Prior Auth Required

99188 - ( , , ) for children from birth through age five when applied by a dentist

This procedure appears on the selected insurer prior authorization source.

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Procedure / Service( , , ) for children from birth through age five when applied by a dentist
Procedure / Service Description

Reimbursement for services will be based upon CDPHP dental fee schedule at the time of the - Coverage is provided for fluoride varnish treatments every 3-6 months based on caries risk (D1206, D1208, 99188) for children from birth through age five when applied by a dentist, physician or nurse practitioner.

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.