Massachusetts Medicaid Dental Coverage
Updated August 2026
Children enrolled in MassHealth receive comprehensive dental coverage under the federal EPSDT mandate. Massachusetts contracts with DentaQuest to manage the MassHealth Dental Program for most members. The Massachusetts Dental Society also participates in MassHealth provider networks.
Comprehensive ($1,750/year cap for adults)
Adult dental coverage
Full EPSDT
Children's dental coverage (under 21)
DentaQuest
Dental benefit administrator
Starting August 1, 2026, MassHealth adult dental coverage has a new $1,750 yearly coverage limit
Massachusetts provides dental benefits to most adult MassHealth members, covering preventive care, fillings, root canals, and in some cases dentures. As of August 1, 2026, dental coverage for MassHealth members 21 and older (excluding DDS clients) is capped at $1,750 per benefit year. Children under 21 receive full EPSDT dental with no cap. MassHealth contracts with DentaQuest to manage the Dental Program.
Dental coverage for children and teens (under 21)
- Oral exams and professional cleanings (two per year)
- Dental X-rays
- Fluoride treatments and protective sealants
- Fillings and restorations
- Extractions and oral surgery
- Root canal treatment (front and back teeth)
- Crowns and fixed bridges (when medically necessary)
- Orthodontic treatment (when medically necessary)
- Emergency dental care
- Sedation/anesthesia when medically necessary
Adult MassHealth dental benefits
Massachusetts stands out among states for providing meaningful adult dental coverage through MassHealth. Most adult members receive dental benefits that go well beyond emergency-only care — putting Massachusetts in a small group of states with genuinely comprehensive adult Medicaid dental programs.
- Two preventive exams and cleanings per year
- Dental X-rays
- Fluoride treatment
- Fillings (amalgam and composite)
- Simple and surgical extractions
- Root canal treatment on some teeth
- Dentures (full and partial, when teeth have been extracted)
- Emergency dental visits
- Oral surgery when medically necessary
Starting August 1, 2026, dental coverage for MassHealth members 21 and older has a yearly coverage limit of $1,750 — the most MassHealth will pay for covered adult dental care per benefit year. The first benefit year runs from August 1, 2026 through June 30, 2027; afterward, benefit years run July 1 through June 30. This limit does not apply to members younger than 21 or to Department of Developmental Services (DDS) clients. Even after the limit is reached, certain services — including emergency care, tooth extractions, denture repairs, anesthesia, and first full dentures after extractions — may still be covered.
Orthodontic treatment (braces) and dental implants are not covered for adults. Bridges are also not covered. Cosmetic procedures are excluded. Some complex restorative services require prior authorization from DentaQuest or MassHealth.
The specific scope of covered services can vary by MassHealth coverage type. Check your MassHealth coverage type and remaining benefit at (800) 841-2900, the MassHealth Dental Customer Service Center at (866) 616-2699, or at mass.gov/masshealth.
How to find a MassHealth dental provider
DentaQuest manages the MassHealth dental network for most members. Call the MassHealth Dental Customer Service Center at (866) 616-2699 (TTY: 711) or visit masshealth-dental.org and click "Find a Dentist" to locate participating dentists.
FQHCs throughout Massachusetts also accept MassHealth for dental services. Boston, Springfield, Worcester, and other cities with large underserved populations have multiple community health centers with dental departments. Use the HRSA Health Center Finder at findahealthcenter.hrsa.gov to locate one near you.
If you cannot find a MassHealth dental provider accepting new pediatric patients, contact the MassHealth Dental Director's office through MassHealth Member Services at (800) 841-2900. Massachusetts has specific access standards for pediatric dental services that plans are required to meet.
MassHealth (Massachusetts Medicaid)
- MassHealth Dental Customer Service Center (DentaQuest): (866) 616-2699
- MassHealth Member Services: (800) 841-2900
- HRSA Health Center Finder (FQHC dental): findahealthcenter.hrsa.gov
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