VALIDATED CDT POLICY PAGE

Medicaid Dental D5120
dental policy evidence

This public page exists because the D5120 corpus passes Axlow's stricter evidence threshold: at least five substantive validated rules, five policy records, and two geographic scopes.

30substantive validated rules
184total validated rules
160policy records
24geographic scopes

What Axlow found

The validated D5120 evidence spans 4 substantive rule categories: Authorization, Age Limit, Frequency, Documentation. The current evidence includes scopes such as MA, NY, VA. Policy categories represented include acquired, provider_participation.

These counts describe the evidence Axlow has validated, not a universal benefit determination. The same CDT code can be treated differently by state, product, policy version, or member plan. The public page shows evidence depth and source context; the workspace preserves the exact cited passage and scope needed to evaluate a specific reimbursement question.

Authorization

Axlow has 10 validated authorization rules for Medicaid Dental D5120 across 4 policy records and 3 geographic scopes.

Age Limit

Axlow has 9 validated age limit rules for Medicaid Dental D5120 across 3 policy records and 2 geographic scopes.

Frequency

Axlow has 9 validated frequency rules for Medicaid Dental D5120 across 3 policy records and 2 geographic scopes.

Documentation

Axlow has 2 validated documentation rules for Medicaid Dental D5120 across 2 policy records and 1 geographic scopes.