What Does Dentaquest Medicaid Cover

Dentaquest Medicaid is a dental insurance program that provides comprehensive dental care to low-income families and individuals who qualify for Medicaid. The program covers a wide range of services, including preventive care, such as cleanings and X-rays, restorative care, such as fillings and crowns, and more complex procedures, such as root canals and dentures. Dentaquest Medicaid also offers orthodontic care for children and adults, as well as dental care for pregnant women and people with disabilities. The program is designed to help people maintain good oral health and prevent serious dental problems, which can lead to other health issues.

Dentaquest Medicaid Dental Services

Dentaquest is a dental insurance company that provides Medicaid coverage to low-income individuals and families. Medicaid is a government program that provides affordable health insurance to people with limited incomes and resources. Dentaquest Medicaid covers many dental services, including preventive care, restorative care, and orthodontics.

Preventive Care

  • Regular checkups
  • Cleaning
  • Fluoride treatments
  • Sealants
  • X-rays

Restorative Care

  • Fillings
  • Crowns
  • Bridges
  • Root canals
  • Tooth extractions


Orthodontics is a type of dental treatment that corrects misaligned teeth and jaws. Dentaquest Medicaid covers orthodontic treatment for children and adolescents who meet certain criteria.

3-4 yearsSpace maintainersCovered
5-8 yearsInterceptive orthodonticsCovered
9-16 yearsComprehensive orthodonticsCovered

To learn more about Dentaquest Medicaid dental coverage, please visit the Dentaquest website or call the customer service number on your Dentaquest Medicaid ID card.

; Word-wrap:
; Paragraphs:

Dentaquest Medicaid Services

Dentaquest is a dental insurance provider that offers Medicaid plans to low-income individuals and families. Medicaid is a government-sponsored health insurance program that provides coverage for essential medical services, including dental care. Medicaid coverage varies from state to state, but Dentaquest typically offers a comprehensive range of dental services for Medicaid recipients, including:

  • Preventive care: such as cleanings, exams, and fluoride treatments
  • Basic restorative care: such as fillings, crowns, and bridges
  • Major restorative care: such as root canals, dentures, and oral surgery
  • Orthodontic care: for children and adults

Dentaquest Medicaid Fees

Dentaquest Medicaid fees vary by state and by the type of dental services provided. In general, Dentaquest Medicaid fees are significantly lower than the fees charged by private dental insurance companies. This is because Medicaid is a government-sponsored program, and the government negotiates lower fees with dental providers.

The Dentaquest Medicaid fee schedule is available online. The fee schedule lists the maximum amount that Dentaquest will reimburse dentists for each dental procedure. Dentists are not required to charge the maximum fee, and they may offer discounts to patients who pay for their services out-of-pocket.

How to Find a Dentaquest Medicaid Dentist

To find a Dentaquest Medicaid dentist, you can use the Dentaquest website or call the Dentaquest customer service number. The Dentaquest website has a searchable database of dentists who accept Dentaquest Medicaid. You can search for dentists by location, specialty, and language spoken.

When you call the Dentaquest customer service number, a representative can help you find a Dentaquest Medicaid dentist in your area. The representative can also answer any questions you have about Dentaquest Medicaid coverage.

Table of Common Dentaquest Medicaid Covered Services and Fees

Preventive exam$20
Fluoride treatment$10
Root canal$200
Oral surgery$1,000
Orthodontic care$1,500

Dentaquest Medicaid: The Essentials

Dentaquest Medicaid is a dental benefits program that provides comprehensive coverage for eligible Medicaid recipients. This program aims to improve oral health outcomes and ensure access to quality dental care for those who need it most.

To determine your eligibility for Dentaquest Medicaid, factors such as your income, household size, and disability status will be taken into consideration. Moreover, Dentaquest Medicaid offers two different types of plans: Dentaquest Medicaid Standard and Dentaquest Medicaid Managed Care. Both plans cover a range of dental services, including preventive care, basic restorative procedures, and major dental work. However, there may be some variations in the specific services covered under each plan.

Dentaquest Medicaid Participating Dentists

  • To receive dental care under Dentaquest Medicaid, you will need to find a participating dentist who accepts this insurance. You can use the Dentaquest website or call their customer service department to locate a participating dentist near you.
  • When selecting a participating dentist, you should consider their experience, location, and office hours to ensure they suit your needs and preferences.
  • Participating dentists are reimbursed by Dentaquest Medicaid for the services they provide to beneficiaries.

Dentaquest Medicaid Covered Services

The following services are typically covered by Dentaquest Medicaid:

  • Preventive care: This includes regular checkups, cleanings, fluoride treatments, and sealants.
  • Basic restorative procedures: These include fillings, crowns, and root canals.
  • Major dental work: This includes extractions, dentures, and implants.
  • Emergency dental care: This includes treatment for sudden and severe dental pain or injury.

It’s important to note that the specific services covered by Dentaquest Medicaid may vary depending on your state and the type of plan you have. Therefore, it’s advisable to contact Dentaquest directly or visit their website for more detailed information about the services covered under your specific plan.

Cost of Dentaquest Medicaid

The cost of Dentaquest Medicaid varies depending on your state and income level. In general, there are no premiums or deductibles associated with Dentaquest Medicaid. However, you may be responsible for copayments or coinsurance for certain services.

The following table provides an overview of the cost-sharing responsibilities for Dentaquest Medicaid:

Preventive care$00%
Basic restorative procedures$10-$2020%
Major dental work$50-$10030%
Emergency dental care$00%

Please note that these cost-sharing amounts are estimates and may vary depending on your state and plan.