|
State
|
Coverage
|
| Alabama |
- Dental check-up and dental cleaning every 6 months
- X-rays, fillings, extractions, root canals, stainless steel crowns
|
| Alaska |
- Dental exam covered twice a year beginning at age 3
|
| Arizona |
- Scale and clean teeth every 6 months (as indicated by patients needs)
- Topical fluoride every 6 months (or as indicated)
- Complete a radiographic assessment of pathology/abnormal growth and development as indicated
|
| Arkansas |
- Prophylaxis covered 1 time per fiscal year (more as medically necessary)
- Sealants once per lifetime on 1st and 2nd molars
|
| California |
- Scale and clean teeth every 6 months (as indicated by patients needs)
- Topical fluoride every 6 months (or as indicated)
- Complete a radiographic assessment of pathology/abnormal growth and development as indicated
|
| Colorado |
- Scale and clean teeth every 6 months (as indicated by patients needs)
- Topical fluoride every 6 months (or as indicated)
Complete a radiographic assessment of pathology/abnormal growth and development as indicated
|
| Connecticut |
- Scale and clean teeth every 6 months (as indicated by patients needs)
- Topical fluoride every 6 months (or as indicated)
- Complete a radiographic assessment of pathology/abnormal growth and development as indicated
|
| Delaware |
- Scale and clean teeth every 6 months (as indicated by patients needs)
- Topical fluoride every 6 months (or as indicated)
- Complete a radiographic assessment of pathology/abnormal growth and development as indicated
|
| District of Columbia |
- Scale and clean teeth every 6 months (as indicated by patients needs)
- Topical fluoride every 6 months (or as indicated)
- Complete a radiographic assessment of pathology/abnormal growth and development as indicated
|
| Florida |
- Oral exam, prophylaxis, and topical fluoride every 6 months
- Sealants one per tooth every 3 years
- Bitewings every 6 months
- Panoramic x-rays once per year
- Complete intraoral x-rays once in 3 year period
|
| Georgia |
- Prophylaxis twice a year
- One comprehensive oral evaluation and one periodic oral evaluation per calendar year
- Panoramic x-rays or full series x-rays once every 3 years (panoramic x-rays limited to those over 5 years of age)
|
| Hawaii |
- Oral exam, prophylaxis, and topical fluoride 2x/year (starting at age 1)
- Sealants for 1st and 2nd permanent molars
- Bitewings x-rays 2x/year
- Full-series x-rays every 3 years
- Panoramic x-rays every 2 years
|
| Idaho |
- Prophylaxis and topical fluoride every 6 months
- Periodic oral evaluation every 6 months; comprehensive oral evaluation every 12 months
- Intraoral x-rays once in 36 month period
- 4 bitewings (total) every 6 months
|
| Illinois |
- Prophylaxis every 6 months
- Clinical oral evaluation every 12 months
- Complete set of x-rays every 3 years
|
| Indiana |
- Regular assessments and preventative care every 6 months
|
| Iowa |
- Scale and clean teeth every 6 months (as indicated by patients needs)
- Topical fluoride every 6 months (or as indicated)
- Complete a radiographic assessment of pathology/abnormal growth and development as indicated
|
| Kansas |
- Scale and clean teeth every 6 months (as indicated by patients needs)
- Topical fluoride every 6 months (or as indicated)
- Complete a radiographic assessment of pathology/abnormal growth and development as indicated
|
| Kentucky |
- Comprehensive oral exam once a year
- 4 bitewings per year
- Prophylaxis covered once a year
- Sealants of 6 and 12 year molars every 4 years (3 per lifetime)
|
| Louisiana |
- Oral evaluation, topical fluoride, prophylaxis, and bitewings covered once per year
|
| Maine |
- Comprehensive oral exam 2x/year
- Prophylaxis and fluoride 2x/year
- Sealants for permanent teeth once every 3 years
|
| Maryland |
- Scale and clean teeth every 6 months (as indicated by patients needs)
- Topical fluoride every 6 months (or as indicated)
- Complete a radiographic assessment of pathology/abnormal growth and development as indicated
|
| Massachusetts |
- Prophylaxis and fluoride 2x/year (no sooner than 6 months)
- Bitewings 2x/year
- Intraoral bitewings (complete set) once every 3 years
- Sealants on 1st and 2nd molars once every 3 years
|
| Michigan |
- Prophylaxis covered every 6 months
- Periodic oral evaluation every 6 months
- Complete series of x-rays every 5 years
- Bitewings every 12 months
|
| Minnesota |
- Unclear: State documents call for verbal referral from medical screener to a dentist at age 3 or earlier if indicated and include summary of AAPD guidelines as Other Professional Recommendations
|
| Mississippi |
- Prophylaxis 2x/year
- Comprehensive exams 2x/year
- Comprehensive x-rays every 2 years
- Sealants covered only for 1st and 2nd molars
|
| Missouri |
- Prophylaxis 2x/year (starting at 6 months of age)
|
| Montana |
- Oral exam and prophylaxis every 6 months
|
| Nebraska |
- Periodic oral evaluations every 6 months
- Prophylaxis every 6 months
- Fluoride at provider suggestion
- Intraoral complete series every 3 years
|
| Nevada |
- Complete exam and cleaning 2x/year (fluoride covered)
|
| New Hampshire |
- Scale and clean teeth every 6 months (as indicated by patients needs)
- Topical fluoride every 6 months (or as indicated)
- Complete a radiographic assessment of pathology/abnormal growth and development as indicated
|
| New Jersey |
Up to age 17:
- Prophylaxis and fluoride every 6 months
- Comprehensive dental exam every 6 months
Age 17 and older:
- Prophylaxis and fluoride every 12 months
- Comprehensive dental exam every 12 months
|
| New Mexico |
- Periodic oral exam every 6 months
- Prophylaxis every 6 months
- Complete intraoral x-rays every 3 years
- Bitewings every 12 months
|
| New York |
- Prophylaxis and fluoride every 6 months
- Complete intraoral x-rays every 3 years
- Bitewings every 6 months
- Sealants between 5 and 15 years of age, reapplication every 3 years
|
| North Carolina |
- Routine dental exam every 6 months (earlier as indicated)
|
| North Dakota |
- Prophylaxis 2x/year· Panoramic films every 5 years
|
| Ohio |
- Prophylaxis and fluoride every 6 months
- Comprehensive oral exam every 6 months
|
| Oklahoma |
- Prophylaxis with or without fluoride 2x/year
- Dental exams 2x/year
- Bitewings 2x/year (beginning at age 3)
|
| Oregon |
- Scale and clean teeth every 6 months
- Topical fluoride every 6 months
- Sealants as needed
|
| Pennsylvania |
- Scale and clean teeth every 6 months (as indicated by patients needs)
- Topical fluoride every 6 months (or as indicated)
- Complete a radiographic assessment of pathology/abnormal growth and development as indicated
|
| Rhode Island |
- Semi-annual coverage of dental exams, cleaning, and fluoride treatment
|
| South Carolina |
- Cleaning, x-rays, and topical fluoride every 6 months
|
| South Dakota |
- Prophylaxis and topical fluoride 2x/12 months
- Initial or periodic oral exam 2x/12 months
- Bitewings (single, two, four films) 2x/12 months
- Sealant-per tooth, limited to 1st and 2nd molars only once every 3 years
|
| Tennessee |
- Scale and clean teeth every 6 months (as indicated by patients needs)
- Topical fluoride every 6 months (or as indicated)
- Complete a radiographic assessment of pathology/abnormal growth and development as indicated
|
| Texas |
- Routine dental check-up services available for eligible recipients one year of age or older every 6 months
- Preventive dental services include prophylaxis, topical fluoride, dental sealants, oral nutritional counseling and fixed or removable space retainers
|
| Utah |
- Prophylaxis with or without fluoride 2x/year
|
| Vermont |
- Oral exam 2x/year
- Prophylaxis and fluoride 2x/year
- Complete intraoral x-rays once every 3 years
|
| Virginia |
- Periodic oral examinations, prophylaxis, and fluoride covered every 6 months under age 21
- Sealants covered once per tooth (anterior teeth, 3rd molars, or premolars not covered)
|
| Washington |
- Periodic oral exam once every 6 months
- Intraoral x-rays once in 3 year period
- Bitewings: total of 4 allowed every 12 months· Topical fluoride once every 6 months
|
| West Virginia |
- Periodic oral exam every 6 months
- Prophylaxis and topical fluoride once every 6 months
- Single film bitewings 4x/year
|
| Wisconsin |
0-12:
- Periodic oral exam every 6 months
- Prophylaxis with topical fluoride every 6 months
- Complete x-rays once every 3 years, regional intraoral x-rays every 6 months
Over 12:
- Period exam once a year (up to 2 more exams per year with HealthCheck referral)
- Topical fluoride once a year
- Sealants on 1st and 2nd molars once per 3 year period (certain teeth covered without prior approval)
|
| Wyoming |
- Prophylaxis and topical fluoride once every 6 months (more if medically necessary)
|
