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HEALTH TRACKS COMPREHENSIVE ORTHODONTIC SCREENING DEPARTMENT OF HUMAN SERVICES, MEDICAL SERVICES DIVISION DEPARTMENT OF HEALTH Clear Fields SON 61 (1-2013) Name Date ND Medicaid ID Number Date of
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Health Tracks Comprehensive Orthodontic refers to a program that provides comprehensive orthodontic treatment coverage for individuals.
Healthcare providers and orthodontists who provide orthodontic treatment under the program are required to file health tracks comprehensive orthodontic.
Health tracks comprehensive orthodontic forms can be filled out electronically or manually, following the instructions provided by the program.
The purpose of health tracks comprehensive orthodontic is to ensure individuals have access to comprehensive orthodontic treatment services.
Information such as patient details, treatment provided, and costs incurred must be reported on health tracks comprehensive orthodontic forms.
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