A Revolutionary Practice Model for Infants and Toddlers
Highchair Dental Care® Studios
Welcome to Highchair Dental Care® Studios where the youngest of dental patients receive their first oral care examination, dental cleaning, and fluoride treatment in the comfort of a highchair.
Caregivers are seated next to the infant or toddler and the dental professional is seated in front of the patient. This is where the parent or caregiver will learn the rules of engagement. They will learn how to gently introduce toothbrushing in a systematic routine way for young children with 20 or fewer teeth. Oral hygiene instructions are demonstrated, with brushing recommended immediately following the meal and while the child remains securely seated in their highchair. Dietary choices, nutrition, health status and more are discussed with caregivers.
Written & composed by pediatric dentist, Dr. Winifred J. Booker
Lead vocals & backgrounds by Grammy nominated jazz recording artist, MAYSA
Music Production by Chris “Big Dog” Davis
Other anticipatory guidance recommendations include conversations about:
oral hygiene behaviors and food sharing practices
early childhood caries and baby bottle tooth decay
teething concerns and alleviating discomfort
weaning milestones and tips to end non-nutritive nursing
avoiding dental traumas and important safeguards
smoking and vaping dangers
lead exposure screening at ages 1 and 2 years
vaccinations updates and tetanus status
Current Dental Terminology
Click on the images below to view the current dental terminology (CDT) codes used by dental practices. These CDT codes are applied to the insurance claim and used to document the Highchair dental care appointments.
Oral Evaluation
D0145
DO145-Oral evaluation for a patient under three years of age and counseling with primary caregiver [Diagnostic and preventive services performed for a child under the age of three, preferably within the first six months of the eruption of the first primary tooth, including recording the oral and physical health history, evaluation of caries susceptibility, development of an appropriate preventive oral health regimen and communication with and counseling of the child’s parent, legal guardian and/or primary caregiver].
Examination
D0150
Comprehensive oral evaluation — new or established patient development of an appropriate preventive oral health regimen.
Toothbrushing Technique
D1330
D1330 — Oral hygiene instructions [This may include instructions for home care. Examples include tooth brushing technique, flossing, and use of special oral hygiene aids].
Prophylaxis — Child
D1120
D1120 — Prophylaxis — Child [Removal of plaque, calculus and stains from the tooth structures in the primary and transitional dentition. It is intended to control local irritational factors].
Fluoride Treatment
D1208
D1206 — topical application of fluoride varnish
D1208 — topical application of fluoride varnish
D1354 — The SDF Billing Code: Interim caries arresting medication application — conservative treatment of an active non-symptomatic carious lesion by topical application of a caries arresting or inhibiting medicament and without mechanical removal of sound tooth structure.
Nutritionional Counseling
D1310
![D1310 — Nutritional counseling for control of dental disease [Counseling on food selection and dietary habit as a part of treatment and control of periodontal disease and caries].](https://images.squarespace-cdn.com/content/v1/612d4b40be002022b69a8730/1633986854361-4GOFUGHEM7X4MMTF901R/baby-carrots-nutrition-D1310-v2.jpg)
D1310 — Nutritional counseling for control of dental disease [Counseling on food selection and dietary habit as a part of treatment and control of periodontal disease and caries].
Dental Case Management
D9994
D9994 — Dental case management — patient education to improve oral health literacy.
Caries Risk Assessment
D0601(low), D0602(med), D0603(high)
Caries Risk Assessment (CRA) Form - Steps 1, 2, 3: Assess, Test, Diagnose.
The form documents accurate risk assessment. This information is part of the dental/medical necessity.
D0601 — caries risk assessment and documentation, with a finding of low risk
D0602 — caries risk assessment and documentation, with a finding of moderate risk
D0603 — caries risk assessment and documentation, with a finding of high risk
Lead Screening
D0418
D0418 — analysis of saliva. Chemical or biological analysis of saliva sample for diagnostic purposes.
Tobacco Counseling
D1320
D1320 — Tobacco counseling for the control and prevention of oral disease. Tobacco prevention and cessation services reduce patient risks of developing tobacco-related oral diseases and conditions and improved prognosis for certain dental therapies.