Will Medicaid Pay For Wisdom Teeth Removal


What If I Cannot Afford The Out Of Pocket Fees

Wisdom Teeth Removal Cost

Even after contributions from Health Funds, or for patients who do not have private health insurance, assistance with fees may be required. Wisdom Teeth Clinics offers payment plans for the dental surgeon fees with options such as Afterpay or Zip Pay to help reduce the stress of the costs of wisdom teeth surgery and make treatment more affordable and accessible.

Please see refer to the website for more information on Afterpay or Zip Pay

How Much Does Wisdom Teeth Removal Cost Without Insurance

For simple extractions of erupted teeth, you can expect to spend between $200 and $700 per tooth, with $300 being the average.

Removing impacted teeth costs between $250 and $1,100 apiece, with the average ranging from $350 to $550. Prices at the lower end are for impacted teeth inside your gums, while prices at the higher end are for teeth stuck in your jawbone.

Will Insurance Cover The Full Cost Of Wisdom Teeth Removal

Dental insurance usually doesnt cover the entire cost of your extraction. In most cases, youll be responsible for paying a percentage of the bill, with the insurance company covering the rest.

How much you pay depends on the details of your dental insurance policy. For example, if your plan has 100/80/50 terms, your insurance will cover 100% of preventive care, 80% of basic procedures, and 50% of major procedures.

Even so, your share of the cost may be in doubt. If your wisdom teeth have erupted, youd likely need to pay 20% of the cost. But if theyre impacted, your insurer probably classifies the procedure as a major one. In that case, youd be responsible for paying half the bill.

Note that most dental insurance plans also have an annual maximum. So, if youre getting all four teeth removed, the cost may exceed that limit. Youd then be responsible for paying 100% of each dollar over your maximum.

Medicaid usually covers wisdom teeth extraction for kids and teens. A few states also choose to cover this service for adults who qualify.

Original Medicare doesnt cover dental work, including the extraction of wisdom teeth. However, some Medicare Advantage plans have dental benefits that may cover this procedure.

You May Like: Wv Medicaid Monthly Income Guidelines

Does Medicaid Cover Tooth Extraction For Children

State Medicaid programs must include a minimum set of dental benefits for children that include:

  • Relief of pain and infections
  • Teeth restoration
  • Maintenance of dental health

While wisdom tooth extractions are not included as part of the minimum requirements, many state Medicaid programs include benefits that go above and beyond the minimum federal requirements and may cover the cost of a wisdom tooth for a child with Medicaid.

How To Remove Wisdom Teeth For Free

Medicaid Dental Implants Cover Does

Dental care is essential and can be expensive. In the United States, a third of adults do not visit the dentist at least once a year. People dont visit the dentist regularly because of the high cost of dental care and lack of health care coverage, especially for low-income families in urban areas.

Wisdom teeth are one of the most common dental problems. Its because impacted wisdom teeth are stuck in the gums, causing pain, swelling, and other oral health problems. As a result, dentists recommend removing wisdom teeth as soon as possible.

Finding affordable or free wisdom teeth removal near you can be beneficial. Removing an impacted wisdom tooth can cost anywhere from $200 to $600 per tooth.

Are you planning to remove a wisdom tooth and looking for an affordable option to save hundreds of dollars? We have some suggestions on ways to save money.

So, where can I get my wisdom teeth removed for free?

Short Answer: Free wisdom teeth removal is possible with the help of financial assistance programs and charitable organizations that offer affordable and free dental care services. Some local dental clinics also offer pro-bono dental work for low-income families.

Our guide will show you free places to get free wisdom tooth removal. Alternatively, we also have cheap wisdom teeth removal options with and without dental insurance.

10 Ways To Remove Wisdom Teeth For Free

Here are several ways to remove wisdom teeth for free:

1. Medicaid

2. Pro-Bono Dentists

3. Dental Schools

10. ADA

Also Check: Georgia Medicaid Home Health Care

Does Medicare Cover Gum Surgery

In most cases, Medicare does not cover gum surgery .

Sometimes, surgery may be necessary to treat certain types of gum disease, such as gingivitis or periodontitis . Depending on how severe or advanced the infection or disease is, your dentist may recommend surgery, which can help remove disease and reinstate the health of your gums.

Typically, gum surgery is not part of a covered procedure or treatment plan.

Dental Benefits Included In Adult Medicaid Plans

No federal law requires that states offer dental benefits to adult residents through Medicaid programs. So, according to the Center for Health Care Strategies , there are four states that do not pay for dental services .

All state Medicaid programs provide extensive, limited or emergency dental benefits. Besides, an emergency procedure is a jammed wisdom tooth that causes severe discomfort . So, a healthy wisdom tooth growing is typically not an emergency, and Medicaid may deny covering.

Read Also: Tens Unit Covered By Medicaid

Which Dental Benefits Are Included In Adult Medicaid Plans

There is no federal law that necessitates states Medicaid programs to offer dental benefits to adults. As per the CHCS , there are only four state Medicaid programs in America that dont pay for dental services, and they include:

  • Alabama
  • Tennessee
  • All other state Medicaid programs offer extensive, limited, or emergency dental benefits.

    For instance, if a wisdom tooth is jammed and causing a great deal of discomfort, removal will be recognized as an emergency procedure and may be covered.

    However, if the wisdom tooth is growing as it should be and not causing any discomfort, its unlikely that it will be regarded as an emergency, and as a result, it may not be covered.

    What Are The Costs For Wisdom Teeth Removal In Each State

    What You Need to Know about Medicaid Insurance and Dental Implants? | Dr. Parsa Zadeh

    The cost for the extraction of wisdom teeth varies, depending upon your location.

    Recent surveys have shown that, for both Item Codes 323 and 324, the state of

    • South Australia is the least expensive, and
    • Tasmania is by far the most expensive.

    Beginning below, you will see the average price for each of these Item Codes for every state/territory in Australia.

    Ive used our Dental Cost Calculator to find the averages for each state and have selected a 322 which is a Surgical removal of a tooth or tooth fragment not requiring removal of bone or tooth division for this example.

    You can select different items codes if required.

    Don’t Miss: How To Renew Medicaid Nc

    Dental Benefits Included In Childrens Medical Plans

    Federal law requires that state Medicaid programs include a minimum set of dental benefits for children. For example, these include:

  • Restorative dentistry.
  • Pain relief and infection treatment
  • Maintaining good dental hygiene.
  • Although wisdom teeth removals do not count as part of the minimum requirements, many state Medicaid programs offer higher benefits than the federal requirements. They could also pay for wisdom teeth removal for your child.

    Adult Medicaid Dental Plans can partially cover your childs wisdom teeth removal. Before you make this happen, it is important to check with your local Medicaid office regarding any yearly restrictions on services and your deductibles.

    Does Medicare Pay For Oral Surgery

    If oral surgery is deemed medically necessary and is performed by a Medicare-participating doctor or surgeon, it may be covered by Medicare.

    Examples of covered oral surgery may include:

    • Part of a treatment plan for certain medical conditions, such as cancer or heart disease.
    • Part of a covered procedure, like reconstruction of your jaw after an injury.
    • Oral exams prior to a heart valve replacement or kidney transplant.
    • Tooth extraction prior to radiation treatments.
    • Jaw reconstruction after removal of a tumor.
    • Surgery to treat fractures of the face or jaw, including wiring or dental splints.

    In these cases, oral surgery would be covered either by Medicare Part A or Part B.

    • Part A Coverage: If you are an inpatient in a hospital and need to have an emergency or dental procedure, and the procedure is completed by a Medicare-approved dentist on the hospital’s staff, the procedure will likely be covered. This includes if youre treated in:
    • Acute care hospital
    • Inpatient care as part of a qualifying research study
    • Mental health care

    Medicare will cover some costs if you require a dental-related hospitalization, such as room and board, anesthesia and x-rays. However, it still will not cover dental services excluded from Original Medicare coverage, such as dentures.

    Medicare Part D drug coverage would also kick in and cover any approved medications that are prescribed to you before or after a dental procedure.

    Don’t Miss: Dentist In Madisonville Ky That Accept Medicaid

    Does Original Medicare Cover Dental

    A wisdom tooth extraction is categorized by Medicare as a routine, non-emergency dental procedure. Thus, it is not typically covered by Original Medicare.

    Medicare Part A might help cover the costs for certain dental services you receive while admitted as a hospital inpatient, but only in specific circumstances.

    These situations might typically include:

    • Emergency oral surgery
    • Certain complicated dental procedures
    • Dental care that is required as part of preparation for a medically necessary surgery

    Wisdom tooth extraction doesnt typically fall under the category of being an emergency or medically necessary for other surgeries.

    If your circumstances do qualify you for Part A coverage of your wisdom teeth extraction, you are responsible for paying the Part A deductible before your coverage kicks in.

    Without a Medicare Advantage plan that offers dental benefits or a standalone dental plan, wisdom tooth extraction can cost hundreds or dollars per tooth when paid out of pocket. And this estimate may not include the cost of X-rays, sedation or medications.

    What Dental Services Are Covered By Medicare

    Emergency Roof Repair Jacksonville Fl: Emergency Wisdom Tooth ...

    Home / FAQs / Medicare Coverage / What Dental Services are Covered by Medicare

    If youre a Medicare beneficiary, you might wonder if dental services are covered. Unfortunately, Original Medicare doesnt cover routine dental. But, you can buy a dental plan alongside Medicare to pay for cleanings, exams, and dental care. Another option is an Advantage plan with dental benefits. Were here to help you make the right decision for your dental care needs and explain when Medicare covers dental services.

    Read Also: Income Guidelines For Medicaid Missouri

    Condition Of Your Tooth

    Erupted teeth are the ones that have fully emerged out of the gums. Theyre simpler to remove because the dentist or oral surgeon has easy access.

    By contrast, impacted teeth are partially or completely stuck under the gum or in the jawbone. Your surgeon wont be able to simply numb the area and pull your tooth out. Instead, they may need to give you sedation and then make an incision in your gum tissue to reach the tooth. Removing impacted teeth requires more resources, time, and skill which adds up to a higher cost.

    How Much Does Oral Surgery Cost With Medicare

    Medicare Part A requires a $1,408 deductible for each benefit period. Once the deductible is met, there is no coinsurance required for the first 60 days of a hospital stay. If you require oral surgery this type of procedure is typically outpatient. In order to receive coverage, you must enroll in Medicare Part B. Medicare Part B has an annual deductible of $198 per year before oral surgery costs will be covered. Typically, patients are responsible for 20 percent of the approved surgery. Medicare Advantage plans may cover routine procedures and oral surgery.

    If you have questions about Medicare coverage and what plans you should enroll in, we encourage you to speak to a licensed Medicare agent to discuss your coverage. Our team at Orange County Center can also provide information, and help answer any questions you may have.

    Recommended Reading: Dentist In Augusta Ga That Accept Medicaid

    Wisdom Teeth Removals: Will You Be Out Of Pocket

    This dental procedure could set you back thousands, but theres an option available to all Australians to help reduce the pain in your wallet, and your teeth.

    Our articles are dedicated to helping you find the right product at the right price. We may receive revenue from affiliate and advertising partnerships for sharing this content and when you make a purchase. Learn more

    How to check your private health cover

    So, your wisdom teeth are starting to trouble you and you think it might be time to have them removed? Depending on the extent of the extraction you need, you may be forced to fork out big time. However, if you have private health insurance, some policies do cover wisdom teeth extraction, which will certainly go towards reducing the pain in your wallet, and your teeth.

    Here we investigate the costs associated with wisdom teeth extraction in Australia, to help you figure out the most cost-effective way forward for you.

    How much does it cost to get your wisdom teeth removed?

    The cost of day surgery can also vary between $1,300 to $2,100, Dr Dhanrajani said. The good news if youve got private health insurance with hospital cover is that it will contribute towards that cost, and if you have extras cover, and depending on its level, it will contribute towards the cost of the tooth extraction in the dentists chair.

    What factors change the costs?

    How much does Medicare contribute to wisdom teeth removal?

    Could you save on your dental care?

    Does Medicare Cover Tooth Extractions


    In most cases, Medicare does not cover tooth extractions unless its considered medically necessary by a Medicare-approved oral surgeon. Removal of teeth, diseased teeth in a jaw with an infection, or to prepare for dentures, is also not covered.

    If you have a disease involving the jaw and a tooth extraction is necessary due to the disease, Original Medicare may cover the removal.

    Note: If you have a Medicare Advantage plan, tooth extractions may be covered with routine dental coverage.

    You May Like: Will Medicaid Pay For Hernia Surgery

    Can I Get It Done At A Public Hospital

    Some public hospitals with oral surgery units may perform wisdom teeth removal usually if the patient has significant medical conditions which increase their risk of complications and require management in the hospital setting. However, most public hospitals have long waiting times for surgery which is not ideal for patients who are in pain. You may also be required to hold a concession card in some instances.

    At Wisdom Teeth Clinics, our surgeries are performed at private day hospitals.

    Individuals Age 21 And Older

    States may elect to provide dental services to their adult Medicaid-eligible population or, elect not to provide dental services at all, as part of its Medicaid program. While most states provide at least emergency dental services for adults, less than half of the states provide comprehensive dental care. There are no minimum requirements for adult dental coverage.

    Recommended Reading: What Does It Take To Get Medicaid

    Wisdom Teeth Removal And Extraction

    At Lane & Associates, weve found that most of our dental patients begin developing wisdom teeth between the ages of 15-25, although there are exceptions to this rule. A majority of individuals will deal with wisdom teeth pain or discomfort at some point in their lives.

    Impacted wisdom teeth in particular have the potential to cause swelling, ulceration, damage to surrounding teeth, or periodontal disease. For this reason, its important that you or your child consults with your oral surgeon in the Triangle or Triad as close to the age of 18 as possible to avoid these complications.

    Waitwhat Are Wisdom Teeth Again

    Wisdom Teeth Removal Near Me Medicaid

    Wisdom teeth are the molars in the very back of your mouth. They can be on both sides and both the top and bottom. Wisdom teeth normally arent a problem in youth but start to come in around ages 17 to 25. Then they can cause pain and tenderness in your gums, jaw pain, and/or swollen gums. Some people dont have any problems, or any wisdom teeth! But most people, about 85%, need to have their wisdom teeth removed.

    Often insurance companies only will pay for about $1,000 a year in dental work. Basic wisdom teeth removal can cost up to $800! However, in some cases based on the location of the teeth, type of extraction, and type of dentist, it can cost upwards of $3,000 dollars to remove your wisdom teeth! Heres how to remove wisdom teeth on a budget.

    Recommended Reading: Spartanburg South Carolina Medicaid Office

    Does Soonercare Cover Wisdom Teeth Removal

    Yes! And we are a Soonercare provider. Most individuals who have SoonerCare, which is Medicaid for Oklahoma residents, know the hospital benefits that they can get. However, they may not know that SoonerCare also entitles them to dental benefits as well such as wisdom teeth removal.

    SoonerCare is given to individuals in Oklahoma who cannot afford medical care on their own. It provides essential medical care to those who qualify. These include adults with children under 19, children under the age of 19, pregnant women, individuals over the age of 65 and those with blindness or qualifying disabilities. Also covered are those who meet certain income qualifications.

    To see if you qualify for SoonerCare, check out their website for eligibility guidelines and how to apply.

    Wisdom teeth extraction is covered under SoonerCare. Because it is such an essential procedure, no one in Oklahoma should have to worry about being able to afford the procedure! There is no copay so it is completely free to anyone who is on the SoonerCare plan.

    SoonerCare and Wisdom Teeth Removal: What You Need to Know

    Our Process When Working with Soonercare Patients

    Step 1. Soonercare patients either call our office directly or are referred to us by other dentists. We then schedule a consult at our office to do an exam and develop a plan. We do all the necessary paperwork and get them ready to go to Oklahoma Center for Orthopedic & Multi-Specialty Surgery .

    Can it Really Be That Easy?


    More like this

    How Do I Sign Up For Pregnancy Medicaid

    Can Uninsured...

    Eye Centers That Take Medicaid

    Para Qu...

    What Do You Need To Apply For Medicaid In Texas

    Applying For...

    What Does Medicaid Cover In Utah

    Enrollment Dropped...