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NC Medicaid Dental Provider List

If you need dental treatment, you will need to go to a dentist who is enrolled as a NC Medicaid dental provider.  The Dental Provider List includes only those dental practices and clinics that filed claims for at least ten new Medicaid recipients during the quarter indicated on the report .   Please contact the dentist to confirm that he/she is accepting Medicaid patients.  

You can also contact the public health dental hygienist in your area for more information on dental referrals for Medicaid and Health Choice recipients. You can reach the public health dental hygienist by contacting either your Local Health Department or the NC Oral Health Section at 919-707-5480.

Definitions for Provider Types

The following providers typically offer comprehensive dental services to Medicaid recipients:

  • General Dentists typically provide exams, x-rays, preventive services, fillings, complete and partial dentures and simple extractions to patients of a wide age range.
  • Pediatric Dentists typically provide exams, x-rays, preventive services, fillings, and simple extractions for children.  Many pediatric dentists also treat children and adults who have special health care needs.
  • LHD – Local Health Departments
  • FQHC – Federally Qualified Health Centers (also known as Community Health Centers)

The following providers offer specialized dental services to Medicaid recipients:

  • Endodontists perform root canal treatments for children and adults.
  • Oral Surgeons perform extractions of teeth and provide other surgical services for children and adults.
  • Orthodontists provide braces. To be eligible for orthodontic treatment, Medicaid recipients must be under 21 years of age, and must meet certain Prior Approval (PA) qualifications.
  • Periodontists perform services to treat and prevent periodontal (gum) diseases for children and adults.

NOTE:  The information contained in this list is subject to change at any time. 

 

Last updated December 1, 2008