Search all medical codes


HCPCS code

Name of the Procedure:

Prophylaxis-Child Common Name: Dental Cleaning for Children
Technical/Medical Term: Prophylactic Dental Cleaning (HCPCS Code: D1120)


A prophylactic dental cleaning for children involves thoroughly cleaning the teeth to prevent cavities, gum disease, and other dental problems. This procedure includes removing plaque, tartar, and stains from the child's teeth.


  • To maintain oral health by preventing cavities and gum disease.
  • To remove plaque and tartar buildup and prevent oral infections.
  • To ensure a child's dental health through routine cleanings.


  • Routine dental care for children.
  • Presence of plaque or tartar buildup.
  • Halitosis (bad breath).
  • Preventative care to avoid dental issues in children.


  • Generally, no special preparation is required.
  • The child should brush their teeth prior to the appointment.
  • Parents should inform the dentist of any medical conditions or medications.

Procedure Description

  1. Oral Examination: The dentist or dental hygienist examines the child's teeth and gums.
  2. Scaling: Removes plaque and tartar from the teeth surfaces and gum line using specialized tools.
  3. Polishing: Polishes the teeth to remove stains and smooth the surfaces.
  4. Flossing: Flosses between the teeth to ensure all debris is removed.
  5. Fluoride Treatment: May apply fluoride to help strengthen the enamel and prevent cavities.

Tools, Equipment, or Technology:

  • Dental scaler
  • Polishing tools
  • Dental floss
  • Fluoride varnish or gel


  • Usually, no anesthesia is required unless the child has extreme anxiety or special needs.


Typically, the procedure takes about 30-45 minutes.


  • Outpatient dental clinic or dental office.


  • Dental Hygienist
  • Pediatric Dentist or General Dentist
  • Dental Assistant (if needed)

Risks and Complications

  • Mild discomfort or sensitivity during the cleaning.
  • Rare: Gum irritation or minor bleeding.
  • Risk of allergic reaction to fluoride or cleaning agents (very uncommon).


  • Improved oral health and hygiene.
  • Prevention of cavities and gum disease.
  • Early detection of potential dental issues.
  • Long-term savings on dental treatments by preventing problems.


  • Immediate return to normal activities.
  • The child may need to avoid eating or drinking for 30 minutes after fluoride treatment.
  • Regular brushing and flossing are encouraged.


  • There are no direct alternatives to regular professional cleanings for prevention.
  • Home dental care: Brushing and flossing must still be performed regularly.
  • Dental sealants for further cavity prevention in high-risk children.

Patient Experience

  • The procedure is usually painless, but the child might feel slight discomfort from the tools.
  • The dentist ensures the child is comfortable, and distractions or entertainment (like cartoons) might be provided during the cleaning.
  • Post-procedure, the child’s teeth feel smooth and clean.

Pain Management and Comfort Measures:

  • Reassurance and a gentle approach.
  • Possible use of numbing gel for sensitive children.

Similar Codes

Contact us to learn more

Choose your own adventure


Send us a message or questions and we can share more details.


Setup a calendar meeting with us; find a time now.