Medical Professionals
HMK/HMKPlus Fluoride Varnish Reimbursement

Medical insurance plans purchased within the Market Place provide coverage for fluoride varnish applications by physicians or other qualified healthcare providers through age 6. Although, medical providers should check with the insurer first.

Additionally, Montana Medicaid provides this benefit for children under age 20 when the service is delivered by a physician, advanced nurse practitioner, or physicians assistant. Providers should bill either code D1206 or 99188 on a CMS-1500 claim form. There are many appropriate ICD-10-CM codes to use, but the most versatile and common is K02.9 Dental Caries, Unspecified.


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