Dental varnish now covered by NC Health Choice!

(6/04) -- Retroactive to November 1, 2003, a Dental Varnish Services Package (similar to the services currently in place for Medicaid children) may now be provided to NC Health Choice children! Practices should use the same codes and billing guidelines as are in effect for Medicaid with one notable exception.

For the Initial Dental Varnish Visit, the provider must submit two codes:

• D0150: For Initial Comprehensive Oral Screening
• D1203: For the Application of Dental Varnish

For the Subsequent Dental Varnish Visit, the provider must submit two codes:

• D0120: For Subsequent Periodic Oral Screening
• D1203: For the Application of Dental Varnish

Oral Health Education (D1330) is not a separately covered service in NC Health Choice.

Qualified Providers (defined in NC Health Choice as Pediatricians and Family Practitioners) must allow no less than a 91-day interval between visits.

A total of 6 visits (including Initial and Subsequent Visits) are allowed between the time teeth erupt up to age 3.

Educate your families and providers about the availability of this new service through NC Health Choice! It is a great opportunity to prevent dental caries in the population we serve. Questions may be directed to the BCBSNC / NC Health Choice Line at 1-800-422-4658.