Includes lunch and learn CME training with Smiles for Life curriculum and provides hands-on training on the application of fluoride varnish and assistance with office flow and billing.
Hugh Silk, MD, MPH
Associate Clinical Professor
Department of Family Medicine and Community Health
University of Massachusetts Medical School
Trained Practices in Rhode Island
Click here for a list of practices trained in the application of fluoride varnish.
- Check if a town has fluoridated water.
- Private well water can be tested for the presence of fluoride. See a list of state approved labs.
Rite Care (Medicaid) reimburses medical providers for oral health through its two plans
- Neighborhood Health Plan of Rhode Island: $18/application
Fluoride varnish is limited to member’s age 6 months to 48 months, 2 times a year without an authorization, 4 times a year with authorization and rendered by the member’s PCP or covering practitioner.
- United HealthCare: $13 /application
There are no age restrictions or limits on the number of times fluoride varnish can be applied.
To bill for services use HCPCS: D1206 – Topical therapeutic fluoride varnish application for moderate to high risk caries patients and ICD-9: V07.31. Fluoride varnish application must be conducted at a well child visit after an oral evaluation and patient counseling.
A medical provider can provide and bill for the service as long as they are a physician, physician’s assistant or APRN. Other properly trained medical staff such RNs, LPNs or medical assistants may provide the fluoride varnish under the supervision of a physician.
Please note: Codes for reimbursement may change to a medical code in 2015 based on recommendations from the Academy of Pediatrics.
Finding Dental Care for Young Pediatric Patients
Both Neighborhood Health Plan of Rhode Island and United Healthcare assist members in finding a dentist. To access information, go to: