For the first performance year of MIPS, 2017, CMS is providing several different options for providers to choose their. participation level and performance period. To avoid a penalty for 2019, in 2017, providers can choose to report either:
Relative Dentin Abrasivity (RDA) Relative dentin abrasivity (RDA) is a method of measuring of the erosive effect of abrasives in toothpaste on tooth dentin. It involves using standardized abrasives compared against the test sample.
Toothpaste Contains Silica or Zirconium. Silica - an abrasive mineral - harms gums and wears away tooth enamel. Many toothpastes contain zirconium which is also very hard and whitens teeth by polishing or grinding off the surface of the enamel, very much to the detriment of the health of the enamel.