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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Nicole Gibson


fluoride, varnish, Medicaid, children


Cavities are the most common and preventable chronic condition among children (Centers for Disease Control and Prevention [CDC], n.d.). Less than half of dentists accept Medicaid insured children due to poor reimbursement rates (Nicoll, Phillips, Shaefer, & Simoncic, 2016). In recognition of this gap in care, Medicaid now reimburses primary care providers (PCPs) for fluoride varnish application (Moyer, 2014). The Doctor of Nursing Practice (DNP) project implemented PCP fluoride varnish application and parental education in a rural primary care clinic. Eligible participants were children, five years of age or younger, with Medicaid and at least one primary tooth presenting for a well-child check. The desired outcome was an increase in PCP Medicaid claim submissions for preventive dental health services. Evaluation of prior access to preventive dental care was analyzed with a questionnaire. The purpose of this DNP project was to evaluate the effectiveness of a PCP dental health intervention on access to preventive dental care among children with Medicaid. Results lacked statistical significance, but clinical significance resulted from introducing fluoride varnish services to the clinic and providing eight children with their first preventive dental care exposure.

Library of Congress Subject Headings

Children -- Dental care.
Medicaid beneficiaries -- Services for.
Preventive health services.
Fluoride varnishes.


Includes bibliographical references



Number of Pages



South Dakota State University


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