# 89 Ill. Adm. Code 140.420: Section 140.420 Dental Services > Illinois · Regulations · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P140_S140_420 ## Section - **Citation:** 89 Ill. Adm. Code 140.420 - **Heading:** Section 140.420 Dental Services - **Jurisdiction:** Illinois - **Kind:** Regulations - **Status:** In force - **Text as of:** August 14, 2026 - **Source:** Compiled text - **Location:** Illinois Administrative Code / Title 89 SOCIAL SERVICES / CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES / Part 140 MEDICAL PAYMENT / Section 140.420 Dental Services ## Text Section 140 Section 140.420  Dental Services Effective for dates of service on or after July 1, 2014, except as otherwise specified in this Section: a)         Except as outlined in subsection (b), payment for dental services shall be made only to enrolled licensed dentists. b)         Payment for oral health screening and fluoride varnish services shall be made to enrolled licensed dentists, and physicians or advance practice registered nurses (APRNs) who are trained and approved to provide oral health screening and fluoride varnish services. c)         Payment for comprehensive orthodontic care shall be made only to a dentist licensed for provision of those services. d)         Except as specified in subsections (e) and (f), payment shall be made for allowable dental services specified in Table D that are: 1)         Necessary to relieve pain or infection, preserve teeth, or restore adequate dental function; 2)         Diagnostic, preventive, or restorative services, endodontics, prosthodontics, orthodontics or oral surgery included in the Department's Schedule of Dental Procedures (see Table D); and 3)         Performed by the dentist or under the direct supervision of the dentist, or for oral health screening and fluoride varnish services, performed by or under the direct supervision of an enrolled licensed dentist, physician or APRN. e)         Payment shall not be made for experimental dental care and procedures performed only for cosmetic reasons. f)         Effective for dates of service July 1, 2012 through June 30, 2014, notwithstanding other provisions of this Section or Section 140.421, dental services rendered to recipients age 21 years and older shall be limited to those dental services that are medically necessary to treat pain, infection, swelling, uncontrolled bleeding, or traumatic injury that can be treated by extraction and dental services that are medically necessary as a prerequisite for necessary medical care ng other provisions of this Section or Section 140.421, dental services rendered to recipients age 21 years and older shall be limited to those dental services that are medically necessary to treat pain, infection, swelling, uncontrolled bleeding, or traumatic injury that can be treated by extraction and dental services that are medically necessary as a prerequisite for necessary medical care. g)         Payment should be made to All Kids School-Based Dental Program providers that administer out-of-office delivery of allowed preventive dental services in a school setting to children under 19 years of age.  Dental providers must: 1)         Be enrolled with HFS as a dental provider; 2)         Be registered with the All Kids School-Based Dental Program; 3)         Follow guidelines for the IDPH Calendar; 4)         Have the ability to administer the allowed preventive dental services in the school setting; 5)         Complete and maintain a Dental Record of the school visit for each child; 6)         Complete an IDPH Proof of School Dental Examination Form; 7)         Provide a completed School Follow up Form for the school to provide to the parent/guardian; 8)         Provide a follow-up referral care plan for children that receive Caries Risk Assessment Codes of D0602 or D0603. The referral plan shall consist of one of the following referral options: A)        InsureKidsNow web site; B)        Follow-up care to the provider who provided service in school; C)        Follow-up care will be provided at school; or D)        School provider will have a case manager that assists children in getting follow-up care. 9)         Include the Caries Risk Assessment Codes (D0601, D0602 or D0603) in the school dental service claims; and 10)       Have an active collaborative agreement with a Public Health Dental Hygienist (PHDH), if applicable. ## Nearby sections - [89 Ill. Adm. Code 140.400 Section 140.400 Payment to Practitioners](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P140_S140_400.md) - [89 Ill. Adm. Code 140.402 Section 140.402 Copayments for Non-institutional Medical Services](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P140_S140_402.md) - [89 Ill. Adm. 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Code 140.427 Section 140.427 Acupuncture Services](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P140_S140_427.md) - [89 Ill. Adm. Code 140.428 Section 140.428 Chiropractic Services](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P140_S140_428.md) - [89 Ill. Adm. Code 140.429 Section 140.429 Limitations on Chiropractic Services (Repealed)](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P140_S140_429.md) - [89 Ill. Adm. Code 140.430 Section 140.430 Independent Clinical Laboratory Services](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P140_S140_430.md) - [89 Ill. Adm. Code 140.431 Section 140.431 Services Not Covered by Independent Clinical Laboratories](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P140_S140_431.md) - [89 Ill. Adm. Code 140.432 Section 140.432 Limitations on Independent Clinical Laboratory Services](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P140_S140_432.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P140_S140_420. Check the current official text before relying on it. Not legal advice.