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Dentovio public answer
The initial dental filing window for Original Medicare (fee-for-service) is 12 months — “the claim must be filed no later than the close of the period ending 1 calendar year after the date of service” (42 CFR § 424.44(a)(1)) — with narrow exceptions in (b) (administrative error, retroactive Medicare entitlement, Medicaid recoupment, retroactive MA/PACE disenrollment) and a non-workday rollover in (c). Provider contracts and plan documents override published manuals — the contract number controls. Last verified 2026-08-30.
Dentovio is an independent publisher — not a payer, the American Dental Association, or any government agency, and it is unaffiliated with the insurers named here. These pages record filing, correction, appeal, records, and recoupment windows as read in each payer's published documents on the last-verified date — and record honestly where no public number exists. Provider contracts override published manuals, editions change, and several payers set different rules per state, network, or program. Educational reference only, not billing or legal advice; confirm the controlling number in your participation contract and the payer's current provider manual before relying on it.
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