US DentalCompass

Medicaid adult dental coverage in every state

By the US DentalCompass team · Updated 16 October 2026

Medicaid has to cover dental care for children, but for adults each state decides. In our data, 12 states cover a broad range of adult dental care, 37 cover part of it and 2 cover little or none. Here is every state, with the number of services covered.

The short answer. Adult dental coverage under Medicaid is optional and set by each state. As of 31 December 2024, 12 states provide extensive adult dental benefits, 37 provide limited benefits, and 2 (Alabama and Texas) do not cover routine adult dental care. Children are covered in every state.

Every state at a glance

StateAdult coverageServices covered
AlabamaNone0 of 12
AlaskaExtensive12 of 12
ArizonaLimited5 of 12
ArkansasLimited6 of 12
CaliforniaLimited9 of 12
ColoradoLimited11 of 12
ConnecticutLimited10 of 12
DelawareLimited6 of 12
District of ColumbiaExtensive12 of 12
FloridaLimited7 of 12
GeorgiaLimited10 of 12
HawaiiLimited10 of 12
IdahoLimited7 of 12
IllinoisLimited7 of 12
IndianaLimited7 of 12
IowaExtensive12 of 12
KansasLimited11 of 12
KentuckyLimited10 of 12
LouisianaLimited2 of 12
MaineExtensive12 of 12
MarylandLimited9 of 12
MassachusettsLimited9 of 12
MichiganLimited11 of 12
MinnesotaExtensive12 of 12
MississippiLimited1 of 12
MissouriLimited5 of 12
MontanaExtensive12 of 12
NebraskaExtensive12 of 12
NevadaLimited3 of 12
New HampshireLimited6 of 12
New JerseyExtensive12 of 12
New MexicoLimited8 of 12
New YorkLimited11 of 12
North CarolinaLimited9 of 12
North DakotaLimited11 of 12
OhioLimited9 of 12
OklahomaLimited9 of 12
OregonExtensive12 of 12
PennsylvaniaLimited10 of 12
Rhode IslandLimited11 of 12
South CarolinaLimited4 of 12
South DakotaLimited11 of 12
TennesseeExtensive12 of 12
TexasNone0 of 12
UtahLimited1 of 12
VermontLimited9 of 12
VirginiaLimited11 of 12
WashingtonLimited9 of 12
West VirginiaExtensive12 of 12
WisconsinExtensive12 of 12
WyomingLimited3 of 12

What the three levels mean

  • Extensive: the state covers most of the services measured, including restorative work such as fillings and crowns, and usually dentures.
  • Limited: some services are covered and others are not, or are capped at a low annual amount. The detail matters — a state may pay for fillings but not dentures, or for front-tooth root canals but not back ones.
  • None: no routine adult dental benefit. Emergency care, such as relief of pain and infection, may still be paid for.

Select any state above to see its answer service by service: check-ups, cleanings, fillings, crowns, root canals, extractions, gum treatment, dentures and the annual cap.

Children are covered everywhere

Federal law requires Medicaid to cover dental care for children under 21 through the EPSDT benefit, and the Children's Health Insurance Program (CHIP) covers dental care too. Whatever your state's adult rules, a child who qualifies for Medicaid or CHIP has dental coverage.

Coverage is not the same as access

A covered service still needs a dentist who takes Medicaid, and many private dentists do not. Community health centers and dental schools are the most reliable places to use a Medicaid dental benefit. Find one by state, or read how health center fees work for anything Medicaid does not pay for.

Where these figures come from

State coverage is from the CareQuest Institute for Oral Health's survey of adult Medicaid dental benefits, as of 31 December 2024. Each state is scored on the same set of services, which is what makes the states comparable. States change benefits, sometimes mid-year; confirm with your state Medicaid agency before relying on a particular service. More on our sources on the methodology page.

You are welcome to cite or link this page. Please attribute it to US DentalCompass.

This guide is general information, not dental, medical or insurance advice. Rules and fees change; confirm with the clinic or agency concerned. See our disclaimer and how we build this directory.

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