; (B) dental cleanings, payment may be made under this part for not more than two such cleanings during a 12-month period; and (C) not described in subparagraph (A) or (B), payment may be made under this part only at such frequencies and under such circumstances determined appropriate by the Secretary. . (d) Payment under physician fee schedule (1) In general Section 1848(j)(3) of the Social Security Act ( 42 U.S.C. 1395w–4(j)(3) ) is amended by inserting (2)(II), before (3) . (2) Budget neutrality Section 1848(c)(2)(B)(iv) of the Social Security Act (42 U.S.C. 1395–w(c)(2)(B)(iv)) is amended— (A) in subclause (III), by striking and at the end; (B) in subclause (IV), by striking the period at the end and inserting ; and ; and (C) by adding at the end the following new subclause: (V) the amendment made by section 2(d)(1) of the Medicare Dental Act of 2019 shall not be taken into account in applying clause (ii)(II) for 2022 and 2023. . (3) Exclusion from MIPS Section 1848(q)(1)(C)(ii) of the Social Security Act ( 42 U.S.C. 1395w–4(q)(1)(C)(ii) ) is amended— (A) in subclause (II), by striking or at the end; (B) in subclause (III), by striking the period at the end and inserting ; or ; and (C) by adding at the end the following new subclause: (IV) with respect to 2022 and each subsequent year, is a doctor of dental surgery or of dental medicine (as described in section 1861(r)(2)) or is an oral health professional (as defined in section 1861(kkk)(4)). . (4) Inclusion of oral health professionals as certain practitioners Section 1842(b)(18)(C) of the Social Security Act ( 42 U.S.C. 1395u(b)(18)(C) ) is amended by adding at the end the following new clause: (vii) With respect to 2022 and each subsequent year, an oral health professional (as defined in section 1861(kkk)(4)). . (e) Dentures (1) In general Section 1861(s)(8) of the Social Security Act ( 42 U.S.C. 1395x(s)(8) ) is amended— (A) by striking (other than dental)