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Fluoride Varnish

Applying fluoride varnish to the teeth is one of the easiest ways to prevent tooth decay and keep small cavities from getting bigger.  Fluoride varnish is painted on the teeth and hardens as soon as saliva touches it.  It can be applied as soon as babies get their first teeth.  Learn more about fluoride varnish by viewing this fact sheet

Many babies and young children get fluoride varnish at the doctor’s office during routine check-ups. Doctors and some nurses can be trained to check the oral health of their patients and apply fluoride varnish. Smiles for Life, developed by the Society of Teachers of Family Medicine, is a Web-base self study oral health curriculum designed for primary care clinicians. One of its seven modules covers the use of fluoride varnish. Continuing education credits are available.

Reimbursement for Medical Providers for the Application of Fluoride Varnish for Children Enrolled in Medicaid

In Ohio, the Medicaid program will reimburse for the application of fluoride varnish for children up to six years of age.This service is reimbursable by Medicaid ($15.00) when provided in addition to a well or sick child visit, but cannot be the sole reason for the visit. In order to be reimbursed, primary care providers must submit current dental terminology (CDT) code D1206 on a physician claim form.
 
Coverage for fluoride varnish application is limited to one application every one hundred and eighty days. The reimbursement code includes three components, each of which must be performed: 1) oral assessment; 2) varnish application; and 3) referral to a dentist, as necessary. Medical providers with questions on Medicaid billing can contact the Ohio Department of Medicaid Provider Call Center at 1-800-686-1516, or visit the Provider Assistance Web page.

 

dental fluoride 

This photo shows a child getting fluoride varnish
on the deciduous (baby) teeth.

 

Last Updated: 10/26/17