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
| State | Adult coverage | Services covered |
|---|---|---|
| Alabama | None | 0 of 12 |
| Alaska | Extensive | 12 of 12 |
| Arizona | Limited | 5 of 12 |
| Arkansas | Limited | 6 of 12 |
| California | Limited | 9 of 12 |
| Colorado | Limited | 11 of 12 |
| Connecticut | Limited | 10 of 12 |
| Delaware | Limited | 6 of 12 |
| District of Columbia | Extensive | 12 of 12 |
| Florida | Limited | 7 of 12 |
| Georgia | Limited | 10 of 12 |
| Hawaii | Limited | 10 of 12 |
| Idaho | Limited | 7 of 12 |
| Illinois | Limited | 7 of 12 |
| Indiana | Limited | 7 of 12 |
| Iowa | Extensive | 12 of 12 |
| Kansas | Limited | 11 of 12 |
| Kentucky | Limited | 10 of 12 |
| Louisiana | Limited | 2 of 12 |
| Maine | Extensive | 12 of 12 |
| Maryland | Limited | 9 of 12 |
| Massachusetts | Limited | 9 of 12 |
| Michigan | Limited | 11 of 12 |
| Minnesota | Extensive | 12 of 12 |
| Mississippi | Limited | 1 of 12 |
| Missouri | Limited | 5 of 12 |
| Montana | Extensive | 12 of 12 |
| Nebraska | Extensive | 12 of 12 |
| Nevada | Limited | 3 of 12 |
| New Hampshire | Limited | 6 of 12 |
| New Jersey | Extensive | 12 of 12 |
| New Mexico | Limited | 8 of 12 |
| New York | Limited | 11 of 12 |
| North Carolina | Limited | 9 of 12 |
| North Dakota | Limited | 11 of 12 |
| Ohio | Limited | 9 of 12 |
| Oklahoma | Limited | 9 of 12 |
| Oregon | Extensive | 12 of 12 |
| Pennsylvania | Limited | 10 of 12 |
| Rhode Island | Limited | 11 of 12 |
| South Carolina | Limited | 4 of 12 |
| South Dakota | Limited | 11 of 12 |
| Tennessee | Extensive | 12 of 12 |
| Texas | None | 0 of 12 |
| Utah | Limited | 1 of 12 |
| Vermont | Limited | 9 of 12 |
| Virginia | Limited | 11 of 12 |
| Washington | Limited | 9 of 12 |
| West Virginia | Extensive | 12 of 12 |
| Wisconsin | Extensive | 12 of 12 |
| Wyoming | Limited | 3 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.
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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.