Skip to content Skip to footer

How to Find Dentist That Takes Medicaid For Adults in Berkeley?

dentist that takes Medicaid for adults
Before you search for a dentist who takes Medicaid for adults, you will need to find out if your state has dental plan schemes for adults. If not, you will need to contact the Medicaid office in your state and ask for information. If you have no luck with that, check the main Medicaid website for your condition. Remember, every state requires dentists to provide services for children and adults. Here are some tips for finding a Medicaid dentist.

Here’s How to Find a Dentist That Takes Medicaid For Adults?

It can be challenging to find a dentist near you that accepts Medicaid. This depends on your location and the type of care required.

  • The first is that the insurance policy covers any dental work required in the country due to an accident or disease.
  • The second is that dental insurance can sometimes be considered medical assistance. However, oral care’s benefits vary from state to state.
  • The third thing you should do is find providers that will take your plan and not others. Finally, the state offices often outsource their administration to outside companies. This adds confusion and acronyms.

dentist that takes Medicaid for adults

Medicaid-Accepting Dental Practices

Adults often face harsh realities when searching for dental facilities accepting Medicaid patients. You might have to look for an alternative.

The dental assistance programs may be more effective if you have three potential shortcomings.

  1. The coverage of oral care varies significantly from one state to the next.
  2. The state differences in dental specialties are the greatest
  3. The least expensive alternative rule limits treatment options

Dental Clinics

Low-income families often use dental clinics to treat adult Medicaid patients because they can’t afford good oral care. These places are usually located in states that have the lowest oral care benefits under their medical assistance programs.

Charitable organizations offer pro bono dental services at clinics throughout the country. Look for non-profits that provide treatment to adults. You will need to pay a portion of fees for advanced treatments such as dentures and gum surgery.

Dental Schools

The dental schools often take Medicaid beneficiaries to their clinics. Faculty often supervise future Tricare dentists and treat low-income patients at a sharply reduced fee so that students can perfect their skills before entering private practice.

If your needs are urgent and you don’t have the money to pay, there is a chance that you can find affordable treatment at a school close by. This is especially true if you live in an urban area. These clinics aren’t free.

Family Offices

Because they offer the same general treatment covered by state insurance, most Medicaid patients are accepted at local family dental offices.

Most states (41 out 50) routinely cover preventive dental care that family dentistry provides. These include regular oral exams, cleanings, and X-rays. Because low-income families often don’t have the financial resources to afford expensive treatment, the old saying “An ounce of prevention is worth a thousand cures” holds.

Pediatric offices

If you are looking for pediatric dentists that accept Medicaid in your local area, this is the best way to locate a provider who takes adult patients. Children under 21 years old can receive comprehensive and preventive dental care in the United States through medical assistance.

Medicare Places

Finding a dentist in your area who accepts Medicare and Medicaid can be challenging. The list of possible places is narrowed by adding intersections.

Dual eligible patients can have both Medicare and Medicaid. However, they do not get double the dental benefits in most cases.

  • Medicare Parts A, D, and B do not cover most types of dental work, except when they are an integral part or another covered service.
    • Tooth extractions before radiation therapy
    • The treatment for an accidental injury to the jaw
  • Dentists often accept Medicare Part C (Advantage Plan) when state-approved policies cover oral care. Dual-eligible beneficiaries rarely have this type of plan.

Because they often perform procedures covered by Medicare and Medicaid, only oral surgeons can be eligible for Medicare or Medicaid.

Medicaid Dental Specialists

Specialists are more skilled in diagnosing and treating specific oral health issues than dentists. The dual nature of Medicaid for adults means you can find a specialist nearby.

  1. Medicaid is a health insurance plan in a country that pays for necessary care: For non-biting injuries, certain diseases, and other services considered part of the plan.
  2. As a form of dental insurance, medical assistance is available for adults aged 21 and over. Many oral care benefits can be provided to them.

Emergency Dentists

Because all 50 states have coverage for urgent care under the healthcare and dental components, there are high chances that you will find a local dentist who accepts Medicaid for adults. However, benefits may be restricted depending on where you live.

Medicaid provides coverage for medically necessary dental emergencies across the country. This includes walk-in care for non-biting injuries that cause damage to teeth or jaw structures. If you have broken your mandible in an accident, such as a car crash or fall, it is easy to find an emergency oral surgeon.

The dental portion also covers emergency care nationwide. However, nine states limit claim payments for specific procedures (stop bleeding and relieve pain or prevent infection). These parameters could cover emergency tooth extraction but not other benefits.

Oral Surgeons

Typically, it is easiest to find an oral surgeon who accepts Medicaid patients in your local area. This is because their plan will most likely approve any claims they submit following treatment.

Oral and maxillofacial surgeons specialize in treating diseases, injuries, and defects of the head, neck, and face. One of these reasons could be covered by your state insurance.

  1. Oral surgeons may perform medically-required procedures that Medicaid covers throughout the country as part of its primary mission to provide affordable healthcare for low-income families.
  2. Sometimes, oral surgeons perform procedures that aren’t medically necessary. This is covered by medical assistance in 24 states.
  3. Teenagers can have full dental benefits but become adults when they turn 18, depending on the state’s rules.


Finding a local prosthodontist who accepts Medicaid for adults can be challenging. This depends on what type of treatment you need. Prosthodontists are specialists in restoring and maintaining jaw structures and missing teeth. Because dentures are the most affordable option, patients with gaps in their smiles can get coverage from dentures.

To Sum Up!!

Finding a dentist that takes Medicaid for adults is easy. First, search for the dentist’s name on the internet and determine if the services you need are covered. Then, call up the dentist and ask if they accept Medicaid for adults. Once you find out if they accept Medicaid, you’re all set. If they don’t, try another dentist. The dentists you find may be the best option for you.

Get a free consultation:

Leave a comment

    I agree that my submitted data is being collected and stored.