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The Kentucky Medicaid Dental Program covers certain routine preventive and restorative services for children younger than 21 who are eligible for Medicaid. Medicaid does cover some types of dental care for adults.

Services

Coverage for adults is limited, but includes:

  • Oral exams,
  • Emergency visits,
  • X-rays, extractions
  • Fillings

Coverage for children includes:

  • Oral exams,
  • Emergency visits,
  • X-rays, extractions
  • Fillings for all ages.
  • Root canal therapy, crowns and sealants with prior authorization.
  • Denture repair
  • Braces (in severe circumstances) with prior authorization.

If you are a member and have questions, please contact Member Services at (800) 635-2570

Provider Contact Information

  •  For billing questions, contact DXC at (800) 807-1232 or visit the website
  • For provider questions, contact the Provider Services Call Center at  (855) 824 5615
  • For provider enrollment or revalidation questions, contact Provider Enrollment at  (877) 838-5085
  • For KyHealth-net assistance, email EDI helpdesk
  • To report fraud and abuse, contact Fraud Hotline at (502) 564-2348
  • For pharmacy questions, contact Pharmacy Support Center at (800) 432-7005
  • For pharmacy prior authorization questions, contact Pharmacy Prior Authorization at (800) 477-3071