Orthodontists that Take Medicaid Near Me

Roughly four million Americans wear braces. Next to tooth decay, perfect teeth alignment is one of the biggest concerns in the dentist and orthodontist office. However, the expensive procedures associated with orthodontic care can be a real obstacle for families who struggle to afford even basic dental care.

How do you find an orthodontist near you that accepts Medicaid? Many Kool Smiles locations offer orthodontic services for patients under 21, and all of our kid-friendly offices proudly accept Medicaid and TRICARE. Your child’s dental care may be covered.

With over 120 locations nationwide, you will likely find a location with an on-site orthodontist near you. Call Kool Smiles today at 254-781-0553 to make an appointment with one of our qualified dentists, and keep reading for more information about orthodontists that take Medicaid near you.

Does Kool Smiles Accept Medicaid for Orthodontics?

While Kool Smiles does accept Medicaid, most of our offices will not accept Medicaid for orthodontic treatment unless the treatment is medically necessary. Coverage varies from state to state.

You can make an appointment for a no-cost consultation that will determine if your child’s braces are medically necessary. If the orthodontist decides that the braces will improve your child’s “physical, emotional or dental health,” Medicaid will cover much of the cost of the orthodontist’s services and the braces.

Call 254-781-0553 to book your child’s no-cost braces consultation with one of our experienced professionals today.

When Should Your Child See an Orthodontist?

An orthodontist specializes in changes to the jaw bones, facial bones and tissues, as teeth are repositioned with dental appliances. If your child has a misaligned bite, crooked smile or teeth that make it difficult to talk and eat, then you should seek an orthodontist near you that takes Medicaid.

Orthodontists vs. General Dentists

Orthodontists are not general dentists. They complete an additional two to three years of orthodontic residencies after graduating from dental school. When your child sees a Kool Smiles orthodontist or an orthodontist recommended by a Kool Smiles general dentist, it is guaranteed that the provider will be credentialed and experienced.

What Other Dental Appliances Does an Orthodontist Fit Besides Braces?

An orthodontist fits several types of dental appliances that may or may not be covered by your state’s Medicaid plan, depending on the medical necessity of the appliance.

Your child may be fitted with the following dental appliances:

  • Rubber bands
  • Brackets
  • Wires
  • Headgear
  • Retainers
  • Invisalign or clear aligners

The Average Cost of Braces with Insurance

How much does it cost to get braces? Braces are one of the most expensive dental care treatments due to their long-term duration and necessary follow-up appointments.

The average cost of braces for individuals with dental insurance is $3,407 out-of-pocket. Without insurance, individuals usually pay an average of $4,937. So, dental insurance will usually cover up to $2,000.

Overall, braces can cost more than $8,000 for individuals with especially severe cases, because braces will need stay on longer, correct more problems and cover upper and lower teeth. In addition to traditional metal braces, you should also be prepared for costs from supplementary procedures, such as:

  • Orthodontist exams
  • Monthly follow-up appointments
  • X-rays
  • Retainers and replacement retainers

Affordable Orthodontic Payment Options at Kool Smiles

At Kool Smiles, we will never turn away a Medicaid family because of their insurance coverage. We welcome our Medicaid patients and never limit the number we accept.

Kool Smiles also proudly salutes our veterans and their families by proudly accepting TRICARE for orthodontic services. Like Medicaid, TRICARE will cover braces that are found to be “medically necessary.”

If you are not yet enrolled in Medicaid, you can learn more about Medicaid eligibility and enrollment online. You can also find out more information about TRICARE dental care, how to enroll in the program and what it covers.

When Medicaid Doesn’t Cover Orthodontics in Your Area

If your state has tighter restrictions on Medicaid coverage for orthodontics, or your child is fitted with a dental appliance solely for cosmetic reasons, then you should consider other payment options accepted by Kool Smiles.

Kool Smiles accepts cash and credit card payments for patients who are uninsured or whose Medicaid plan will not cover an orthodontic procedure.

Another way to pay for large orthodontist expenses is by applying for a CareCredit credit card. This healthcare card breaks up costly dental procedures into monthly payments that are much less overwhelming.

Choose a Quality Orthodontist in Your Area

You want an orthodontist that you can trust. An orthodontist that accepts Medicaid and doesn’t turn away patients is no exception. At Kool Smiles, we are dedicated to providing high-quality, safe and compassionate care to children and adults without cost barriers.

A Kool Smiles dentist or orthodontist will not compromise care based on insurance. Our dental care providers (approved by their state’s Dental Board) never stop training, and our leadership has countless years of experience in all areas of dentistry. They are involved in serving underserved communities with excellent dental care.

To find a Kool Smiles office and orthodontist who takes Medicaid near you, call 254-781-0553, and we can direct you to our closest location. We have kid-friendly dentistries across the country.

Patient Reviews: Kool Smiles Patients Leave Happy

We want to make you smile, so we take your concerns seriously. Kool Smiles delivers exceptional customer service, as 97% of patients say they’d happy to return to our offices.

Hundreds of Kool Smiles patients are surveyed every month on customer satisfaction. Our Patient Satisfaction Team responds to every complaint personally, so your concerns will be met with personal care. We hold ourselves accountable.

If that isn’t enough, read our real patient testimonials and see what they have said about our level of care.

Kool Smiles Orthodontics for Your Kids

Getting braces for your kids is an investment in his or her health and future success in life. Crooked teeth can cause pain, tooth decay and problems with speech, chewing and biting.

By helping your children get healthy and straight smiles, you are helping boost their appearance and self-confidence. Find a Kool Smiles orthodontist who accepts Medicaid near you, and schedule a no-cost braces consultation to get the quality care and treatment you deserve. Call 254-781-0553 today.

Answering Your Questions About Orthodontics and Medicaid

Q: At what age can my child start wearing braces?

Orthodontic care usually starts between the ages of 8 and 14.

Q: How long do children wear their braces?

Children usually wear braces for one to three years (or more) depending on the severity of their case.

Q: What are the consequences of skipping braces or orthodontic care?

If your child has a medical necessity that requires braces, you will save money and future dental problems in the long run. If you choose not to opt for an orthodontic procedure, your child may suffer from jaw problems, affected speech and tooth decay or loss.

Q: Does Medicaid cover braces for adults?

Medicaid does not normally cover braces or orthodontics for adults. Unfortunately, while Medicaid will usually cover emergency dental procedures for adults, less than half of U.S. states provide extensive dental care for adults. So, adults with Medicaid will have to pay for braces out-of-pocket or with a healthcare credit card.

Q: What does Medicaid cover for adults?

As of 2016, 15 states cover diagnostic, preventative and restorative dental procedures for adults. Nineteen states cover fewer than 100 of these procedures and cap annual dollar amounts at $1,000. In 13 states, only pain relief and emergency care is covered. And finally, the last four states do not cover dental care at all for adults.

Coverage can be extended or cut at any time. You should keep up-to-date with your state’s Medicaid coverage in case you are eligible for fewer, or perhaps more, dental care procedures.

Q: Should an adult still see an orthodontist?

Your oral health is important at every age. Poorly aligned teeth and other dental problems can lead to poor nutrition (due to an inability to eat properly), chronic pain and other long-term issues.

As an adult, dental issues can force you to take time off from work and become less productive overall. It is worth visiting an orthodontist if your general dentist thinks it is appropriate. Kool Smiles will work with you to afford care if your state doesn’t cover you.

Q: Does every Kool Smiles office have an orthodontist?

While several of our offices have an on-site orthodontist, some offices may not. It is important to check with your local Kool Smiles office to determine availability or to get a referral from a general dentist.

Q: Are Invisalign and clear aligners more or less expensive than traditional braces?

Clear aligners are usually more expensive than traditional braces, with average prices between $3,500 and $8,000. These devices are worn for most of the day, except for meals and brushing teeth. Insurance may cover clear aligners if medically necessary, but this must be determined on a case-by-case basis. Speak to your dental care provider to see if Medicaid will cover a clear aligner.



The Atlantic: https://www.theatlantic.com/health/archive/2015/07/braces-dentures-history/397934/

American Association of Orthodontists: https://www.aaoinfo.org/news/2015/07/aao-leads-effort-establish-consistency-medically-necessary-orthodontic-care

American Association of Orthodontists: https://www.aaoinfo.org/blog/post/why-do-i-need-an-orthodontist

WebMD: https://www.webmd.com/oral-health/guide/children-and-orthodontics#1

CostHelper.com: https://health.costhelper.com/braces.html

HealthCare.gov: https://www.healthcare.gov/medicaid-chip/

TRICARE: http://www.tricare.mil/dental.aspx

CareCredit: https://www.carecredit.com/

MouthHealthy.org/ American Dental Association: https://www.mouthhealthy.org/en/az-topics/b/braces

Medicaid.gov: https://www.medicaid.gov/medicaid/benefits/dental/index.html

KFF.org: https://www.kff.org/medicaid/issue-brief/access-to-dental-care-in-medicaid-spotlight-on-nonelderly-adults/

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