Medicaid: Dental Services

Medicaid's dental services coverage helps eligible individuals smile brighter and get comprehensive oral health care.

About Medicaid: Dental Services

From preventive care to essential treatments, dental services under Medicaid aim to promote healthy smiles and to enhance oral health among for low-income Pennsylvanians.

Medicaid Dental Services for Children:

Medicaid Dental Services covers all medically necessary dental services for enrolled children.

This includes:

  • Exams
  • Fluoride treatment
  • sealants
  • Teeth cleanings
  • X-rays
  • Cavity fillings
  • Root canals
  • Extractions
  • Dentures
  • Gum disease treatment
  • Crowns
  • Other Services

Medicaid Dental Services for Adults:

Adults enrolled in Medicaid are eligible for exams, x-rays, teeth cleanings, cavity fillings, dentures, extractions, and other surgical procedures and emergency services related to treatment for symptoms and pain. Some adults may be eligible for other dental services.

Eligibility

Medicaid Dental Services is a benefit that children and adults who are eligible for Medicaid can receive based on your:

  • Eligibility category
  • Age
  • Need
APPLY FOR MEDICAID

Apply online using COMPASS

COMPASS is an online platform which makes it easy to apply for, or renew, your benefits.

Application Process

To get assistance with dental services, you must be enrolled in Medicaid.

HealthChoices/Managed Care program:

If you are in the HealthChoices/Managed Care program, contact your managed care organization (MCO).

Apply for Medicaid

To get help with dental services, you must first apply for Medicaid.

To find out if you are covered for dental care, call your county assistance office or, if you are in the HealthChoices/Managed Care program, call your managed care organization (MCO).

Apply for Medicaid

You can apply online, in-person, on the phone, or through the mail.

Apply Online

Use our quick, easy, and secure COMPASS website.

Apply Online

Apply by Telephone

Call the Consumer Service Center for Health Care Coverage at 1-866-550-4355 

1-866-550-4355

Apply In-Person

Your local county assistance office (CAO) have professionals that will help you apply.

Find You County Assistance Office 

Apply by Mail

Download, fill out, and print a paper application then send it to your local County Assistance Office.

Download a form (PDF)

Frequently Asked Questions

You can see any dentist that is enrolled with Medical Assistance and will accept your MA Access card. If you need help finding a dentist that accepts Medical Assistance, please visit www/enrollnow.net or contact the Medical Assistance Call Center (Monday-Friday: 8 a.m-4:30 p.m.) at 1-800-537-8862.

You can visit any dentist that signs up with your MCO. For help finding a dentist, please visit www.enrollnow.net or call your MCO's member services department or ask to speak to a special needs representative in your MCO's Special Needs Unit.

Contact

Find the answers you need by contacting a knowledgeable Medicaid/Medical Assistance professional.

COMPASS Account

Having issues with your COMPASS Account? Find answers and contact information specifically about COMPASS. 

Issues with COMPASS

Your County Assistance Office

Find Your County Assistance Office

DHS HelpLine

Call the DHS HelpLine at 1-800-692-7462; TDD (800) 451-5886 wait times will vary. 

1-800-692-7462

Contact your Managed Care Organization 

You can also contact your Managed Care Organization to learn more.

Find your MCO