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months following the seatment date of the denture and not more than once per three fiscal years. (d) The cost of anesthesia or sedation in accordance with 7 AAC 110.155 and necessary for dental services covered under this section does not reduce the recipient's annual limit described in (b) and (c) of this section. (e) A dental service provided after a recipient's annual limit under (b) and (c) of this section has been exhausted is considered a noncovered service and the department will not provide payment. Notwithstanding 7 AAC 145.015, a provider may bill a recipient for the difference under (c) of this section if the unused portion of a recipient's annual limit is less than the allowable Medicaid payment rate, or under (b) and (c) of this section if the unused portion of the recipient's combined annual limit is less than the allowable Medicaid payment rate. A provider shall inform a recipient in advance of the recipient's obligation to pay for the difference. The provider shall document in the recipient's records that the recipient was informed of and agreed to pay for any balance above the annual limit for the service provided. (f) The department will assist a provider and recipient to the extent possible in monitoring the recipient's annual limit. However, the department will not assume financial responsibility for dental services provided that exceed the recipient's annual limit. (g) The department will not pay for the following dental services provided to a recipient 21 years of age or older:

(1) dental services not identified in the Fee Schedule: Emergent Adult Dental Services, the Fee Schedule: Enhanced Adult Dental Services, and the Fee Schedule: Prosthodontic Adult Dental Services, adopted by reference in 7 AAC 160. 900;

(2) behavior management;

(3) indirect pulp capping;

(4) endodontic apical surgery and retrograde fillings;

(5) immediate, interim, and temporary dentures;

(6) dental implant and implant-related dental services;

(7) inlays, overlays, and three-fourth crowns;

(8) restoration of etched enamel or deep grooves without obvious dentin

(9) space maintainers;

(10) tobacco counseling; tobacco counseling is considered a component of periodic and comprehensive evaluations and may not be billed separately;

(11) denture characterization and personalization, and precision attachments;

(12) experimental dental procedures;

(13) local anesthesia; local anesthesia is considered a component of covered dental