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Forms Reorder Request - Denti-Cal - CA.gov 2026

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  1. Click ‘Get Form’ to open the Forms Reorder Request in our editor.
  2. Begin by entering your Billing Provider Name and NPI/Billing Number in the designated fields. This information is crucial for processing your request.
  3. Fill in your Mailing Address, Telephone Number, City, State, and ZIP Code. Ensure all details are accurate to avoid delays.
  4. Select the forms you wish to reorder from the list provided. You can choose multiple items such as TAR/Claim Forms or Envelopes based on your needs.
  5. Once completed, review all entries for accuracy. Use our platform’s editing tools to make any necessary adjustments before submission.
  6. Finally, either fax your completed request to (877) 401-7534 or print it out and mail it to the specified address for Denti-Cal Forms Reorder.

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Medi-Cal gives dental coverage for qualified patients and families within California. Previously in California dental benefits program was called Denti-Cal, and you may still hear people say Denti-Cal. Today there is many similar terms related to the same coverage (Denti-cal, Medi-cal, Cal-Optima).
Phone numbers: Medi-Cal Managed Care: 1-800-430-4263 (TTY 1-800-430-7077)
If you have any questions or need assistance finding a dental provider, call the Medi-Cal Dental Customer Service Line at (800) 322-6384, or visit Smile, California.
Medi-Cal Dental Programs Payer ID number is 94146.
denti-Cal, medi-Cals fee-for-service (ffs) dental program, was the primary public financer of dental care for more than 8 million low-income, elderly, and disabled people in California in 2007. in 2009, most of the medi-Cal adult dental benefits were eliminated due to the states budget deficit.

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To change your dental plan, call Health Care Options at 1-800-430-4263 (TTY 1-800-430-7077) Or you can complete a Medi-Cal Dental Choice form. You can find the form on the Download forms page. Call Medi-Cal Dental at 1-800-322-6384 to find a dentist who takes Medi-Cal. Mail the completed choice form.
Please have the operator call the Toll-Free Member Line at 1-800-322-6384. To contact the Medi-Cal Dental Program, please call the Member Telephone Service Center at (800) 322-6384. The call is free. Medi-Cal dental program representatives are available 8:00 a.m. to 5:00 p.m., Monday through Friday to assist you.
If you have questions when submitting the referral, please contact the Customer Service Center (CSC) at (800) 423-0507. All referrals are evaluated to determine eligibility based on case management criteria.

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