Medicaid Dental Care Coverage
Your child’s Medicaid benefits include dental care coverage. Your child’s dental benefits are not administered by Sunshine Health. Once you’ve enrolled your child in Medicaid, you can select from these three statewide dental plans:
Dental Health Is Important
Be sure your child sees a dentist twice a year for regular cleanings and checkups.
Regular visits with a dentist can help keep teeth and gums healthy. They can also help prevent oral health problems before they begin. If some oral health issues are not treated, they can cause pain. Some issues can also make it difficult to chew or speak.
Your child can help keep their teeth healthy:
- Brush and floss twice a day
- Make sure their teeth are clean before bed
- Avoid sugary food and drinks
What Is Covered under Florida Medicaid Dental Care?
Here is a list of services that will help children have healthy teeth at no cost:
- Dental Exams
- Dental Screenings
- Dental X-rays
- Teeth Cleanings
- Fluoride
- Sealants
- Oral Health Instructions
- Space Maintainers
- Fillings and Crowns
- Root Canals
- Periodontics
- Prosthodontics
- Orthodontics
- Extractions
- Sedation
- Ambulatory Surgical Center or Hospital-based Dental Services
Some services may require permission from a dental plan before the dentist performs the service. This is called a prior authorization. Services must be medically necessary in order for dental plans to pay for them. Your child’s dental plan can help you understand what is covered.
Visit the Florida Agency for Health Care Administration for more information about Medicaid Dental Care Coverage.
Please contact Sunshine Health Member Services at 1-855-463-4100 (TTY 1-800-955-8770), Monday through Friday from 8 a.m. to 8 p.m., if you need help with:
- Finding a provider other than a dentist
- Have a question about your Medicaid coverage (not dental)