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14.2.2.3 First Dental Home
First Dental Home is designed to help CSHCN Services Program clients 6 months through 35 months of age to establish a dental home. A dental home provides preventative care, identifies oral health problems, and provides oral health instructions to parents or guardians as early as possible.
A First Dental Home visit includes, but is not limited to:
• Comprehensive oral examination.
• Oral hygiene instruction with primary caregiver.
• Dental prophylaxis, if appropriate.
• Topical fluoride application using fluoride varnish, if appropriate.
• Caries risk assessment.
• Dental anticipatory guidance.
This early oral examination may only be reimbursed to individual dentists who have completed training to be certified to participate in the First Dental Home initiative. Use procedure code D0145 to bill for this examination.
Procedure codes D0120, D0150, D1120, D1203, or D1206 are denied if procedure code D0145 is billed on the same date of service by any provider. A First Dental Home examination is limited to ten services per client lifetime with at least 60 days between visits. This service is limited to once per day.
The Texas Department of State Health Services (DSHS) is responsible for training and certifying dental providers. For information about training, refer to the Department of State Health Services (DSHS) Oral Health Program web page at www.dshs.state.tx.us/dental/firstdentalhometraining.shtm.
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