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Dental Benefits Rules 2026
In force
Administered by
Department of Health, Disability and Ageing
This item is authorised by the following title:
Dental Benefits Act 2008
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F2026L00110
18 February 2026
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Part 1—Preliminary
1 Name
2 Commencement
3 Authority
4 Schedules
5 Definitions
6 Meaning of eligible dental patient
7 Meaning of dental provider
8 Meaning of rendered on behalf of a dental provider
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Part 2—When dental benefit is not payable
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Division 1—Dental benefit not payable unless certain conditions satisfied
9 Particulars that must be recorded on accounts etc.
10 Conditions that must be satisfied—certain dental services rendered by kinds of dental providers
11 Condition that must be satisfied—consent to be provided and recorded
12 Condition that must be satisfied—dental services rendered by States and Territories
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Division 2—Dental benefit not payable in certain circumstances
13 Dental benefit not payable if no medicare number
14 Dental benefit not payable if certain personal information not provided
15 Dental benefit not payable if cap reached
16 Dental benefit not payable for certain additional dental services
17 Dental benefit not payable for certain additional dental services rendered by same dental practitioner
18 Dental benefit not payable for certain diagnostic services
19 Dental benefit not payable for certain preventive services
20 Dental benefit not payable for certain periodontic services
21 Dental benefit not payable for certain oral surgery
22 Dental benefit not payable for certain endodontic services
23 Dental benefit not payable for certain restorative services
24 Dental benefit not payable for certain prosthodontic services
25 Dental benefit not payable for certain other prosthodontic services
26 Dental benefit not payable for a certain general service
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Part 3—Dental Benefits Schedule
27 Dental Benefits Schedule
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Part 4—Application, saving and transitional provisions
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Division 1—Dental Benefits Rules 2026
28 Definitions
29 Application—dental service provided on or after commencement
30 Transitional—dental benefit 2 year cap
31 Something done under the old rules
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Schedule 1—Dental Benefits Schedule
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Division 1—Group U0: Diagnostic services
1 Items in Subgroup 1 of Group U0
2 Items in Subgroup 2 of Group U0
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Division 2—Group U1: Preventive services
3 Items in Subgroup 1 of Group U1
4 Item in Subgroup 2 of Group U1
5 Items in Subgroup 3 of Group U1
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Division 3—Group U2: Periodontic services
6 Items in Group U2
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Division 4—Group U3: Oral surgery
7 Items in Subgroup 1 of Group U3
8 Items in Subgroup 2 of Group U3
9 Item in Subgroup 5 of Group U3
10 Items in Subgroup 8 of Group U3
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Division 5—Group U4: Endodontic services
11 Items in Subgroup 1 of Group U4
12 Items in Subgroup 4 of Group U4
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Division 6—Group U5: Restorative Services
13 Items in Subgroup 1 of Group U5
14 Items in Subgroup 2 of Group U5
15 Items in Subgroup 3 of Group U5
16 Items in Subgroup 7 of Group U5
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Division 7—Group U7: Prosthodontics
17 Items in Subgroup 1 of Group U7
18 Item in Subgroup 4 of Group U7
19 Items in Subgroup 6 of Group U7
20 Item in Subgroup 7 of Group U7
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Division 8—Group U9: General services
21 Item in Subgroup 1 of Group U9
22 Items in Subgroup 4 of Group U9
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Schedule 2—Dental cap
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1 Dental cap
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Schedule 3—Repeals
Dental Benefits Rules 2014