How do I get dental care?

Dental services for children

Dental services for children age 20 and younger are covered directly by Apple Health (Medicaid) using your ProviderOne services card. The Academy of Pediatric Dentistry (AAPD) recommends all children see a dentist by 12 months of age.

Examples of covered dental services include:

• Routine exams and cleanings
• X-rays
• Sealants
• Fillings
• Crowns
• Fluoride application
• Extractions (removing teeth)
• Orthodontics (braces) for those with serious dental needs

Dental services for adults

Dental services for adults (21 years of age and older) are covered directly by Apple Health using your ProviderOne services card.

Examples of covered dental services include:

• Routine exams and cleanings cleanings
• X-rays
• Fillings 
• Fluoride application
• Extractions (removing teeth)
• Root canal (front teeth only)
• Dentures/partials
• Stainless steel crowns

Dental services not covered for adults include, but are not limited to:

• Bridges
• Porcelain crowns
• Orthodontics (braces)
• Dental implants

• Root canals (premolars and molars)

Extra services for people with disabilities

If you are enrolled in the Developmental Disabilities Administration (DDA) waiver program, you are eligible for certain additional dental services, including:

• Three exams per year
• Three cleanings per year
• Three topical fluoride treatments per year
• Periodontal services (additional coverage)
• Sealants (additional coverage for premolars)

Find a dental provider

• Visit DentistLink or call 1-844-888-5465.
• Find an Apple Health dental provider for children (InsureKidsNow).
• Find an Apple Health dental provider or call 1-800-562-3022.