Dentists That Accept Medicaid

Need a dentist that accept Medicaid? Securing quality dental care within your Medicaid plan is simple with this resourceful guide. Find out exactly where and how to find dentists ready to serve Medicaid patients, understand what services you’re entitled to, and manage your dental health effectively.


Key Takeaways

  • Locating a dentist who accepts Medicaid can be accomplished using online locator tools, contacting local health departments or visiting Federally Qualified Health Centers, with necessary verification of current Medicaid acceptance.


  • Medicaid dental coverage varies, offering comprehensive services for children, while adults may be limited to emergency services, and less than half the states provide extensive dental care, which emphasizes the importance of understanding the specifics of one’s coverage.


  • Maintaining oral health with Medicaid involves enrolling in a suitable dental plan, preparing for dental appointments with necessary documentation and questions, regular check-ups, and employing preventive care at home, complemented by additional support from patient advocacy groups and community outreach programs.

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Finding a Medicaid-Accepting Dentist in Your Area

The initial step in maintaining oral health involves locating a dentist who accepts Medicaid. It ensures you receive the necessary dental care without exhausting your finances. But what is the best way to find such dentists? Various strategies can aid you in finding a local dentist who accepts Medicaid.

Online resources can be a significant help, but there are also ways to find a Medicaid-accepting dentist offline, such as contacting your local health department or visiting Federally Qualified Health Centers. Each method has its own merits, and you can use a combination of these strategies to find a dentist who meets your needs.


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Utilize Online Dentist Locators

Online dentist locators can conveniently help you find local dentists who accept Medicaid. These tools enable rapid identification of potential dentists, thus saving your time and effort. You can use these locators to search for dentists based on parameters like dentist location, specialty, and the fact that they accept Medicaid.

Websites like Insure Kids Now, DentaQuest, and Zocdoc provide comprehensive databases of dentists who accept Medicaid. These sites usually have a filtering mechanism that allows you to specifically locate Medicaid-accepting healthcare providers. This makes your new search easier and more efficient.

Remember, it’s always a good idea to verify with the dental office that they currently accept Medicaid patients, including new patients, before scheduling an appointment.


Contact Local Health Departments

Local health departments can be a valuable resource in your quest to find a dentist who accepts Medicaid. They often maintain a list of Medicaid-accepting dental providers in your area and can provide referrals if needed.


Dentists that accept medicaid near me



You can find contact information for your local health department using tools like NACCHO or CDC health directories. Once you have the contact information, you can ask them a range of questions about Medicaid-accepting dentists in your area, including their services, restrictions or limitations, and how to schedule an appointment.


Visit Federally Qualified Health Centers

Federally Qualified Health Centers (FQHCs) are outpatient clinics that receive federal funding to provide healthcare services to medically underserved areas and populations. These centers often offer a range of services, including:



FQHCs are an excellent resource for those seeking dental care, especially for Medicaid patients in need of special health care.

You can find a FQHC in your area that offers dental services using resources like the HRSA health center locator tool or the Find a Health Center website. Always verify if the FQHC accepts Medicaid for dental services before scheduling an appointment.

Dental Services Covered by Medicaid

Once you’ve found a dentist who accepts Medicaid, it’s crucial to understand what dental services are covered by your plan. Medicaid covers a range of dental services, including:


  • Check-ups
  • X-rays
  • Fluoride treatments
  • Dental sealants
  • Fillings
  • Other necessary treatments


However, the extent of coverage can differ for children and adults. Medicaid covers a range of services for children, such as:


  • regular dental cleanings and exams
  • fluoride treatments
  • dental sealants
  • fillings
  • crowns
  • extractions


For adults, the coverage can vary by state, with most states offering emergency dental services and less than half providing comprehensive dental care.


Importance of Pediatric Dentistry

Pediatric dentistry plays a vital role in a child’s overall health and development. It provides a variety of treatment options and specialized expertise to address the dental needs of children, including their teeth, gums, and overall oral health. Regular dental visits can prevent dental issues such as cavities, gum disease, and misaligned teeth.


Dentist that accept alabama medicaid near me



A child should ideally have their first dental visit by the age of 12 months, or within six months after their first tooth appears. Regular check-ups from this age can help maintain your child’s oral health and set them up for a lifetime of healthy teeth.


Dental Care for Adults

Adult dental care under Medicaid can be limited but is still essential for maintaining oral health. While most states offer emergency dental services for adults, less than half provide comprehensive dental care. Routine procedures may be covered, but services like:


  • bridges
  • crowns
  • implants
  • orthodontics

are generally not included.


A number of strategies that adults can employ to maximize their utilization of Medicaid for dental care include:


  • Leveraging states that have expanded Medicaid to encompass comprehensive dental benefits
  • Simplifying administrative processes for dentists
  • Fostering awareness of oral health


These strategies can help individuals make the most of their Medicaid coverage for dental services.

How to Enroll in a Dental Plan That Accepts Medicaid

After finding a dentist who accepts Medicaid and understanding your coverage, the next step is enrolling in a Medicaid dental plan. This process can be facilitated by consulting with a Medicaid Choice Counselor who can guide you in selecting a plan that aligns with your specific requirements.


Dentist that accept medicaid over 21



Remember to understand your Medicaid dental coverage before enrolling. You can visit the Dentistry Guide website to learn more about:


  • How Medicaid dental coverage operates
  • The eligibility requirements
  • Application procedures
  • Additional coverage programs.


Understanding Your Coverage

Understanding your Medicaid dental coverage is crucial before you start using it. Here are some key points to keep in mind:


  • Coverage includes dental services for all child enrollees and individuals under the age of 21.
  • Coverage for adults can vary from state to state.
  • Certain dental services may require pre-approval or pre-authorization.


Knowing the extent of your coverage can help you plan your dental care and avoid unexpected costs. So, take the time to familiarize yourself with your coverage and if you have any questions, don’t hesitate to ask your Medicaid provider or a Medicaid Choice Counselor for clarification.


Changing or Updating Your Plan

Just as your oral health needs can change over time, so too can your Medicaid dental plan. If your current plan isn’t meeting your needs, you have the option to change or update it by contacting your Medicaid provider either online or by phone. A Medicaid Choice Counselor can assist you in selecting a plan that meets your requirements.

When considering a plan change, it’s important to:


  1. Carefully examine the dental plan and program information
  2. Consider your individual dental care requirements
  3. Seek advice from family, friends, and your dentist
  4. Compare various plans
  5. Verify if your preferred dentist is affiliated with the plan’s network.

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Preparing for Your First Appointment

Once enrolled in a Medicaid dental plan, preparation for your first appointment becomes the next step. The first appointment with a Medicaid-accepting dentist is a significant stride towards preserving your oral health. Before your appointment, it’s advisable to fill out an oral health questionnaire and undergo a dental risk assessment.

Remember to bring necessary documents such as a photo ID and your Medicaid Insurance card. Providing a comprehensive overview of your health history, including past illnesses and a list of current prescriptions, can also assist your dentist in providing the best possible care.


What to Bring

When you go to your first dental appointment, bring a photo ID, such as a state-issued driver’s license. Also, don’t forget to bring your Medicaid Insurance card to confirm your insurance coverage.

In addition to these documents, it’s also important to provide a comprehensive overview of your health history. This includes past illnesses and a list of current prescriptions. Sharing this information with your dentist will help ensure you receive the most appropriate and effective care.


Questions to Ask Your Dentist

Your first dental appointment is also a great opportunity to ask your dentist about:


  • Treatment options
  • Preventive care measures
  • The costs associated with different treatments
  • Alternative treatments
  • Associated risks and benefits
  • Treatment duration
  • Methods to enhance comfort


These questions can provide valuable insight into your oral health and treatment plan.

You should also discuss the costs of treatment and how your Medicaid coverage can help. Understanding how Medicaid covers different dental services can help you avoid unexpected expenses and ensure you get the most out of your coverage.

Tips for Maintaining Oral Health with Medicaid

Now that you’ve found a dentist, understand your coverage, and have had your first appointment, it’s time to look at maintaining your oral health. Regular dental check-ups and cleanings are essential for maintaining oral health and detecting issues early.

In addition to these, practicing good oral hygiene at home can prevent dental problems and reduce the need for costly treatments.

Medicaid covers preventive dental care, such as cleanings and fluoride treatments. The specifics of the coverage may differ from state to state, with some states offering up to $1,150 annually for preventive care.


Regular Check-Ups and Cleanings

Maintaining oral health necessitates regular dental check-ups and cleanings. They help detect oral health issues early and prevent plaque, tartar, cavities, and tooth decay. Medicaid generally advises individuals younger than age 21 to undergo dental check-ups and cleanings every 180 days (6 months), while individuals age 21 and older should have them every 365 days (12 months).


Dentist that accept medicaid near me for adults



These visits typically include diagnostic and preventive services such as examinations, x-rays, and professional teeth cleanings, which are essential aspects of dental treatment. Regular check-ups and cleanings contribute to the maintenance of good oral health and the prevention of diseases such as heart disease.


Preventive Care at Home

In addition to regular dental visits, practicing good oral hygiene at home is crucial in maintaining your oral health. Here are some regular practices that significantly help prevent dental issues:


  • Brushing twice daily
  • Flossing
  • Using mouthwash
  • Adhering to a healthy diet


Toothpaste and mouthwash containing fluoride are recommended for cavity prevention, while mouthwashes with active ingredients such as chlorhexidine, cetylpyridinium chloride, and essential oils can also be beneficial.

Remember, maintaining good oral health isn’t just about seeing a dentist; it’s also about taking care of your teeth and gums on a daily basis.

Accessing Additional Support and Resources

Though Medicaid can cover a substantial part of your dental care needs, tapping into additional resources can ease the process. These resources include patient advocacy groups and community outreach programs, which can provide additional support and resources to help you navigate the healthcare system and access necessary dental care.


Dentist that accept adult medicaid



These resources can provide information about Medicaid eligibility, assist with the application process, and connect you to other resources and services. They can also offer dental services and resources to help you maintain your oral health.


Patient Advocacy Groups

Patient advocacy groups can serve as a valuable aid in navigating the healthcare system. These organizations provide:


  • Representation and support to patients and their families
  • Case management services
  • Advocacy for accessible healthcare
  • Assistance with medical bills


They can assist in researching treatment options, providing insurance and billing support, and advocating for reduced dental health disparities. You can find these groups online or through referrals from healthcare professionals. These groups can provide resources and information to enhance your understanding of the dental benefits offered by Medicaid.


Community Outreach Programs

Medicaid patients can also find community outreach programs useful. These programs can provide information and resources to help you enroll in Medicaid and access dental services. They may also offer dental services, such as dental exams, cleanings, and other treatments.

These programs can be found through resources such as:


  • health insurance providers
  • community health centers
  • dental schools
  • dental provider community dental clinics


So whether you’re enrolling in Medicaid for the first time or looking for ways to maintain your oral health, these resources can provide the support you need.


Finding a dentist who accepts Medicaid and understanding your coverage is an essential part of maintaining your oral health. With the right resources and strategies, you can successfully navigate the system, find a dentist who accepts Medicaid, and maintain your oral health.

Remember, oral health is an important part of your overall well-being, and with Medicaid, you have the support you need to keep your smile healthy.

Frequently Asked Questions



Does Illinois Medicaid cover dental?

Yes, Illinois Medicaid generally covers the majority of medically necessary dental procedures.


Does SC Medicaid cover dental?

Yes, SC Medicaid covers some dental care services for adults and children if they are medically necessary and provided by a dentist that accepts Healthy Connections Medicaid.


What dental services are covered by Medicaid?

Medicaid covers a range of dental services such as check-ups, x-rays, fluoride treatments, sealants, fillings, and other necessary treatments. These services can be beneficial for your dental health.


How can I find a dentist who accepts Medicaid?

You can find a dentist who accepts Medicaid by using online dentist locators, contacting your local health department, or visiting Federally Qualified Health Centers. These resources can help you access the dental care you need.


How often should I have dental check-ups and cleanings?

You should have dental check-ups and cleanings every 6 months if you are younger than 21, and every 12 months if you are 21 or older. Regular check-ups help maintain good oral health and prevent dental issues.

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Russell Noga
( Medicare Expert )

Russell Noga is the CEO of ZRN Health & Financial Services, and head content editor of several Medicare insurance online publications. He has over 15 years of experience as a licensed Medicare insurance broker helping Medicare beneficiaries learn about Medicare, Medicare Advantage Plans, Medigap insurance, and Medicare Part D prescription drug plans.