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Module 4: Anticipatory Guidance, Fluoride Varnish, and Referral

4.7 Fluoride Varnish Reimbursement

people doing paperwork

Scion is the contractual agent that reimburses EPSDT medical providers for applying fluoride varnish to the teeth of infants and children ages 9 months through age 5 who are enrolled in the Maryland Medicaid Program. Once EPSDT medical providers are certified and approved by Scion, they will be instructed to use Scion ’s electronic or paper claim form and to indicate code D1206 to be reimbursed $24.92 per fluoride varnish application per infant or child. More information on billing and reimbursement procedures is available on the Maryland’s Mouths Matter: Fluoride Varnish and Oral Health Program for Kids Web site.