formatted on a standard ADA form)

Medi-Cal (Medical claims)

Electronic (EDI) claim submissions:

• NO

Printed claims:

• NO

Denti-Cal (FQHC) that goes to Medi-Cal as an 837i

Important: For extremely unique groups; for FQHC entities only

Electronic (EDI) claim submissions:

• YES, with CDT codes

• Payer does NOT allow paper submissions

• Payer does not allow secondary claims electronically

• Reports are not the same as the Denti-Cal Dental claims

• Payer ID 57016 (additional enrollment is required)

Note: After enrolling for EDI claim submissions with Denti-Cal and while you're waiting for approval from the payer (the review period can be up to one year), if you have to send a claim, you must fill out a paper claim. You cannot print a Denti-Cal claim form from Dentrix Ascend, but you can purchase paper forms directly from Denti-Cal at https://www.denti-cal.ca.gov/.