DPHHS Home       About Us       Contact Us       News & Events       Programs & Services       Health Data & Statistics

A - Z Index

Dental Services

Member Information

Most routine dental services are covered for members with Full Medicaid and HMK Plus.

Children 20 and under

  • Can get dental exams and cleanings as often as necessary
  • Should visit a dentist by their first birthday, and then at least once every six months after the first tooth comes in
  • During a Well Child Checkup, doctors should do an oral exam, including the application of fluoride varnish if needed
  • Bridges and tooth-colored crowns are available
  • Dentures are covered

Adults with Full Medicaid benefits

  • Can have dental exams and cleanings every six months
  • Can get two porcelain crowns per calendar year
  • Dentures (see denture details below)

Dentures for adults

  • Dentures are covered for adults
  • Partial dentures may be replaced if the dentures are 5 years old or older
  • Full dentures may be replaced if the dentures are 10 years old or older
  • One lost pair of dentures in a person’s life time is covered.

Adults with Basic Medicaid

  • When dental services are necessary to get or keep a job, talk with your OPA Case Manager about the “Essential for Employment” program.
  • Emergency dental care is covered when related to emergency treatment.

 

Medicaid Dental Fact Sheet: How to Find and Keep a Dentist

Description of Healthy Montana Kids Plus and Medicaid Dental Benefits

Find a Children's (under age 21) Dental Provider

Page last updated 05/22/2013