Reimbursement

Policies for clinician reimbursement vary widely from state to state. Clinicians planning to apply fluoride varnish should consult with their state health department regarding current coding requirements and reimbursement rates.

Medicaid now reimburses for Medicaid eligible children in ALL 50 states. There are a number of states that include additional funding for oral examinations and other services. Download the AAP excel document here to review Medicaid reimbursement rates, codes, age limits, and training required for preventive oral health services within the medical setting in each state.

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Map courtesy of the Pew Children's Dental Campaign