Children's Dental Services

Children under the age of 21 are eligible to receive all medically necessary dental services.  Your child can go to any dentist that is a part of our network.  You can find a dentist in your area by using our online provider directory or by calling Member Services at 855-412-8001; the TTY number is 711 or 1-800-982-8771.

It is important for you to have routine checkups. This will help to prevent minor problems from getting worse.

During your child’s EPSDT exam the PCP will identify if your child is due for a dental referral based on his / her age. The PCP will advise you if the child needs a referral. The doctor may refer children age 3 and above as part of their regular EPSDT well child screens.

The PCP will also notify us of the need for a dental referral as part of the program. We have staff that will contact you and offer assistance in setting up dental appointments if needed. Please remember dental health is very important even with very young children. Talk to your PCP about your child’s dental health at each EPSDT visit.

Covered services are designed for emergency and non-emergency dental needs. You should call your member services representative if you have questions about dental care.

If you need more information about the Growing Up program, please call the Preventive Health Department. The staff can also help you set up an appoint­ment for your child, assist you with dental appointments or help you get a ride for these appointments.

What is a covered service?

Dental services that are covered for children under the age of 21 include the following, when medically necessary:

  • Anesthesia
  • Check-ups
  • Periodontal services
  • Cleanings
  • Fluoride Treatments
  • Root canals
  • Crowns
  • Sealants
  • Dentures
  • Dental surgical procedures
  • Dental emergencies
  • X-rays
  • Extractions (tooth removals)
  • Fillings
  • Orthodontics (braces)

If braces were put on before the age of 21, services will be covered, until they are completed, or age 23, whichever comes first, as long as the patient remains eligible for Medical Assistance.

Certain Inpatient and Outpatient Dental Services (Children less than 21years old)

Certain services provided in an inpatient or outpatient setting by a dentist, orthodontist or oral surgeon.