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Centreville Dental Care Dr. Aniqa ZaheerDr. Paul Chung13880 Braddock Road, Suite 109 Centreville, VA 22031Financial Agreement I, the undersigned, hereby agree to pay to the above named doctor all
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How to fill out virginia smiles for children

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How to fill out virginia smiles for children

01
Start by getting the Virginia Smiles for Children application form. You can find it on the official website of Virginia Department of Health.
02
Fill in the applicant's personal information, including their name, date of birth, address, and contact details.
03
Provide information about the applicant's parents or legal guardians, including their names and contact information.
04
Indicate any other insurance coverage that the applicant may have.
05
If the applicant is eligible for Medicaid or FAMIS, provide the relevant details and attach any necessary documentation.
06
Sign and date the application form.
07
Make a copy of the completed form for your records.
08
Submit the application form to the designated Virginia Smiles for Children program office either in person, by mail, or online.
09
Wait for the program office to review and process your application. You may be contacted for additional information if needed.
10
Once approved, you will receive notification and your child will be enrolled in the Virginia Smiles for Children program.

Who needs virginia smiles for children?

01
Virginia Smiles for Children is designed for children who are residents of Virginia and are in need of dental care.
02
Children from low-income families, uninsured children, and children with limited access to dental care can benefit from Virginia Smiles for Children.
03
The program aims to provide dental services and preventive care to improve the oral health of eligible children.

What is Virginia Smiles for Children Member Handbook Form?

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Instructions for the form Virginia Smiles for Children Member Handbook

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Virginia Smiles for Children is a publicly funded dental program for children in Virginia who are eligible for Medicaid or FAMIS, providing preventive and restorative dental care.
Providers who wish to participate in the Virginia Smiles for Children program must file the necessary enrollment forms to provide services to eligible children.
To fill out Virginia Smiles for Children forms, providers must complete the application with required information, including their practice information and proof of credentials, and submit it to the appropriate state agency.
The purpose of Virginia Smiles for Children is to improve access to dental care for children from low-income families and to ensure they receive necessary dental services.
Providers must report information such as patient demographics, services rendered, and billing information when submitting claims for reimbursement under the Virginia Smiles for Children program.
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