The Oral Health Program (OHP) is committed to supporting Wisconsin's oral health workforce for the benefit of all people of Wisconsin so that everyone is living their best life.
This is accomplished through policy development, technical assistance, needs assessment, training, education, and through the planning, implementation, and evaluation of preventive oral health programs.
The majority of Wisconsin's oral health workforce is made up of dentists and dental hygienists.
Wisconsin Administrative Code for dental professionals
Visit State of Wisconsin Department of Safety and Professional Services (DSPS) – Dentistry and Dental Hygiene for the Wisconsin Administrative Code on the practice of dentistry and dental hygiene.
Scroll down and select Medicaid and BadgerCare Plus providers in Wisconsin to learn about being a Wisconsin Medicaid and BadgerCare Plus provider.
Must be licensed
DSPS Dental Hygienist page explains the requirements and fees associated with obtaining or renewing your license in Wisconsin.
Practice settings, supervision, and limitations
- Traditional dental practice
- Dental hygienist is employed
- Dentist supervision
- Practice settings as defined in 2017 Wis. Admin. Code Act 20
- Dental hygienist can provide oral health care services
- In certain settings
- Without dentist oversight
- Can be hygienist-owned or mobile practice
- Increase care for underserved populations
- Special health care needs populations
- Rural communities
- Home bound or unable to travel
- Nursing homes
- Medical facilities
- Clinic or hospital, for example:
- Diabetic or cardiac patients
- Pregnant moms and pediatric patients
- Clinic or hospital, for example:
- Dental hygienist can perform
- Educational dental services
- Preventative dental services
- Therapeutic dental services
- Limitations as defined in Wis Stat.§ 447.01(3)(a-g)
- Dental hygienist can provide oral health care services
Professional organization support
The Wisconsin Dental Hygienists’ Association (WI-DHA) is the largest organization in the state dedicated to representing dental hygienists at the state and national level.
- WI-DHA is a constituent of the American Dental Hygienists’ Association (ADHA).
- WI-DHA and ADHA serve to help dental hygienists achieve their full potential as they seek to improve the public’s oral health.
Dental hygienist career opportunities
The Wisconsin Oral Health Program partnered with dental hygienists on a webinar series offering a glimpse into career opportunities available to licensed dental hygienists in Wisconsin. Each hygienist shares their unique story. You will know what inspires them, understand their passion for their work and the patients they serve, and learn helpful information for anyone interested in a career in similar practice settings.
- Dental Hygiene in Wisconsin, DHS: is the best place to start if you are exploring dental career options or have a dental hygiene license from another state and want to practice in Wisconsin. Learn about education, Wisconsin licensing, scope of practice, supervision, compensation and more.
- Dental Hygiene in Wisconsin: Local Health Department, DHS: provides an opportunity to understand public health hygienists and their varying roles. Public health hygienists may interact with patients in a school, senior center, or other community location. They help patients get dental care and may even learn expanded skills like teaching CPR, planning for emergencies, and responding to the community’s unique needs.
- Hygienists in Medical Dental Integration, DHS: reminds us that oral health is part of overall health. Not all patients see a dentist first. What happens when patients arrive for a medical visit with dental problems? Hygienists in medical settings often educate pregnant moms, see children during well child visits, and consult with urgent care doctors on dental-related concerns. Having a dental hygienist in the medical office can streamline care, help reduce emergency department visits related to tooth or mouth pain, and impact overall health outcomes.
- Oh, Get a Job, Already! What is dental hygiene?, DHS: Direct access dental hygienist, JenJen Reed, shares how mentors helped spark and encourage her dream career. As a first-generation Asian American she faced many barriers. By allowing her passion to lead, she became the first of her generation to start her own hygiene business serving medically compromised adults in Wisconsin nursing homes.
- Wi RDH: School-Based Setting, DHS: teaches the value of dental hygienists in school-based settings. Many children have trouble accessing dental care but, bringing dental services into schools can help. Since all programs differ, networking with others in your community is key to strengthening each one and helping more children. Learn tips for getting started, realistic timelines, and best practices. You will also learn to understand unique considerations for business ownership.
- Wisconsin Dental Hygienist in a Federally Qualified Healthcare Center DHS: offers insight into an amazing life and career journey as it overlaps to cross oceans, removes language and cultural barriers, and finds solid footing as part of a comprehensive team addressing a variety of healthcare needs for patients. Learn that opportunities for dental hygienists seem endless. They can work in a dental office, mobile dentistry program, be a language translator or even help a single mom receive life-saving cancer treatment. Sometimes, it is all part of an overlapping journey that fills one’s heart to overflowing.
Must be registered
DSPS Dentist page explains the requirements and fees associated with obtaining or renewing your credential in Wisconsin.
Dentists can own, be employed, and volunteer services at:
- Dental office practices
- Educational institutions
- Government settings
- Health care settings
- Safety net clinics
Vaccine administration and limitations
- 2021 Wis. Admin. Code Act 8 says dentists are allowed to administer vaccines
- SARS-CoV-2 coronavirus
- Limitations as defined in Wis. Stat. § 447.059(1-4)
- Complete approved training
- Maintain additional liability insurance
- Adhere to vaccine specific requirements
- Record keeping
Professional organization support
The Wisconsin Dental Association (WDA) is the leading voice for dentistry in Wisconsin.
- WDA is affiliated with the American Dental Association (ADA).
- American Dental Association (ADA) is the largest and oldest national dental association in the world.
Dental hygienists and dentists can help
- 2 out of 3 people enrolled in Medicaid or BadgerCare Plus did not see a dentist in 2019. This includes families that live and work in the community you serve.
- Enroll as a provider for Medicaid or BadgerCare Plus and provide dental care to people in need at your office or in various settings.
- Helping low-resource communities with access to dental care can increase overall wellness in the community.
- Current dentists share their experience on the importance of becoming a Medicaid provider and giving Wisconsin residents a brighter smile and future.
Did you know?
- Enrolling is easier than you might think.
- You can see patients at your office or help them where they are. For example, be a provider at a nursing home, a charitable organization, or a nonprofit home healthcare agency.
- You can start small. Start with a few families or patients at a time.
- You can use the Forward Health Portal to submit prior authorizations, bill Medicaid and BadgerCare Plus, and manage your Medicaid and BadgerCare Plus provider portal.
- January 2022 began the Medicaid and BadgerCare Plus rate increase. You can get paid by direct deposit and many services have online approval.
Medicaid enrollment process
Complete the following steps to become a Medicaid and/or BadgerCare Plus Provider in Wisconsin.
- Get National Provider Identification Number (NPI) Apply for NPI on the National Plan & Provider Enumeration System (NPPES) website. You will receive a confirmation email with your NPI, usually in minutes.
- Enroll in Medicaid with a few short steps.
- Know your NPI.
- Gather your records of education, training, and experience.
- Know your provider type and specialty taxonomy code.
- Dental Hygienist taxonomy code: 124Q00000X.
- Dentist taxonomy codes are listed on page 11 of Forward Health Update No. 2008-148.
- Complete the online application and allow 60 days for your Notice of Decision letter to arrive in the mail. The letter contains your Login ID and PIN information.
- Take note of the Automatic Tracking Number (ATN) that generates when you submit your application. You can use the ATN to track your application.
- Request ForwardHealth Portal access. Set up an account using the Login ID and PIN provided in your Notice of Decision letter.
Medicaid and BadgerCare Plus revalidation
Once enrolled, providers are required to revalidate their enrollment information every three years to continue their participation with Wisconsin Medicaid.
Medicaid and BadgerCare Plus billing process
Below are several options for submitting dental billing claims:
Avoid the most common billing errors
- Know service limitations and requirements
- Fillings: provide narrative, if required
- Include attachments on claim
- Verify all procedure codes
- Verify member identification number is correct
- Refer to member ForwardHealth Identification Card
- Verify and enter all other insurance coverage
participate in each HMO or SSI HMO as a billing provider in addition to enrolling as a Medicaid and/or BadgerCare Plus Provider in Wisconsin. Contact each HMO or SSI HMO to learn more.embers who live in Milwaukee, Ozaukee, Racine, Washington, and Waukesha counties may have their dental coverage managed through an HMO or SSI HMO. Providers select and
- Electronic Claims Submission is preferred and allows flexible submission methods.
- Log in to the ForwardHealth Portal and click on the Claims tab at the top of the page. Click Submit Dental Claim.
- Fill in the Dental Claim Panel
- Fill in the Detail and Surfaces panels with dental procedure information.
- Attach any applicable documents.
- Double check and submit your claim.
- Helpful tip: Claims can be copied and updated to expedite the billing process.
- Paper Claims Submission must use ADA 2006 or ADA 2012 claim form.
- Dental Hygienist Allowable Services is a concise list of billing codes for dental hygienists.
- Section on Codes contains comprehensive list of all billing codes for dentists.
- ForwardHealth Updates announce changes in policy and coverage, prior authorization requirements, and claim submission requirements. reimbursement for interpretive services.
This is an excellent guide for all of your billing questions.
- Step-by-step directions for providers
- Submit dental claims on the ForwardHealth Portal
Learn about the Wisconsin BadgerCare Plus Maximum Allowable Fee Schedule.
- Begin using the Interactive Max Fee Search
- ForwardHealth Portal Maximum Allowable Fee Schedule User Guide, P-00957
- ForwardHealth Portal Includes program information, fee schedules, and forms
- ForwardHealth Portal Helpdesk, 866-908-1363
- ForwardHealth Provider Login Bookmark this page for
- Up-to-date information about programs covered under ForwardHealth.
- Easy access to the Quick Links box.
- ForwardHealth Provider Services, 800-947-9627
- Select option 4 for dental
- ForwardHealth Dental Provider Trainings
- Find and contact your provider relations representative
Oral health care careers offer a number of benefits. You can thrive in a people-oriented atmosphere, make an impact in the lives of others and your community, and enjoy a flexible schedule while earning a comfortable salary! Within the oral health field, it is easy to design your own career path and find the niche unique to you. Some choose to work with children, others prefer a community health setting; or you can opt to advance your degree with a specialty.
Discover career possibilities and how to get started.
Explore education pathways and review career outlook.
Opportunities for high school students
- Future Oral Health Workforce Day, Wisconsin Area Health Education Centers (AHEC): One-day workshop held in seven locations around Wisconsin. Students learn about dental health professions through hands-on activities and additional opportunities for furthering their interest in a dental career.
- Wisconsin Youth Apprenticeship, Department of Workforce Development (DWD): One or two-year “earn while you learn” program for high school juniors and seniors consisting of work and related classroom instruction in dental assisting.
Mobile Dentistry in Wisconsin, DHS training, .5 CE: At the conclusion of the webinar, participants will be able to define mobile dentistry per DE 10, identify who must register for a mobile license in Wisconsin and learn how to register, and understand the requirements and rules governing mobile dentistry in Wisconsin.
- Mobile Dentistry registration— requirements and application for a Wisconsin Mobile Dentistry Program registration.
- Oral Health Program Information for Health Care Professionals, DHS: oral health-related resources on a variety of topic areas and sorted for health care professionals.
- Oral Health Program Information for All, DHS: oral health-related resources on a variety of topic areas and sorted for the general public. Share this page or print resources for patients.
Wisconsin professional license look-up and renewal
- X-Ray Facility Registrations, Surveys, and Inspections, DHS: explains annual registration of all x-ray devices, as required under Wis. Stat. §§ 254.31–254.45.
- X-Ray Regulatory Guide for Dental Facilities, P-01639, DHS publication: All registrants must have a radiation safety program and a written radiation safety policy. Sample radiation safety policy for dental facilities meets minimum standards under Wis. Admin. Code ch. DHS 157.
Department of Safety and Professional Services
- Dental hygienist License—requirements and application for a Wisconsin Dental Hygienist license.
- Dentist license—requirements and application for a Wisconsin Dentist license.
- Dentistry and dental hygiene—Wis. Admin. Code on the practice of dentistry and dental hygiene.
- Expanded Function Dental Auxiliary—requirements and application for a Wisconsin Expanded Function Dental Auxiliary certificate.
- File a complaint—methods, process and alternatives to filing a complaint against a professional license.
- License renewal—take renewal survey and renew professional license through LicensE.
- Mobile dentistry—requirements and application for a Wisconsin Mobile Dentistry Program registration.