Dental Benefits for Medicaid Adults
Dental treatment for adults is covered under certain circumstances through Virginia's dental program, Smiles For Children.
Adult dental services are limited to medically necessary oral surgery and associated diagnostic services, such as X-rays and surgical extractions.
Preventive, restorative, endodontics, and prosthetic services (e.g. cleanings, fillings, root canals and dentures) are not covered for adults. Dental conditions that may qualify for reimbursement are ones compromising a patient's general health and such conditions must be documented by the dentist or medical provider. Symptoms would include pain and/or infection.
Adult services require prepayment review by DentaQuest and providers have the option of requesting prior authorization.
Adult benefit questions may be answered by contacting DentaQuest's Customer Service Department directly at 1-888-912-3456.