Health Choice Dental

If you need dental treatment, you will need to go to a dentist who is enrolled in the NC Medicaid Program and is willing to provide dental care to Medicaid beneficiaries. Providers who have a "Y" indicated in the "Accepting New Patients" column have filed claims for at least ten new Medicaid beneficiaries during the last quarter. Although these providers may be more likely to accept new Medicaid beneficiaries, you should confirm this by contacting the provider of your choice in your area. Providers who do not have a "Y" indicated in the "Accepting New Patients" column billed at least one claim during the last quarter. All the dental practices and clinics are sorted by county with those located outside of North Carolina at the bottom of the list.

• Medicaid Dental Providers Listed by County (revised 2/2015)
• Health Choice Dental Providers Listed by County (revised 2/2015)
• Dental provider information is also available on the Insure Kids Now Website
• Dental provider information for special care patients in available from the Special Care Dentistry Association Special Care Dental Referral website

You can also contact the public health dental hygienist in your area for more information on dental referrals for Medicaid and Health Choice beneficiaries. You can reach the public health dental hygienist by contacting either your Local Health Department or the NC Oral Health Section at 919-707-5480.

The following providers typically offer comprehensive dental services to Medicaid beneficiaries:

• General Dentists typically provide exams, x-rays, preventive services, fillings, complete and partial dentures and simple extractions to patients of a wide age range.
• Pediatric Dentists typically provide exams, x-rays, preventive services, fillings, and simple extractions for children. Many pediatric dentists also treat children and adults who have special health care needs.
• LHD – Local Health Departments
• FQHC – Federally Qualified Health Centers (also known as Community Health Centers)

The following providers offer specialized dental services to Medicaid beneficiaries:

• Endodontists perform root canal treatments for children and adults.
• Oral Surgeons perform extractions of teeth and provide other surgical services for children and adults.
• Orthodontists provide braces. To be eligible for orthodontic treatment, Medicaid beneficiaries must be under 21 years of age, and must meet certain Prior Approval (PA) qualifications.
• Periodontists perform services to treat and prevent periodontal (gum) diseases for children and adults.
• Prosthodontists provide removable partial and complete dentures. To be eligible for dentures, Medicaid beneficiaries must meet certain Prior Approval (PA) qualifications

See also:

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