Michigan Medicaid Dental Coverage

Updated August 2026

Michigan Medicaid dental benefits for adults are largely administered by Delta Dental of Michigan — most Medicaid health plans in Michigan partner with Delta Dental as their dental benefit administrator. The Delta Dental of Michigan Medicaid customer service line is 866-558-0280.

Comprehensive (annual cap)

Adult dental coverage

Full EPSDT, no cap

Children's dental coverage (under 21)

Delta Dental of Michigan

Dental benefit administrator

Michigan has one of the stronger adult dental benefits in the country

Many states cover only emergency dental extractions for adults on Medicaid. Michigan goes significantly further — covering preventive cleanings, fillings, root canals, crowns, and dentures for eligible adults. Delta Dental of Michigan administers the benefit under contract with MDHHS. Some services require prior authorization.

How Michigan Medicaid dental works

Adults enrolled in Michigan Medicaid or the Healthy Michigan Plan can access dental services from participating Delta Dental Medicaid providers. Finding a participating dentist is done through deltadentalmi.com or by calling 866-558-0280. Not every dentist who accepts commercial Delta Dental insurance accepts Medicaid — confirm Medicaid participation when scheduling.

An annual benefit limit applies to adult dental services. The specific dollar cap is set in the state budget and can change from year to year. Verify the current annual limit with Delta Dental of Michigan before scheduling high-cost procedures.

What Michigan Medicaid dental covers for adults

The following services are covered under Michigan Medicaid's adult dental benefit, subject to the annual limit and prior authorization where noted.

Comprehensive oral exams and limited emergency exams
Full-mouth X-rays (bitewing and periapical series)
Prophylaxis (preventive cleanings) — covered twice per year
Fluoride treatments for eligible enrollees
Composite (tooth-colored) and amalgam fillings
Simple and surgical extractions, including impacted teeth
Root canal treatment — anterior (front) and posterior (back) teeth
Crowns — covered with prior authorization from Delta Dental
Partial dentures and full dentures — covered with prior authorization
Denture relines and repairs
Periodontal (gum) treatment, including scaling and root planing
Emergency dental services for pain relief

Prior authorization is required for crowns, dentures, root canals on posterior teeth, periodontal surgery, and some other procedures. Delta Dental reviews the clinical documentation submitted by the dentist before approving the service. Dentists who regularly treat Medicaid patients are familiar with the prior auth process.

Dental coverage for children: no annual cap under EPSDT

Children under 21 enrolled in Michigan Medicaid receive dental care under the federal EPSDT mandate — the Early and Periodic Screening, Diagnostic, and Treatment standard. EPSDT requires states to cover all medically necessary dental services for this age group, with no annual dollar cap. That is a materially stronger benefit than adult dental.

For children, covered services include everything in the adult list plus orthodontic treatment when medically necessary (not merely cosmetic), space maintainers, and sealants applied to permanent molars. Schools and pediatric dental clinics are common access points for children's Medicaid dental in Michigan.

Services Michigan Medicaid dental does not cover

Adult dental coverage has limits. The following are generally not covered for adults under Michigan Medicaid.

Cosmetic procedures — teeth whitening, veneers placed for aesthetic reasons
Implants — dental implants are not a covered service for adults
Orthodontia (braces) — not covered for adults; covered for children when medically necessary
Services that exceed the annual benefit limit (the enrollee is responsible for costs above the cap)

How to find a Michigan Medicaid dentist

Use Delta Dental of Michigan's provider search at deltadentalmi.com — filter by Medicaid. Alternatively, call 866-558-0280 and request a list of Medicaid-accepting providers near your zip code.

Federally Qualified Health Centers (FQHCs) are another reliable option. Michigan has dozens of FQHCs that accept Michigan Medicaid dental patients regardless of ability to pay. HRSA's health center finder at findahealthcenter.hrsa.gov lists FQHC locations by zip code.