eCQM Title

Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists

eCQM Identifier (Measure Authoring Tool) 74 eCQM Version number 8.2.000
NQF Number Not Applicable GUID 0b81b6ba-3b30-41bf-a2f3-95bdc9f558f2
Measurement Period January 1, 20XX through December 31, 20XX
Measure Steward Centers for Medicare & Medicaid Services (CMS)
Measure Developer National Committee for Quality Assurance
Endorsed By None
Percentage of children, age 0-20 years, who received a fluoride varnish application during the measurement period
This Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.

Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any third party codes contained in the specifications.

CPT(R) contained in the Measure specifications is copyright 2004-2017 American Medical Association. LOINC(R) copyright 2004-2017 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2017 International Health Terminology Standards Development Organisation. ICD-10 copyright 2017 World Health Organization. All Rights Reserved.
The performance Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. THE MEASURE AND SPECIFICATIONS ARE PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND.
Due to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].
Measure Scoring Proportion
Measure Type Process
Population 1: age 0-5
Population 2: age 6-12
Population 3: age 13-20
Risk Adjustment
Rate Aggregation
The literature reflects that fluoride varnish when applied to the teeth of high-risk children, reduces, in conjunction with anticipatory guidance provided to the caregiver, the risk of the child developing caries
Clinical Recommendation Statement
ADA Clinical recommendations for use of professionally applied or prescription-strength:

- Younger Than 6 Years - 2.26 percent fluoride varnish at least every three to six months

- 6-18 Years - 2.26 percent fluoride varnish at least every three to six Months OR 1.23 percent fluoride (APF*) gel for four minutes at least every three to six months

- Older Than 18 Years - 2.26 percent fluoride varnish at least every three to six months OR 1.23 percent fluoride (APF) gel for four minutes at least every three to six months
Improvement Notation
A higher score indicates better quality
JA. Wentraub, F. Ramos-Gomez, B. Jue, S. Shain, CI. Hoover, JDB. Featherstone, and SA. Gansky. Fluoride Varnish Efficacy in Prevention ECC. J Dent Res 85(2): 172-176, 2006. 
Weyant RJ, Tracy SL, Anselmo TT, Beltran-Aguilar ED, Donly KJ, Frese WA, Hujoel PP, Iafolla T, Kohn W, Kumar J, Levy SM, Tinanoff N, Wright JT, Zero D, Aravamudhan K, Frantsve-Hawley J, Meyer DM. American Dental Association Council on Scientific Affairs Expert Panel on Topical Fluoride Caries Preventive Agents. Topical fluoride for caries prevention: executive summary of the updated clinical recommendations and supporting systematic review. J Am Dent Assoc. 2013;144:1279-1291. doi: 10.14219/jada.archive.2013.0057.
Transmission Format
Initial Population
Children, age 0-20 years, with a visit during the measurement period
Equals Initial Population
Denominator Exclusions
Exclude patients whose hospice care overlaps the measurement period
Children who receive a fluoride varnish application
Numerator Exclusions
Not Applicable
Denominator Exceptions
Supplemental Data Elements
For every patient evaluated by this measure also identify payer, race, ethnicity and sex

Table of Contents

Population Criteria




Data Criteria (QDM Data Elements)

Supplemental Data Elements

Risk Adjustment Variables

Measure Set
Not Applicable