Claim Your Medi-Cal Oral Health Benefits

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Member Incentive Type

Member Incentive Type $20 Amazon Gift Card—Preventive Visit and Assessment Within 90 Days $20 Amazon Gift Card—First Dental Home Visit by Age One $20 Amazon Gift Card—First or Second Molar Sealants $20 Amazon Gift Card—Two Preventive Visits in a 12 Month Period $20 Amazon Gift Card—Opioid Awareness

Take the online pain medication safety course. (Ages 21 and older)

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Member Information

First Name

Last Name

Date of Birth

Member ID Number

Mailing address

City

Zip code

Dentist Information

Location Name

Provider Name

Date you received care

One gift card for each Incentive Type, per Member, per lifetime.