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Dental Office That Accepts Medicaid & Medicare in the USA

Do you need dental office support at an affordable price? If you are a parent and you need Medicaid to support your kids’ dental treatment or your treatment, it can be a big challenge to find a dentist to accept your coverage. Therefore, to solve this matter, you need to find a dental office that accepts Medicaid, TRICARE, and other payment methods.

So, before we are talking something too far, it is crucial to know that currently, there are 55 million of older American takes healthcare services by using Medicare. There are 4.6 million people are Medicaid participants. On the other hands, traditionally, Medicare cannot cover routine services like screenings, fillings, or cleaning in the certain dental office. As of Medicaid, it offers dental coverage for adults, but it depends on the state’s regulation. Here is the list of dental offices that can help you do dental treatment with Medicaid.

1. Kool Smiles

They have more than 120 dental offices across the U.S., and they accept Medicaid or other payments methods. Also, they have other payment plans if you or your family wants any service to cover under Medicaid.

Contact: 254-781-0553

What you need to do is to make an appointment with their dental office. This dental office is ready to help kids. The benefit of choosing them is they accept Medicaid and other payment methods. Their commitment is to make sure you get the service at an affordable price.

dentist-office

2. Jefferson Dental

Jefferson Dental is open for all ages. They help kids and adults. They work for kids with special needs, with their best orthodontic, emergency and cosmetic dental care for the current demands. Also, they have some comfortable dental office.

Contact: 833-807-1895

3. ADA

ADA works together with regulators, lawmakers, and others when it comes to the Medicaid program. They stand with those who have the same goal to support medical and other health care for low-income people in the United States. Also, they fight to maintain the federal requirement for states, so the state covers the dental services in their CHIP programs.

4. Three Forks Family Dentistry

They can help you if you want to take great satisfaction. They help you to maintain your oral health. Additionally, their practice is all about comprehensive and preventative care for their patients.

At Three Forks Family Dentistry, there are some available services to offer. They do some services, such as an implant, cosmetic, endodontic, and restorative. Other than that, they accommodate pediatric, periodontics, oral surgery, and orthodontics.

The Low-Cost Dental Office and Support

There are various ways to get dental care. It can be local health departments, dental schools, or medical insurance programs. Alternatively, you can take clinical trials, state and even local supports.

Local Health Departments

This service is also popular as  The Bureau of Primary Health Care. It is a service any community health centers can do. They must have the federal government as the one to fund their programs. The goal is to help community health centers to provide free or low-cost health service, including dental care.

CHIP

It helps children who do not have health insurance. CHIP offers medical coverage. Mostly, they provide dental services for eligible children. The dental service they can cover can vary from one to another state.

Dental Schools

American Dental Association is one of the examples related to dental schools. It can be a good way to find quality and low-cost dental treatment. Most of them have clinics or dental office that allows their students to start their experience of treating patients. They also provide dental care at the affordable cost. In addition, they have licensed and experienced dentists to supervise the students.

Alternatively, you can go with Dental Hygiene Schools. They are also popular as American Dental Hygienists’ Association. What they do is to supervise and to provide preventive dental care.

Clinical Trials

National Institutes of Dental and Craniofacial Research (NIDCR) in certain period seek volunteers. They may need specific oral, dental, or craniofacial conditions. They will be a participant in their research studies or clinical trial.

Here, they have researchers to study their participants with free or low-cost dental care treatment. They provide clear explanations about how they work and how they need the volunteers. Also, they provide a list of federally funded clinical trials. You can contact them at 1-800-411-1222 to know about the qualification for any clinical trials at their campus.

State and Local Resources

You can visit your local health department in your state to find any programs in your area. It is good to find some information about the available programs for free or low-cost dental care. What you can do is to contact your health department in your area. So, they can help you with financial assistance. If you do not have their contact, you can search their number by checking the local telephone book.

United Way

United Way can redirect you to free or low-cost dental services in the community in your area.

Dental Office and Emergency Treatments Medicaid Can Cover

Medicaid covers emergency dental services for adults. They also provide regulation about kids. So, adults mean that those who are 18 years old or above.

Here are the emergency treatments Medicaid can cover:

  1. Procedures that can control bleeding, reduce pain or remove the acute infection.

It can be root canal treatment for the infected teeth. You may be eligible if you have draining abscesses and infected areas. Also, Medicaid can help if you need a treatment to relieve soft tissue swellings because of the erupting teeth.

Or, if you have oral soft tissue infections, Medicaid can cover Palliative care. In this case, it can be herpes.

  1. Procedures to prevent pulpal death, or the imminent loss of the teeth.

At this point, it can be the decay removal, temporary fillings, or medication assistance.

  1. Procedures to treat injuries to teeth and supporting structures.

If you have fractured teeth, Medicaid helps you cover it for temporary fillings. Also, it can help you cover the treatment for loose teeth, swellings, removing debris in the infected area.

What Medicaid Cover For Kids

Typically, Medicaid covers basic dental services like cleanings and exams. Additionally, they must cover the restoration of teeth, dental health maintenance, and relief of pain or infections.

Centers for Medicare & Medicaid Services (CMS) have a big commitment to improving access to dental and oral health. They do their best effort to serve kids in Medicaid or CHIP.

If your kid is under 21-year-old, and in need of dental treatment, he can be the participant for Medicaid. On the other hands, Medicaid may not cover or partially cover dental care if the case is not severe. Keep in mind that it also depends on the state you are living in because each state offers different policy.

How To Find Dental Office That Accepts Medicaid For Adults

It is not easy to find a local dental office that accepts Medicaid, especially for adults. You need a two-pronged approach. It is important to know that many practices will not participate in the reimbursement levels are low. Alternatively, it can be because the appointment cancelation rates are high.

First, you should know the included and excluded treatments on Medicaid. It is because your state has its regulation on it. Therefore, it is better to find some information about it first. Second, you should identify the carrier and utilize the provider directory. It is because most private companies administer the plans. Here, you can find the participating practice near your area.

Cosmetic

If you want to find a local cosmetic dentistry office that takes Medicaid, it is almost impossible to do so. It is because cosmetic procedures are not medically necessary. These procedures are elective. Therefore, Medicaid cannot cover it.

Why we say it is almost impossible? Because, there are many procedures we can categorize as a cosmetic treatment. Eventually, there are multiple treatment procedures to do. At this point, Medicaid can cover the beginning stages as long as it is for an urgent medical condition. For example, we can say that dental implants are cosmetic with many treatment stages.

Dentures

If you seek for a local dentist or their dental office that accepts Medicaid for adults is easier. As we have explained above, half the states can cover for the denture. Therefore, make sure you are lucky by checking your states availability for this policy.

If you live in a state that covers Medicaid for adults, you can go online to the website of the private company. After that, administer your plan. After that, pull up their provider finder directory. You can then select the insurance program you need. They may provide you the list of a dental office near your zip code that accepts Medicaid.

Oral Surgeons

There is an additional step to find a local oral surgeon for adults with Medicaid. This benefit is available for about 25 states. Therefore, you need to go to their online provider directory. This way will help you find the participating dental office.

Additionally, you may reside in other regions and find oral surgeons that accept Medicaid for medically necessary or emergency procedures. At this point, it is crucial to know that the coverage is nationwide. They accept Medicaid if you need emergency oral surgery due to accident or pulpal death prevention or loss of teeth. Other than that, you may be eligible for this process because the oral surgery is because of accident or disease.

Things That Help You Find The Best Dental Office At Low-Cost

If you want to find the right dentist, there are few things to consider below.

1. The claims

Perhaps, your friends or your family member have recommended a dentist or a dental office. What can you do if they are out of your network? At this point, you can call and ask whether they can submit claims to your insurance providers or not. Most can do and therefore it is better to ask before removing their name from your list.

2. The payment methods for non-insured patients

Do you have no dental insurance? If so, it means you should consider whether your dentist can help with other financing options. It would be nice to work with them and do the payment through Springstone or Credit Care. Indeed, many practices want you to do the payment upfront.

3. Their membership

It is also important to ask whether they are members of ADA or not. If so, they have the ADA code. At this point, they have the ethics, the professional conducts and the advisory opinions to agree.

4. The office and the working hours

There are many things to know about your dental office. First, make sure whether they are convenient for your schedule or not. Second, check whether they offer their service in the early mornings or evenings. Also, consider that you are choosing a dentist with the office not too far away from your home. Therefore, you can visit for regular appointments.

5. Their offer

In fact, there are many practices offer the introductory discount for their new patients on exams and cleaning. Some practices even have promotions to show their appreciation for the current patients. For example, it can be a referral incentive or a patient drawing per month.

At this point, you have narrowed down your list. What you need to do next is to take your time and call the dental office. Here, you can ask for some questions. If possible, make an appointment so you can check their facility and meet the dentists.

Here, you need to check some things as below:

6. Type of Anesthesia

Dentists have an approach to help their patients feel more comfortable. They can offer oral sedation, for example.

7. Their Education

It is also good to ask about their type of training or education they have participated in. Ask more details like how often, how they know the latest technology or advancements in dental care.

Don’t forget to look around so you can find some information about the dental office your dentist has. Make sure that your dentist has a comfortable and neat office. The staff should wear gloves and other protective gear during the treatment. You are about visiting their office routinely, so be sure that they are friendly, too.

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