Fluoride varnish application will be combined with risk assessment and referral to a dentist who treats children under the age of 6. The services will be linked to well-child visits for children under the age of 6. They’ll also be reimbursed as an all-inclusive service billed using a current procedural terminology (CPT®) code and can be provided up to four times a year.
The state periodicity schedule requires that a child be referred to a dentist for a dental visit before the child turns 12 months old.
The carries-risk assessment service:
- is billed using a CPT code (the reimbursement will be the same regardless of the determined risk level),
- must be provided at least once per year in conjunction with an oral evaluation service, and
- must be provided by a primary care dentist.
It may be provided a second time with prior authorization and documentation of medical necessity.
Your dental care
We work with LIBERTY Dental Plan to provide you with dental and oral health care. You don’t need a referral to see a dentist or dental specialist in the network. You can change your dentist or dental group any time while you're enrolled with Aetna Better Health of New Jersey. You can find a dentist:
Online
Just check the LIBERTY Dental Plan Find a dentist
tool to locate in network dentists and specialists, dentists treating children under six years of age and dentists who treat adults and children with intellectual and developmental disabilities.
By phone
Contact LIBERTY Dental Plan at 1-855-225-1727. You can call Monday through Friday, 8 AM to 8 PM. Outside these hours, you can call us at 1-855-232-3596 (TTY: 711).We’re here for you 24 hours a day, 7 days week.
Do you have a dental emergency?
Types of dental emergencies
Some examples are:
- A broken natural tooth
- A lost filling or crown
- A permanent tooth is knocked out
- Very bad pain in the gum around a tooth
- Mouth or face swelling or infection
Special settings
Sometimes dental care can require a hospital setting or surgical center. This may happen for:
- Members with special health care needs
- Children under the age of 5
If your dentist can’t provide this service, just call LIBERTY Dental Plan. You can reach them at 1-855-225-1727. They can help you find a dentist and arrange your care.
What to Ask when Contacting a Dental Office
This guide will help parents/caregivers of children and adults with intellectual and developmental disabilities with questions to ask when calling a dental office for an appointment.
What to ask when contacting a dental office English | Spanish
Dental care for kids
Just visit the Insure Kids Now website to learn more. You can also find a NJ Smiles provider with the LIBERTY Dental Plan Find a dentist tool. Or check and download the Directory of Dentists (PDF) treating children under the age of 6 for pediatric (children’s) dentists or general dentists who treat very young children.
All provider information contained on this website is subject to change. Please confirm with the provider when you call them. This online provider directory is updated daily. If you are looking for a specific provider and cannot find them online, please
call Aetna Better Health Premier Plan Member Services at 1-866-600-2139 (TTY: 711) for more information, 24 hours a day, 7 days a week. For provider directory inaccuracies and updates Need help - Here is
a guide to help you search for a provider or hospital. Can't find the provider you are looking for?
Contact us at Member Services 1-866-600-2139 (TTY: 711).
Aetna Better Health Premier Plan are interested in providers you would like to see join our networks. Please use the Provider Nomination Form to nominate a provider.
The pharmacy provider search contains ALL pharmacy providers that are enrolled with the health plan. Please note that the pharmacy provider search may include some clinic pharmacies that will only fill your prescription if you are a patient at their clinic. Also, there may be some pharmacies providing certain specialty medications only. If you have questions, please call us at 1-866-600-2139 for more information.
- Visit the 2019 Pharmacy search or the 2020 Pharmacy seach to find a pharmacy near you.
- Visit our Pharmacy webpage to learn more about Long Term Care Pharmacies (LTC) and Home Infusion Pharmacies (HI).
If you wish to make a standing request to receive all materials in a language other than English or in an alternate format, you can call Aetna Better Health Premier Plan Member Services at 1-866-600-2139 (TTY: 711) for more information, 24 hours a day, 7 days a week.