Member Dental Reference Information

Well-child visits provide an opportunity to discuss specific dietary habits (e.g., prolonged bottle use, frequent carbohydrate snacks) that could be putting your family at greater risk for dental disease. Since young patients will typically see a physician eight times before their first visit to the dentist, it is important to discuss oral health and water fluoridation with your Primary Care Physician to protect your family’s teeth from dental disease.

When talking with your Primary Care Physician about oral health and fluoridation, the following are various dental programs available for Molina Medicaid, Healthy Michigan Plan and Fee-For-Service Medicaid members.

Program/Plan Program/Plan Description Age Dental Resource
Medicaid Healthy Kids PCP Fluoride Treatments This program allows Molina PCP’s to provide Fluoride treatments to Molina Medicaid members (0-3) years and submit claims to Molina.
Molina PCP’s must submit their claims directly to Molina using the following procedure codes:
Code Code Description
D0190 Screening of a Patient
D1206 Topical Fluoride Varnish
99188 App Topical Fluoride Varnish
0-3 Years

Medicaid Healthy Kids Children who have Medicaid and are not in the Healthy Michigan program and are under the age of 21. 0 – 21 Years

Medicaid Healthy Michigan (HMP) Healthy Michigan is a program that offers low cost comprehensive coverage for any covered benefit to those that qualify. 19 – 64 Years
Molina Healthcare Dental at (888) 898-7969.
Fee For Service Medicaid There are many community dental programs that provide help to seniors, people with disabilities, the poor, patients on Medicaid, persons with no dental insurance, and persons in need of dental care they can’t otherwise afford. Varies

If you have any questions or for additional information, please call Member Services toll free at (888) 898-7969/TTY: 711.