How do I get dental care?

Dental services for children

Dental services for children age 20 and younger are covered directly by Apple Health (Medicaid) using your ProviderOne services card. The Academy of Pediatric Dentistry (AAPD) recommends all children see a dentist by 12 months of age.

Some covered dental services include:

• Routine exams
• Cleaning
• X-rays
• Sealants
• Fillings
• Crowns
• Fluoride application
• Extractions (pulling teeth)
• Orthodontic services for children with cleft palate or other serious dental problems (covers medically necessary services with prior authorization)

Dental services for adults

Some dental services for adults (21 years of age and older) are covered directly by Apple Health using your ProviderOne services card.

Covered dental services include:

• Routine exams
• Cleaning
• X-rays
• Fillings 
• Fluoride application
• Extractions (pulling teeth)
• Nitrous oxide
• Periodontal (gum disease)
• Root canal (front teeth only)
• Dentures/partials
• Oral surgery
• Stainless steel crowns
• Periodontal maintenance up to 4 times in 12 month period for clients with diabetes

Dental services not covered for adults include, but are not limited to:

• Bridges
• Porcelain crowns
• Orthodontics

Developmental Disabilities Administration (DDA)

Clients enrolled in the DDA waiver program are eligible to receive all Apple Health dental services, some additional services, and increased frequency of services. Some examples include:

• One additional exam per year
• Three cleanings per year
• Two additional topical fluoride treatments per year
• Sealants (additional coverage for premolar teeth)
• Stainless steel crowns (additional coverage for adults)

Find a dental provider

• Visit DentistLink or call 1-844-888-5465.
• Find an Apple Health dental provider for children (InsureKidsNow).
• Find an Apple Health dental provider or call 1-800-562-3022.