Treatment FAQ

how long insurance covers for fluoride treatment

by Graciela Daniel Published 2 years ago Updated 1 year ago
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Our Protect, Gold, and Platinum individual dental insurance plans offer coverage for fluoride treatments once per year until the age of 18 (19 on the Protect Plan). Our Gold Plan provides 80% coverage with no waiting period, and our Platinum Plan provides 100% coverage, with no waiting period and no deductible.

What is covered? Two fluoride varnish administrations will be covered per year from onset of tooth eruption up to age 5, and it is recommended that these applications be applied at about six-month intervals.Apr 14, 2015

Full Answer

Is fluoride treatment covered by insurance?

Inside tip: if your insurance doesn’t fully cover your fluoride treatment, they tend to be very inexpensive (usually less than $50). Consider getting the treatment during your free cleaning! Interested in Signing Up for Dental Insurance?

How long does a fluoride treatment last?

How long a fluoride treatment lasts depends on the fluoride treatment. For instance, with a fluoride rinse, you may need to use the rinse daily or weekly. However, with a fluoride varnish, you may just need two applications per year. When can I brush my teeth after fluoride treatment?

Does my dental plan cover fluoride for my kids?

If you get a dental plan for your children, be sure to put it to good work – just one year of fluoride treatments can make them 43 percent less likely to develop tooth decay and cavities! Inside tip: if your insurance doesn’t fully cover your fluoride treatment, they tend to be very inexpensive (usually less than $50).

How do I get fluoride treatment?

Dentists provide professional fluoride treatments in the form of a highly concentrated rinse, foam, gel, or varnish. The treatment may be applied with a swab, brush, tray, or mouthwash. These treatments have much more fluoride than what’s in your water or toothpaste. They only take a few minutes to apply.

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Does insurance cover fluoride treatment?

How Much Does Fluoride Treatment Cost? Typically, fluoride treatments cost somewhere between $20 -$50. Because the treatment is designed as a prevention treatment that promotes good oral health, some dental insurance policies will cover the entire cost of treatment.

How long does fluoride treatment last?

When you come for a fluoride treatment in Houston, we follow the recommendation of the American Dental Association that stated that fluoride treatment should be done every 3, 6 or 12 months to ensure the fluoride film is strong and effective.

Does insurance cover fluoride treatment for kids?

Fluoride varnish helps prevent decay and is recommended by the U.S. Preventive Task Force and the American Academy of Pediatrics for privately insured children. Coverage with no cost-share for families is mandatory under the Affordable Care Act.

How often should adults get fluoride treatment?

Fluoride treatments are important for adults as well. They are an effective way to prevent cavities and other oral health issues, especially as teeth naturally weaken over time. Adults should receive 2–4 fluoride treatments per year, depending on their overall oral health.

Are fluoride treatments worth it?

Many adults wonder, “Are fluoride treatments beneficial for adults?” The answer is yes. All adults can benefit from a dental fluoride treatment, especially those at a higher risk for tooth decay. Insurance doesn't normally cover fluoride for adults, but the price is usually only around $20-40—well worth the extra cost.

How long does fluoride last after dentist?

Wait between 4 – 6 hours before resuming your routine oral care. To stay on the side of caution, you should wait for 6 hours before brushing or flossing your teeth. When you wait for 6 hours or longer, the fluoride will cover and protect your teeth better.

Can fluoride treatments reverse cavities?

Fluoride is a mineral that can prevent tooth decay from progressing. It can even reverse, or stop, early tooth decay.

Does CPT code 99188 need a modifier?

Private Medical Insurers Use CPT 99188 with a modifier 33 for billing private insurers (this is a medical code).

How much does fluoride cost?

Cost of Fluoride Treatments At home fluoride treatments can be purchased and will run from $5 to $20, depending on the product. Many oral care companies manufacture a toothpaste with fluoride and that will typically cost $3 to $7 per tube of toothpaste.

Are fluoride treatments necessary for seniors?

Benefits of Fluoride As you get older, you become more susceptible to certain dental conditions, such as gum disease or tooth and root decay. Fluoride treatments can help to strengthen and protect your teeth, preventing your need for invasive and expensive procedures in the future.

Is fluoride varnish worth it for adults?

For adults, the guideline group concluded (with a low level of certainty) that 2.26% fluoride varnish may be beneficial to prevent root caries if applied at least twice a year.

1. Dental Exams

One thing dental insurance coverage includes is preventive care, which are routine services that keep you healthy, 100 percent. That means that with a dental plan, you can get cleanings, exams, and x-rays twice a year—all free as long as you visit an in-network dentist.

2. Sealants

A dental sealant is a special gel that uses ultraviolet light to form a protective layer around your teeth. Sealants are easy to apply (it only takes a few minutes) and painless, and are usually used on children once their permanent molars grow in. Sealants can reduce tooth decay by 70 percent, which means fewer cavities and healthier smiles!

3. Tooth Trauma

Did you know that if one of your teeth get knocked out, it can only survive for 60 minutes? Fortunately, dental insurance helps (literally) fill the gap on tooth trauma care. Your plan will cover treatment for chips, fractures, and knockouts, so you can head to the dentist and take care of your dental disaster ASAP.

4. Implants

By the time they’re 50, Americans have lost an average of twelve teeth! If you’re missing one of your pearly whites, you are a candidate for dental implants: surgically inserted, artificial teeth that fuse with your jawbone via a titanium rod.

5. Fluoride

Fluoride treatments are an easy way to strengthen your teeth’s enamel, which prevents decay and cavities. Dental plans will commonly help pay for fluoride treatments for children 16 and under. This is because children are less likely to have much tooth decay.

Interested in Signing Up for Dental Insurance?

Lucky you! Dental insurance doesn’t have an Open Enrollment period, which means you can sign up for a plan anytime. Keep in mind – most plans make you wait 6 to 12 months before you can use them. Fortunately, we offer simple, affordable plans that you can use the very next month at over 300,000 locations nationwide!

What is fluoride used for?

Used to protect teeth from dental caries (cavities), fluoride is a mineral that can be applied as a gel or a varnish. It is designed to strengthen tooth enamel, and is actually found in many foods and even drinking water.

Why do you use fluoride on teeth?

Using fluoride on children, especially after their permanent teeth come in, helps create a better barrier against bacteria and acids in sugar that they consume.

Can you use fluoride toothpaste in between cleanings?

However, it is strongly recommended by the friendly dentists and hygiene staff at Affiliated Dentists that all patients receive the professional fluoride treatments offered at the office, regardless of age.

Does dental insurance cover fluoride?

Most Dental Insurance Doesn’t Cover Adult Fluoride. Of course, dental insurance coverage should never rule over needed oral treatment, which is crucial to overall health. Although adult fluoride treatment is typically not covered by many plans, the cost at Affiliated Dentists is only a nominal fee out of pocket.

Is fluoride toothpaste good for teeth?

This coupled with at home brushing with fluoride toothpaste can help ensure patients’ teeth stay healthy, strong, and protected. For those at a higher risk of dental cavity your dentist may recommend a prescription toothpaste with additional fluoride.

How Long Does Fluoride Treatment Last?

Below you will find information on how often you should have a fluoride treatment.

Frequency of Fluoride Treatment

Fluoride is applied to your teeth in the form of a varnish, foam, or gel. The fluoride sticks to your teeth for a few hours absorbing the fluoride (even though the treatment itself takes just a few minutes). After you brush your teeth post-treatment the fluoride washes away.

Benefits of Fluoride Treatment

Fluoride has a variety of benefits that can improve your oral health. It helps stop the growth of harmful bacteria in your mouth, which can help prevent tooth decay. It also penetrates into the deeper layers of your teeth, which can help create a strong surface. It is proactive as it helps restore the minerals on the enamel of your teeth.

Fluoride and Children

A complete fluoride treatment is necessary for children ages 6 to 16. However, the research indicates that children under 6 can benefit from fluoride as well. If your child is under 3 years old, assist them in brushing their teeth. You can use a thin layer of toothpaste with fluoride to brush their teeth.

Get Treatment Today

Fluoride treatment in Chino Hills can help strengthen your teeth and proactively fight tooth decay. Your dental provider can administer fluoride treatment during your routine checkup. The treatment involves the application of a varnish, foam, or gel to your teeth. It is applied using a swab, brush, or tray during your appointment.

How effective is fluoride varnish?

Fluoride varnish applications take less time, create less patient discomfort, and achieve greater patient acceptability than fluoride gel, especially in preschool-aged children.

Can you give fluoride to patients with caries?

Every practice has patients that fall into the moderate to high risk category. According to the science, it is these-and only these-patients who will benefit from topically applied fluoride. Patients with low caries risk should not be given fluoride adjuncts, as the benefit is negligible.

Is fluoride gel effective for caries?

Here is a summary of the panel's conclusions, based on the evidence: Fluoride gel is effective in preventing caries in school-aged children.

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Dental Health with Fluoride

  • To keep your teeth healthy, it’s important to include fluoride in your daily oral hygiene routine. For many people, fluoride is added to their drinking water by their communities. In addition, people also use toothpaste that contains fluoride. Both of these methods are effective ways to apply fluoride to your teeth. However, your dentist may suggest a dental fluoride treatment option if yo…
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Procedure

  • While there are over-the-counter (OTC) fluoride treatments for adults and children, your dentist may suggest an in-office fluoride treatment. These include:2 1. Fluoride mouth rinsesare a concentrated solution that you swish in your mouth and around your teeth as directed, typically once a day or weekly. 2. Fluoride supplements are available as a tablet or lozenge and are consu…
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Cost

  • The cost for a dental fluoride treatment varies based on the type, but they typically start at around $25.4If you have dental insurance, your policy may cover certain dental fluoride treatments. It’s important to discuss these treatments with your insurance provider before you get one at the dentist's office.
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How Much Fluoride Is needed?

  • For healthy teeth, brush twice a day with fluoride toothpaste. Most toothpaste has a range of 1,000–1,500 parts per million (ppm) of fluoride.5 Parents with children younger than 2 should consult with their healthcare provider, pediatrician, or dentist before starting a fluoride toothpaste. However, when your child cuts their first tooth, the American Academy of Pediatrics suggests us…
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Benefits

  • Fluoride is essential for a healthy mouth and teeth. The benefits of fluoride include building strong teeth, protecting tooth enamel, and fighting tooth decay. Fluoride also reduces the amount of acid on your teeth caused by bacteria.7
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Side Effects

  • Like many other minerals, fluoride can be toxic if you consume it in high doses. However, if you brush your teeth twice a day with fluoride toothpaste, the amount of it is too small to present a risk. If your dentist prescribes additional fluoride treatments, it’s important to use them as directed. Children ages 8 and younger are at risk for developing dental fluorosis, or discoloratio…
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Summary

  • Good dental hygiene includes fluoride in your toothpaste and/or drinking water to help prevent tooth decay. If necessary, your dentist may recommend additional dental fluoride treatments. These treatments are a quick and easy way to help ward off tooth decay and gum disease. To keep your teeth healthy, it's important to brush your teeth twice a day with a fluoride toothpaste.
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A Word from Verywell

  • Brushing your teeth with fluoride toothpaste twice a day goes a long way in keeping your teeth healthy and strong. Be sure to get a dental cleaning and checkup at least once a year, and speak with the dentist about fluoride treatments.
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