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SoonerCare Fluoride Varnish

Oral Health and Children

  • Early childhood caries (cavities) is the No. 1 chronic disease affecting young children.
  • Early childhood caries is five times more common than asthma and seven times more common than hay fever.
  • Tooth pain keeps many children home from school or distracted from learning.
  • Children are recommended to have their first dental visit by age 1.

The American Academy of Pediatrics Section on Oral Health and Chapter Oral Health Advocates provide education, training and advocacy for pediatricians, dentists, other health professionals and families.

Together we can make a difference by improving communication and collaboration between the medical and dental homes and making pediatricians and other health professionals an essential part of the oral health team.

Training and Certification for Medical Home Providers

  • OHCA strongly encourages completion of the following online web-based training courses offered by Smiles for Life Oral Health Curriculum, which are eligible for CME. Staff who provide this service are also encouraged to complete the training.
    • Course 2 - Child Oral Health; Course 6 - Fluoride Varnish

Payment and Billing

OHCA Policy 317:30-3-65.8(c). Separate payment will be made to the member’s primary care provider for the application of fluoride varnish during the course of a well-child screening (EPSDT) for members aged 6 months to 60 months.

Reimbursement is limited to two applications per year.

The fluoride varnish should be supplied by the provider’s office. OHCA recommends a 5 percent sodium fluoride varnish. See a list of vendors under order supplies.

Reimbursement for application of the varnish must be billed with procedure code CPT 99188 during a well-child exam.

For more information about this benefit, call the Provider Service Line 1-800-522-0114, option 1.

Last Modified on Oct 22, 2021
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