Application of Fluoride Varnish Tip Sheet
The percentage of members ages 6 months to 5 years (up to before their 6th birthday) who received at least one topical fluoride application by staff at the PCP office during the measurement year.
This measure will be paid on an annual basis, following the end of quarter 4. For additional information refer to the 2021 CBI Technical Specifications.
- History of dental caries is an important predictor of risk for future disease.
- Children with early childhood decay are more likely to get more decay in their lifetime. Baby teeth are in a child’s mouth until age 11 or 12.
- Decay can go beyond pain and it affects:
- ability to eat
- ability to learn
- the way children feel about themselves
- Fluoride varnish helps prevent dental caries and, in some cases, reverse early dental caries, and can reduce decay by 30-63%, depending on if it is coupled with dental health counseling.
- Because of the high efficacy of fluoride varnish, it is now being applied in non-dental settings.
- The application is quick, easy, and painless, and can be delegated to nursing and medical assistant staff
- Application of topical fluoride varnish by a physician or other qualified health care professional CPT Code: 99188
- Topical application of fluoride varnish CDT Code: D1206
Data for this measure will be collected using provider data submissions via the Data Submission Tool on the Provider Portal, and claims.
- Run a report from your Electronic Health Record system
- Manually compile patient data
This measure allows providers to submit fluoride varnish codes from their EMR/EHR system or paper records to the Alliance at the end of the measurement year by uploading data files to the Data Submission Tool on the Provider Portal. The files are required to be submitted as a CSV file to be accepted. A Data Submission Tool Guide is available on the Provider Portal to provide you with step-by-step instructions.
- United States Preventative Services Task Force (USPSTF) recommends that PCPs apply fluoride varnish to the primary teeth of all infants and children starting at the age of primary tooth eruption.
- American Academy of Pediatrics recommends application of fluoride varnish at least once every 6 months and preferably every 3 months starting at tooth eruption.
- Fluoride Varnish Helping Smiles Stay Strong brochure for parents and caregivers: https://www.dhcs.ca.gov/formsandpubs/publications/Documents/Fluoride-Varnish-Helping-Smiles-Stay-Strong.pdf
- CHDP Dental Training for Fluoride Varnish: https://www.dhcs.ca.gov/services/chdp/Pages/FluorideVarnish.aspx#powerpoint
- CHDP Fluoride Varnish Protocol and Standing Order: https://www.dhcs.ca.gov/services/chdp/Documents/CHDP-FV-Application-Protocol-Standing-Order.pdf
- CHDP Workflow Steps: https://www.dhcs.ca.gov/services/chdp/Documents/CHDP-FV-Steps-to-Implement-FV-in-Your-Medical-Practice.pdf
- CHDP Local Offices: https://www.dhcs.ca.gov/services/chdp/Pages/CountyOffices.aspx
- AAP Oral Health Practice Tools: https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Oral-Health/Pages/Oral-Health-Practice-Tools.aspx
- AAP Oral Health Prevention Primer: https://ilikemyteeth.org/ohpp/
- Smiles for Life: A National Oral Health Curriculum: https://new.smilesforlifeoralhealth.org/
- Key Elements to Incorporate Oral Health in the Pediatric Electronic Health Record AAP Section on Oral Health: https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Oral-Health/Documents/EMRTemplate.pdf