North Dakota Medicaid members ages 0 through 20 are eligible for dental services. These services must be done by a dentist who is enrolled as a North Dakota Medicaid provider. Click the link and enter your zip code to find a dentist. North Dakota Medicaid may also pay for orthodontics (braces for teeth) if medically necessary.
Dental FAQs
It is important for your child to be seen by a dentist at sight of first tooth or no later than 12 months of age. Children with untreated cavities can have pain and infections that may lead to problems with eating, speaking, playing, and learning.
Dental exams are covered two times per calendar year. Teeth cleaning, x-rays, sealants, and fillings may also be covered.
To start the child must have 2 orthodontic screenings: one from a public health unit or dentist and one from an orthodontist. If the child meets the point level under these screenings, the orthodontic screening will be sent in for review. This review process takes around 4-6 weeks. You will then be contacted regarding the approval status.
North Dakota Medicaid may pay for braces for children ages 7 through 20 when medically necessary.
You do have the option to choose which orthodontist your child sees. You must confirm that your orthodontist of choice accepts Medicaid.
Only bracketed orthodontia is an option currently. Prior approval may be given for different treatment when medically necessary, but not for cosmetic reasons.
The full cost of orthodontic treatment is paid up front, even if you no longer qualify for Medicaid. It is important to continue your orthodontic treatment until it is done.