BACKGROUND: Endemic fluorosis is an important public health problem in many states of India. It is caused by exposure to continuous high levels of fluoride leading to dental and skeletal deformities. OBJECTIVES: The objective of this study was to find out the prevalence of dental fluorosis among the pediatric population of Bilaspur district in areas with different fluoride levels and to correlate it with dental caries. METHOD This survey was conducted on 1200 children in the age group of 8 to 13 years of both genders and from varied socioeconomic backgrounds. RESULTS The prevalence of dental fluorosis among the study population in areas with F levels varying from 0.5–6 ppm in drinking water was found to be 14.3% whereas total Caries Prevalence amongst these was 33.7%