Dental services

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

Dental services for children

Apple Health (Medicaid) pays for covered dental services for eligible children, age 20 and younger. 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
  • Stainless steel crowns
  • Fluoride application
  • Extractions (pulling teeth)
  • Orthodontic services are available for children with cleft palate or other serious dental problems (covers medically necessary services with prior authorization).

Dental services for adults

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

Covered dental services include:

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

Dental services not covered for adults include:

  • Bridges
  • Crowns
  • Implants
  • Orthodontics

Developmental Disabilities Administration (DDA)

Clients with the DDA designation are eligible to receive all Apple Health dental services as well as some additional services and/or increased frequency of services. Examples include but not limited to the following:

  • Exam - one additional per year all ages
  • Cleaning – three times a year all ages
  • Topical fluoride - an additional two times per year for adults
  • Sealants - additional coverage for premolar teeth
  • Stainless steel crowns - additional coverage for adults