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Transmittal 20-05-National Children's Dental Health Month, Dental Procedures and Billing Requirements

Friday, February 28, 2020

All District of Columbia children eligible for the Medicaid program are entitled to receive the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) services benefit. EPSDT, also known as HealthCheck in D.C., is a mandatory Medicaid benefit that includes preventive and specialty care, such as dental services. Preventive care rendered by EPSDT primary care providers includes oral health assessments for all ages and fluoride varnish application for children under the age of 3 during a well-child visit. Comprehensive oral exams, dental sealants, and dental cleanings are covered by Medicaid, as well as any needed diagnostic or treatment services identified by dental providers.