Dental services

Find information about dental services covered under Washington Apple Health (Medicaid).

Dental services for children

Apple Health (Medicaid) includes quality dental and dental-related services for eligible children, age 20 and younger. All children should see a dentist when their first baby tooth appears or by their first birthday.

Some covered dental services include:

  • Routine exams
  • Cleaning
  • X-rays
  • Fillings
  • Fluoride application
  • Extractions (pulling teeth)
  • Limited orthodontic services are available for children with cleft palate or other serious dental problems (covers medically necessary services with prior authorization).

Access to Baby and Child Dentistry (ABCD)

Children under the age of six who are enrolled in Apple Health (Medicaid) have access to early dental care through the Access to Baby and Child Dentistry (ABCD) Program. This includes no-cost dental care and a path to good oral health.

Dental services for adults

Apple Health (Medicaid) pays for covered dental and dental-related services for adults (21 years and older).

Covered dental services include:

  • Routine exams
  • Cleaning
  • X-rays
  • Fillings
  • Fluoride application
  • Extractions (pulling teeth)
  • Other limited dental services, including:
    • Periodontal (gum disease)
    • Endodontic (root canal)
    • Dentures/Partials
    • Oral Surgery

Dental services not covered for adults include:

  • Bridges
  • Implants
  • Crowns

For detailed information

Review a complete listing of covered adult dental services, call Health Care Authority at 1-800-562-3022 or visit the Provider Billing and Resource Guide.

Division of Developmental Disabilities (DDD)

For adults with this designation, all coverage is the same as adult coverage, along with the following additions:

  • Topical fluoride - three times per year.
  • Sealants - covered for posterior teeth.
  • Crowns - stainless steel only, covered for posterior teeth with supporting documentation.

Contact

For more information about your dental benefits
Phone: 1-800-562-3022

To find a provider that accepts Washington Apple Health
Online: Find a provider