This pilot study aimed to describe the inclusion of oral health counseling and communication techniques during medical visits. We evaluated 15 transcripts of caregiver-provider interactions during medical visits for 0-42 month old children. Preventive messages by five providers participating in a Medicaid preventive oral health initiative in North Carolina were evaluated. The American Academy of Pediatrics (AAP) 2008 oral health guidelines and American Dental Association’s communication domains were used as standards to examine oral health information and caregiver-provider communication styles. A total of 9 sick and 6 well-child transcribed interactions were examined. Oral health counseling occurred during all medical visits with topical fluoride most frequently discussed and establishment of a dental home/referral least frequently reviewed. Interpersonal communication domain “present two to three topics at one time” was most commonly used. In this pilot sample, AAP oral health guidelines are being followed, but gaps remain regarding referral to a dental home.