Product Lines:
Priority Partners.

Measurement Period: January 1–December 31.

Description:
The percentage of persons 1-4 years of age who received at least two fluoride varnish applications during the measurement period.

Stratifications:
Age as of the last day of the measurement period.

• 1–2 years.
• 3–4 years.

Improvement Notation:
Increased score indicates improvement.

Data Collection:

• Administrative.
• Supplemental.

Initial Population:

• Measure Item Count: Person.
• Age: 1–4 years of age as of the last day of the measurement period.
• Benefits: Medical or Dental.
• Continuous Enrollment: The measurement period.
• Allowable gap: No more than one gap of ≤45 days during each period. No gaps on the last day of the measurement period.

Denominator:
The initial population minus denominator exclusions.

Numerator:
Persons with two or more fluoride varnish applications during the measurement period, on different dates of service.

Best Practice and Measure Tips

American Academy of Pediatrics (AAP)/Bright Futures recommends:

• Primary care provider performs an oral health risk assessment starting at 6 months of age.
• Fluoride varnish may be applied in the primary care provider every 6 months, beginning when the first tooth erupts until age 5 years if unbailable to be seen by a dentist.
• Refer patient to dentist by 12 months of age.
• Educate parents and caregiver oral hygiene and prevent transmission of bacteria from the adult to the child.
• Educate parents about ways to keep their child’s teeth clean and ensure sufficient fluoride intake.

Measure Exclusions

Denominator Exclusions:

• Persons in hospice or using hospice servicesany time during the measurement period.
• Persons who died any time during the measurement period.

Measure Codes

Application of Fluoride Varnish

• CDT: D1206
• CPT: 99188
• SNOMED CT:313042009