Contact Information: Rhode Island

In-Office Training:

Jan Ruh
janrruh@gmail.com
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.

General Inquiries:
Hugh Silk, MD, MPH
Associate Clinical Professor
Department of Family Medicine and Community Health
University of Massachusetts Medical School
Hugh.Silk@umassmed.edu

Trained Practices in Rhode Island

Click here for a list of practices trained in the application of fluoride varnish.

Order Materials

Materials are available on the Rhode Island Department of Health website and, through Teeth First, a DentaQuest funded oral health education program.

Fluoridation

Reimbursement Information

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.

Referral Information

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: