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Reimbursement Information

Medicaid reimburses for the application of topical fluoride varnish by a physician or other qualified health care professionals
Code: 99188
Medicaid Reimbursement Fee:  $18.00

Commercial Insurers:

According to the Affordable Care Act, insurers should be reimbursing for fluoride varnish application for children for first tooth eruption to age 6 (not including age 6). Reimbursement amounts and benefit coverage varies.  99188 is the accepted billing code.