For Medicaids, If the patient has availed Sealants in the past 12 Months and Fillings has to be done, Insurance deducts the amount of Sealant from the fillings that is done on next date of service. For Ex: D1351 #4 was done on 06/10/2020 and D2391 #4 is scheduled for 05/10/2021, The payment would not be as expected for D2391, Payment which will be received $80.34-$28.24 = $52.10.