Vermont Medicaid Dental Coverage
Updated August 2026
Vermont Medicaid provides adult dental coverage that goes beyond the emergency-only benefits offered in many states. Vermont's adult dental benefit covers preventive care and restorative services, making it one of the more complete adult dental Medicaid programs in the country. Vermont administers dental through its managed care structure.
Preventive & restorative
Adult dental coverage
$1,500/year
Adult annual dental cap
Full EPSDT (Dr. Dynasaur)
Children's dental coverage (under 21)
1-855-899-9600
DVHA member line
Vermont Medicaid covers adult dental — one of the stronger adult dental programs among state Medicaid programs
Vermont Medicaid covers dental services for adults, including preventive and restorative care. This is more comprehensive than the emergency-only adult dental found in many states. Adult coverage is subject to a $1,500 annual cap on dental expenditures, though two preventive visits a year and emergency dental care are not limited by the cap. Children receive comprehensive dental through Dr. Dynasaur (EPSDT). For the most current covered service list, contact DVHA at 1-855-899-9600 or visit dvha.vermont.gov.
Dental coverage for adults in Vermont Medicaid
Adult dental coverage (age 21 and older) is subject to an annual cap on dental expenditures, currently $1,500 per year, per DVHA's July 2023 benefit update. Two preventive visits per year — an exam, a cleaning, fluoride varnish, fluoride application, and tobacco cessation counseling — do not count against the cap and require no co-payment or prior authorization. Once the annual cap is met, Vermont Medicaid still covers emergency dental services that treat acute pain, infection, or bleeding. Members served through the Developmental Disabilities Waiver or Community Rehabilitation and Treatment Program, members under 21, and people who are pregnant or in the 12-month postpartum period are not subject to the annual cap.
- Preventive care — exams, cleanings, x-rays (two preventive visits per year exempt from the annual cap)
- Restorative services — fillings
- Emergency dental treatment — extractions and abscess care, covered even after the annual cap is met
- Some prosthetic services — verify current coverage with your dental provider
- Prior authorization may be required for certain restorative and prosthetic services
The specific list of covered adult dental services is defined in DVHA's provider manuals and may change. Contact DVHA at 1-855-899-9600 or your Medicaid dental provider to confirm what is covered before scheduling non-emergency treatment.
Dental coverage for children through Dr. Dynasaur
Children enrolled in Dr. Dynasaur receive comprehensive dental care under the EPSDT mandate (42 U.S.C. § 1396d(r)), which requires coverage for any medically necessary dental service for children under 21. Vermont implements EPSDT broadly.
- Dental exams and cleanings
- X-rays and diagnostic services
- Fluoride treatments and sealants
- Fillings and restorations
- Extractions
- Emergency dental treatment
- Orthodontic treatment when medically necessary
- Space maintainers and other preventive appliances
Finding a Medicaid dental provider in Vermont
Vermont Medicaid members can use the Vermont Medicaid provider lookup at vtmedicaid.com to find enrolled dental providers. Vermont is a small state with relatively good provider density in the Chittenden County (Burlington) area, but rural and rural-adjacent communities in the Northeast Kingdom and central Vermont counties may have fewer options.
Federally Qualified Health Centers (FQHCs) in Vermont accept Medicaid and offer dental services on a sliding-fee scale. Community Health Centers of Vermont operates sites in Burlington, Barre, Morrisville, and other locations. Find Vermont FQHCs at findahealthcenter.hrsa.gov.
Vermont Medicaid (Green Mountain Care)
- DVHA member line: 1-855-899-9600
- DVHA: dvha.vermont.gov
- Vermont Medicaid provider lookup: vtmedicaid.com
- HRSA Health Center Finder (FQHC dental): findahealthcenter.hrsa.gov
Related guides
Dental Coverage
What's covered for kids versus adults, and how it varies by state.
Read more →What Medicaid Covers
The services every state must cover, plus benefits that vary by state.
Read more →Find a Provider
How to find a Medicaid doctor near you through your state's provider directory.
Read more →