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pdfCY 2026 PBP Data Entry System Pages
16a – Medicare Dental Services – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 1 of 156
CY 2026 PBP Data Entry System Pages
16a – Medicare Dental Services – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 2 of 156
CY 2026 PBP Data Entry System Pages
16a – Medicare Dental Services – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 3 of 156
CY 2026 PBP Data Entry System Pages
16a – Medicare Dental Services – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 4 of 156
CY 2026 PBP Data Entry System Pages
16b – Diagnostic and Preventive Dental – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 5 of 156
CY 2026 PBP Data Entry System Pages
16b – Diagnostic and Preventive Dental – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 6 of 156
CY 2026 PBP Data Entry System Pages
16b – Diagnostic and Preventive Dental – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 7 of 156
CY 2026 PBP Data Entry System Pages
16b – Diagnostic and Preventive Dental – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 8 of 156
CY 2026 PBP Data Entry System Pages
16b1 – Oral Exams – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2026 PBP Data Entry System Pages
16b1 – Oral Exams – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16b1 – Oral Exams – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16b1 – Oral Exams – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16b2 – Dental X-Rays – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16b2 – Dental X-Rays – Page 2
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16b2 – Dental X-Rays – Page 3
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16b2 – Dental X-Rays – Page 4
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16b3 – Other Diagnostic Dental Services – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16b3 – Other Diagnostic Dental Services – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16b3 – Other Diagnostic Dental Services – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16b3 – Other Diagnostic Dental Services – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16b4 - Prophylaxis (cleaning) - Page 1
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16b4 - Prophylaxis (cleaning) - Page 2
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16b4 - Prophylaxis (cleaning) - Page 3
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16b4 - Prophylaxis (cleaning) - Page 4
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16b5 - Fluoride Treatment - Page 1
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16b5 - Fluoride Treatement - Page 2
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16b5 - Fluoride Treatment - Page 3
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16b5 - Fluoride Treatment - Page 4
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16b6 - Other Preventive Dental Services - Page 1
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16b6 - Other Preventive Dental Services - Page 2
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16b6 - Other Preventive Dental Services - Page 3
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16b6 - Other Preventive Dental Services - Page 4
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c - Comprehensive Dental - Page 1
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c - Comprehensive Dental - Page 2
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c - Comprehensive Dental - Page 3
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c1 - Restorative Services - Page 1
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c1 - Restorative Services - Page 2
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c1 - Restorative Services - Page 3
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c1 - Restorative Services - Page 4
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c2 - Endodontics - Page 1
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c2 - Endodontics - Page 2
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c2 - Endodontics - Page 3
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c2 - Endodontics - Page 4
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c3 - Periodontics - Page 1
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c3 - Periodontics - Page 2
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c3 - Periodontics - Page 3
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c3 - Periodontics - Page 4
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c4 - Prosthodontics, removable - Page 1
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c4 - Prosthodontics, removable - Page 2
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c4 - Prosthodontics, removable - Page 3
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c4 - Prosthodontics, removable - Page 4
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c5 - Maxillofacial Prosthetics - Page 1
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c5 - Maxillofacial Prosthetics - Page 2
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c5 - Maxillofacial Prosthetics - Page 3
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c5 - Maxillofacial Prosthetics - Page 4
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c6 - Implant Services - Page 1
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c6 - Implant Services - Page 2
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c6 - Implant Services - Page 3
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c6 - Implant Services - Page 4
Softrams
CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c7 - Prosthodontics, fixed - Page 1
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c7 - Prosthodontics, fixed - Page 2
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c7 - Prosthodontics, fixed - Page 3
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c7 - Prosthodontics, fixed - Page 4
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c8 - Oral and Maxillofacial Surgery - Page 1
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c8 - Oral and Maxillofacial Surgery - Page 2
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
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16c8 - Oral and Maxillofacial Surgery - Page 4
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c9 - Orthodontics - Page 1
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c9 - Orthodontics - Page 2
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c9 - Orthodontics - Page 3
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c9 - Orthodontics - Page 4
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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16c10 - Adjunctive General Services - Page 1
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
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01/08/2025
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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17a – Eye Exams– Page 1
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01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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01/08/2025
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17a – Eye Exams – Non-Medicare
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CY2026 PBP – Benefit Service Categories 16-20
01/08/2025
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01/08/2025
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17b – Eyewear - Medicare - Page 1
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| File Type | application/pdf |
| File Title | CY 2026 PBP Data Entry System Pages |
| Author | CMS |
| File Modified | 2025-01-07 |
| File Created | 2025-01-07 |