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When completing and submitting a paper ADA Dental Claim form, dental providers should complete Field 23 with the participant’s MO HealthNet number exactly as shown on the participant's ID card. Anything other than the participant’s DCN, or leaving the field blank, will cause the claim to deny. For additional information regarding how to complete the ADA Dental Claim form, reference Section 15.7 of the Dental Manual at http://manuals.momed.com/collections/collection_den/print.pdf.