Find a Dentist Who Takes Medicaid for Kids’ Braces

Braces help give your child a healthy smile by straightening crooked teeth, aligning crowded teeth and improving oral health in general. If you are looking for a dentist who takes Medicaid to help cover the cost of your child’s braces, check with your local Kool Smiles dental office. Our helpful staff works to keep the cost of braces low.

Call us today at 254-781-0553 to schedule a no-cost braces consultation for your child.

Medicaid Coverage for Braces and Dental

Under the Medicaid program, children are able to receive health, vision and dental coverage for necessary and preventive services. Medicaid benefits differ from state to state, so it’s best to find out exactly what is covered in your insurance plan depending on your location. Kool Smiles can simplify this process by determining what dental services your child is eligible for when you call us or come in for a consultation.

Any child under the age of 21 with Medicaid can come in for an appointment with one of our dentists for the neccessary dental treatments. These patients are entitled to receive Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services. More in-depth explanations of what these services typically cover are:

  • Early—Our dentists will look for any signs of dental health issues early-on to stop common diseases like tooth decay from spreading within your child’s mouth.
  • Periodic—Your child will be able to come in for frequent checkups at age-appropriate intervals to make sure that their smile is developing correctly.
  • Screening—A common screening procedure covered by Medicaid are X-rays that allow dentists to detect potential problems with the roots of teeth.
  • Diagnostic—If and when a risk is identified, our dental providers will perform more diagnostic tests to determine the cause of the problem.
  • Treatment—Once an issue has been found and diagnosed, the dentist can then begin to correct or reduce the health problem based on its cause.

With this EPSDT requirement for dentists who take Medicaid, your child can receive dental services that include:

Your child can receive these services:

  • Cleanings
  • Tooth restorations
  • Pain relief of infections
  • Sealants
  • Fillings
  • Tooth extractions
  • Regular dental health maintenance

Do I Need Braces? Is It Covered with Medicaid?

Although Medicaid does cover the cost of many dental services, your child’s braces treatment can only be covered under these Medicaid programs if it is determined to be a medical necessity for your child’s development and health. This means that your child’s braces will not be covered if they are only needed for cosmetic reasons. Kool Smiles can determine if braces are medically necessary during a no-cost braces consultation.

Traditionally, braces are found to be medically necessary if the patient’s standard of living is interfered with for reasons including:

Reasons for braces to be medically necessary:

  • Inability to open the mouth properly
  • Difficulty chewing or eating
  • Trouble speaking as a result of oral issues
  • Cleft palate

Other conditions may qualify your child for braces based on a medical necessity, but this is determined by the dentist and depends on their professional opinion. If your child wants braces for cosmetic reasons, then you should consider the cost of this procedure since Medicaid won’t cover this type of dental treatment without a medical cause.

Close-up lifestyle outdoor portrait of a teenage girl and a bicycle

How Much Do Braces Cost?

The cost of braces for your child depends on the type of braces, as well as whether or not the dental service will be partially covered by Medicaid or another dental insurance plan. While you’re looking for a dentist who takes Medicaid for braces services, try to keep in mind what each type might still cost you if you end up uncovered or only partially covered.

There are several different types of braces that are available for your child, including:

Types of braces:

  • Traditional (metal)
  • Ceramic
  • Lingual
  • Damon
  • Invisible aligners

Traditional Metal Braces

On average, traditional metal braces will cost around $3,000 with insurance and $5,000 without insurance. These braces are often the most noticeable, but they are also the least expensive orthodontic treatment when compared to other options. Your child will need to visit the orthodontist every six to eight weeks while having these braces for adjustments and inspections.

Ceramic Braces

Ceramic braces are becoming more popular because they function similarly to traditional metal treatments, but offer the advantage of being less noticeable. The brackets of these braces are made of ceramic that is clear or tooth-colored in appearance. However, this material is more likely to stain and children should clean their teeth properly to prevent this from happening. The downside to this treatment option is that it is more expensive than traditional braces, with costs ranging from $4,000 to $8,000.

Lingual Braces

Perhaps the most costly braces treatment available is lingual braces that will have you paying anywhere from $8,000 to $10,000 for this orthodontic specialty. These braces are designed with the traditional bracket and wire braces in mind, but they are placed behind the teeth rather than in front of them. Lingual braces are invisible since they are hidden inside the mouth, but they can be much more difficult to clean since you can’t always see if something is caught between the brackets. This braces type may also make speaking harder, but it will get easier as you adjust over time.

Damon Braces

Damon braces are structured a bit differently than the other types because the brackets themselves hold the wires in place. This means that there is no steel tie holding the wires between the brackets. The main benefit of these braces is that they are a reasonable cost, typically ranging from $3,800–$8,000, and you won’t have to visit the orthodontist as often.

Invisible Aligners

Invisible aligners are often constructed of transparent material that surrounds your teeth like a mouthguard. These clear aligners are thin and have the ability to shift teeth around to so that they fit together properly. In terms of functionality, these are easier to handle than traditional braces and allow you to clean and brush your teeth as normal, without fear of food debris being caught with braces. However, the cost is the main drawback, which can range from $3,500 to $7,400 without insurance.

To help determine what braces are right for your child, schedule a no-cost braces consultation to discuss your options and pricing at a Kool Smiles location near you.

What Will Affect the Cost of Braces?

While the type of braces you select will alter the price of your treatment, other factors come into play as well. The average costs for the different types of braces we just mentioned can change depending on other factors, such as:

  • Time required for your treatment—You can expect for your child to have his or her braces for an average of 2 years, although this timeline varies from one patient to the next. You can expect to pay more the longer your kid has braces, because there will be more orthodontist visits and adjustments made over the course of this added time.
  • Damage to the braces—Any issues like cracked brackets, unsecured braces or loose or broken wires will require you to head back to the orthodontist for them to fix the issue, which could be another added cost.
  • Severity—If your child needs any oral surgery or tooth extractions to fix alignment or crowding issues before braces can be applied, this will increase the cost of your bill. This is because these are additional procedures separate from the orthodontic treatment itself.
  • Retainers and care after braces are removed—Once your child’s smile is free of braces, an orthodontist may suggest either a metal or clear retainer to keep your child’s teeth from shifting. Sometimes a permanent retainer is installed on the backside of the teeth (like lingual braces). Usually, this is included in the overall price of the braces treatment, but this should be something that you double-check before committing to a specific orthodontist.

Why Kool Smiles?

In addition to braces, the team at Kool Smiles provides routine dental exams, cleanings, treatments and education to make sure your child has a healthy smile for years to come. We believe all children should have access to excellent, quality dental care, and we work hard to make sure your kids enjoy their trip to the dentist. Our dentist offices are typically located in areas with the greatest need, and we have extended hours to make dental care convenient for you and your family. With over 120 locations across 15 states, we hope to bring affordable dental services to you.

Cute teenage girl sitting in a dentist chair at dentist office

Get Affordable Braces Treatment at Kool Smiles

At Kool Smiles, our braces treatment starts at a low, affordable price. We also accept other insurance plans, cash and credit to help pay for your child’s treatment. We can even discuss a payment plan that fits your budget.

When you’re searching for a dentist who will take Medicaid for your child’s braces treatment, or any dental treatment, check out what Kool Smiles can do.

Make an appointment or find which locations have an in-house orthodontist by calling Kool Smiles at 254-781-0553 today.

 

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Sources:

CostHelper Braces: http://health.costhelper.com/braces.html

Medicaid: http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Benefits/Dental-Care.html

OralB: http://www.oralb.com/embraceit/how-much-do-braces-cost

The Dental Guide: https://www.thedentalguide.net/does-medicaid-pay-for-braces/

OralB: https://oralb.com/en-us/oral-health/life-stages/braces/how-much-do-braces-cost

Damon Braces: https://damonbraces.com/products/damon-clear/cost/

Nature: https://www.nature.com/articles/ijos201625

Colgate: https://www.colgate.com/en-us/oral-health/cosmetic-dentistry/adult-orthodontics/what-do-invisalign-braces-cost-are-they-worth-it-0113

Kids Health: https://kidshealth.org/en/parents/braces.html