New Dental Specialty Codes for Medicare

Providers self-designate their Medicare specialty on the Medicare enrollment application (CMS 855-I or CMS 855-O) or internet-based Provider Enrollment, Chain and Ownership System (PECOS) when they enroll in the Medicare program. The provider specialty code describes the specific/unique types of services rendered. Provider specialty codes are used by the Centers for Medicare & Medicaid Services (CMS) for programmatic and claims processing purposes.

CMS has established new provider specialty codes for dentist. These new provider specialty codes include:

• E3 — Dental Anesthesiology
• E4 — Dental Public Health
• E5 — Endodontics
• E6 — Oral and Maxillofacial Pathology
• E7 — Oral and Maxillofacial Radiology
• E9 — Oral Medicine
• F1 — Orofacial Pain
• F2 — Orthodontics and Dentofacial Orthopedics
• F3 — Pediatric Dentistry
• F4 — Periodontics
• F5 — Prosthodontics

 Providers may begin self-designating these new specialty codes beginning January 1, 2024.