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Into the Mouths of Babes Record Key NC Dental Screening Varnish Project Encounter Form Date of Visit / / / / Patient DOB Patient Medicaid ID Race Sex 1 White not Hispanic Patient Name 1 Female 2 Male Practice Name Provider Name 5 Asian or Pacific Islands 6 Unknown PLEASE COLOR IN THE BUBBLE CIRCLE FOR EACH ANSWER. Teeth and Conditions Present How many teeth are present How many perceived cavities A 1-2 B 3-4 C 5-6 D 7-8 E 9-10 F 11-12 G 13-14 H 1...
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How to fill out NC Into the Mouths of Babes Dental Screening & Varnish
01
Gather all required materials including consent forms, dental screening tools, and varnish.
02
Ensure the child is comfortable and sits in a well-lit area.
03
Explain the procedure to the child and their guardian to alleviate any fears.
04
Perform a visual examination of the child's teeth and oral cavity to assess dental health.
05
Clean the child's teeth if necessary to prepare for varnish application.
06
Using an applicator, gently apply the dental varnish to the surfaces of the teeth.
07
Provide aftercare instructions to the guardian about diet and oral hygiene post-application.
08
Schedule any necessary follow-up appointments or referrals to a dentist.
Who needs NC Into the Mouths of Babes Dental Screening & Varnish?
01
Children aged 0 to 5 years who are at risk of dental caries.
02
Parents or guardians looking for preventive dental measures for their young children.
03
Children without regular access to dental care or who exhibit early signs of dental issues.
04
Children with special health care needs that may require additional dental monitoring and care.
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What is NC Into the Mouths of Babes Dental Screening & Varnish?
NC Into the Mouths of Babes Dental Screening & Varnish is a program in North Carolina aimed at providing dental screenings and fluoride varnish applications to young children to prevent tooth decay and promote oral health.
Who is required to file NC Into the Mouths of Babes Dental Screening & Varnish?
Healthcare providers, including pediatricians, dentists, and other qualified personnel who administer dental screenings and fluoride varnish as part of the program are required to file reports for NC Into the Mouths of Babes.
How to fill out NC Into the Mouths of Babes Dental Screening & Varnish?
To fill out the NC Into the Mouths of Babes Dental Screening & Varnish form, providers must complete required patient information, document the results of the dental screening, record the fluoride varnish application, and ensure all relevant data is accurately submitted to the designated state agency.
What is the purpose of NC Into the Mouths of Babes Dental Screening & Varnish?
The purpose of the NC Into the Mouths of Babes Dental Screening & Varnish program is to reduce dental caries in young children, increase access to preventive dental care, and improve overall health by addressing oral health issues early.
What information must be reported on NC Into the Mouths of Babes Dental Screening & Varnish?
Providers must report information including the child's name, age, screening results, details of the fluoride varnish application, and any referrals made for further dental care or treatment.
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