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Making a gift to the National Network for Oral Health Access is one of the easiest ways to positively impact our work, enhance our services, and help our community strengthen and increase access to oral health services.  NNOHA is a 501(c)(3) non-profit organization. Your contributions are tax-deductible to the extent permitted by law.



181 E 56th Avenue, Suite 410
Denver, CO  80216

Phone: (303) 957-0635
Fax: (866) 316-4995

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NNOHA is the largest group of safety-net oral health practitioners in the country, and our members all share a commitment to increasing access to quality oral health care for underserved populations. NNOHA is committed to providing the highest quality resources and support designed to meet the unique needs of our members and their programs.

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Understanding the specific procedures that should and shouldn't be on Form 5A can be complex. This spreadsheet has a breakdown of every CDT code as of 2020, along with the specific definitions, pulled from the HRSA Compliance Manual for each Service Level. This spreadsheet should be used as a guide when creating your Sliding Fee Scale and its categories as well as how to define what is on your Health Centers Form 5A.

HRSA Dental Services Requirements by Level

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