Medicaid Recipient Dental Services

Healthy Smiles

Keeping you and your child’s smile healthy is important. Children should begin seeing a dentist by age 1. You can follow these simple steps to keep smiles bright and shiny:

• Brush two times a day
• Floss everyday
• Drink tap water (it has fluoride, which strengthens your teeth)
• Avoid sugary drinks like pop, juice, and sports drinks
• Visit a dentist two times a year

Children’s Coverage

South Dakota Medicaid covers the following dental services for children:

• Two exams per year
• Two cleanings per year
• Two fluoride treatments per year
• Dental sealants for permanent molars
• X-rays
• Fillings
• Removal of teeth
• Crowns
• Root canals

Braces are only covered when the child has an extreme need due to difficulty eating, chewing, speaking, or breathing. All braces must be pre-approved. If you think your child may qualify for braces, the first step is to have your child's dentist complete the Pre-Orthodontic Certification Form.

Additional information regarding braces coverage | spanish

Additional information about children’s dental coverage | spanish including non-covered service..

Adult Coverage

South Dakota Medicaid covers the following dental services for adults:

• Two exams per year
• Two cleanings per year
• Two flouride treatments per year
• Dental sealants for permanent molars
• X-rays
• Fillings
• Removal of teeth
• Crowns
• Root canals on front teeth
• Partial dentures and full dentures (no more than once every 5 years)

Adult dental coverage is limited to $2,000 each year (July 1 – June 30). Recipients must pay for services over the $2,000 yearly limit. Medically necessary emergency services, preventative services, dentures, and partials are exempt from the $2,000 limit.

You may ask your dentist to seek pre-approval from Delta Dental of South Dakota before scheduling dental work. This will allow you to know what is covered and what portion of the bill you may be responsible to pay. Delta Dental of South Dakota can also tell you if the $2,000 yearly limit has been or will be reached. For additional information about adult dental coverage | spanish including non-covered service.

Find a Dentist
Visit insurekidsnow.gov to find a list of Medicaid enrolled dentists for you or your child.

Contact Us
For more information about dental coverage or a dental claim, contact Delta Dental of South Dakota from 8 a.m. – 5 p.m. (CST) weekdays at 877.841.1478 or contact them via email at sdmedicaid@deltadentalsd.com.