Overview
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.
Services for Children
Medicaid dental services cover 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
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 are benefits that children and adults who are eligible for Medicaid can receive based on their eligibilty category, age, and need.
Application Process
In order to get assistance with dental services, you must be enrolled in Medicaid.
HealthChoices Participants
If you are enrolled in the HealthChoices program, contact your managed care organization (MCO).
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.