MHCP Fee Schedule - mn.gov
The fee schedule amount for dental exam and dental x-ray services provided on or after 01/01/02 to children under the age of 21, is based on 85% of the 1999 median charge. ... PSI - indicates the current Payment Status Indicator, if applicable, for the procedure. PSI - specific to Outpatient Ambulatory Payment Classification (APC) A fee schedule
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