Fluoride Varnish Suppliers Sheet

Lists some suppliers and sample costs for fluoride varnish.

Sample Documentation for Offices Using Paper Records

Label for paper-based charts for documenting oral health services.

Oral Health Chart Documentation Labels

Sample Documentation for Offices Using Electronic Records

Sample language to populate EMR for documenting oral health services.

Billing Summary Sheet

Summary of reimbursement rates and oral health services paid for by Medicaid and Washington Dental Service/Delta Dental of WA.

Medicaid Claims Submission Documents

How to’s of and background for billing Medicaid including an example of a populated claim form.

WDS Claims Submission Documents

How to’s and background for billing WDS including provider forms that must be submitted to WDS , an example of a populated claim form to be submitted to WDS and diagram of the WDS IVR system (to check patient eligibility).

WDS W-9 Form

IRS W-9 form.

NPI Form

National Provider Identifier (NPI) Profile form.

Dental Clinic Access Program List

Resource document. Community Dental Clinic and Access Programs in Washington for children and adults.

ParentHelp123.org

Includes a database of dental care resources that can be searched by location. Click on "RESOURCES"; then click "Resource Finder," then click on "Get Started," then choose "Dental Services, ABCD."