Does Medicaid pay for root canals in NC?

Answered by Jason Smith

Medicaid does cover root canals for individuals under the age of 21 in North Carolina. However, for adults, the coverage for root canals is limited. I will provide you with more details about the Medicaid dental coverage for adults in NC.

Under the NC Medicaid program, dental coverage for adults is more limited compared to the coverage provided for children. While children can receive a wide range of dental services including exams, cleanings, fillings, sealants, x-rays, extractions, dentures, and even root canals, the coverage for adults is more focused on essential and medically necessary services.

For adults, Medicaid dental coverage in North Carolina primarily includes exams, cleanings, fillings, sealants, x-rays, extractions, and dentures. These services are aimed at maintaining oral health and addressing immediate dental needs. However, coverage for more complex procedures such as surgeries and periodontal services is available if they are deemed medically necessary.

Root canals, unfortunately, are not typically covered for adults under the NC Medicaid program. This means that if you require a root canal as an adult, you may have to explore alternative options for coverage or consider paying for the procedure out of pocket.

It’s important to note that Medicaid coverage can vary depending on the specific plan or program an individual is enrolled in. Therefore, it is always recommended to check with your Medicaid provider or the North Carolina Medicaid office directly to confirm the specific coverage details and any potential changes that may have occurred.

While Medicaid dental coverage for adults in North Carolina may not include root canals, there are other potential avenues to explore for assistance with dental care. Some community health centers, dental schools, and charitable organizations may offer discounted or low-cost dental care options for individuals who are uninsured or underinsured.

While Medicaid dental coverage for adults in North Carolina generally includes exams, cleanings, fillings, sealants, x-rays, extractions, and dentures, root canals are typically not covered. It is advisable to check with your Medicaid provider or the North Carolina Medicaid office for more specific information regarding coverage and potential alternative options for dental care.