PR_Fee_D_Renewal_20230101-20230930

File - Approval Letter Media

pr-fee-d-renewal-20230101-20230930

Approval Date

Thu, 02/16/2023 - 12:00

Effective Date

Sun, 01/01/2023 - 12:00

State

Payment Type

Provider Class

Dental services

Review Type

State Rating Period Start Date

Sun, 01/01/2023 - 12:00

Approval Period

Single Rating Period

State Rating Period End Date

Sat, 09/30/2023 - 12:00