Forms & publications

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Orthodontic information authorization form

13-666

Use this form prior to treatment for orthodontic services.

Form

Orthodontic Services Billing Guide

Instructions for billing for services provided to Washington Apple Health clients.

Provider billing guide

Orthodontic Services Billing Guide (2008-09-01)

Instructions for billing for services provided to Washington Apple Health clients.

Provider billing guide

Orthodontic Services Billing Guide (2010-05-09)

Instructions for billing for services provided to Washington Apple Health clients.

Provider billing guide

Orthodontic Services Billing Guide (2012-07-01)

Instructions for billing for services provided to Washington Apple Health clients.

Provider billing guide

Orthodontic Services Billing Guide (2013-03-01)

Instructions for billing for services provided to Washington Apple Health clients.

Provider billing guide

Orthodontic Services Billing Guide (2014-05-01)

Instructions for billing for services provided to Washington Apple Health clients.

Provider billing guide

Orthodontic Services Billing Guide (2014-07-01)

Instructions for billing for services provided to Washington Apple Health clients.

Provider billing guide

Orthodontic Services Billing Guide (2015-01-01)

Instructions for billing for services provided to Washington Apple Health clients.

Provider billing guide

Orthodontic Services Billing Guide (2015-04-01)

Instructions for billing for services provided to Washington Apple Health clients.

Provider billing guide

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