MedicaidCoverageMedium impact
[Ohio] Use of CPT Code 0792T, Application of Silver Diamine Fluoride by a Non-Dentist
CareSource·OH · Pediatrics, General Practice, Family Medicine +1 more·Coding
Effective date
Jan 1, 2025
We identified it
May 9, 2026
Summary
Ohio Medicaid now covers CPT Code 0792T (Application of Silver Diamine Fluoride by a Non-Dentist) when performed by non-independent practitioners, provided the supervising independent practitioner is reported as the rendering provider on the claim. This expands coverage to include physician-supervised applications of silver diamine fluoride in medical settings.
Action Required
By April 30, 2025: Billing team must update claim submission protocols to ensure that when CPT 0792T is billed for services performed by non-independent practitioners (e.g., dental hygienists, physician assistants, nurse practitioners under supervision), the supervising independent practitioner is always listed as the rendering provider on the claim. Update billing system rules and provider education materials to clarify this requirement. Train clinical staff on proper rendering provider designation. Failure to report the supervising practitioner as the rendering provider will result in claim denials. Verify that your practice has supervising practitioners properly credentialed with Ohio Medicaid.