CDPHP®

Covered services

Medicaid Select Plan, Medicaid HARP, Child Health Plus, and Essential Plans covered services
  • Dental exams (every six months)
  • Teeth cleaning (every six months)
  • Fluoride application with varnish (every three months)*
  • Fluoride application without varnish (every six months)*
  • X-rays
  • Fillings
  • Root canals
  • Tooth removal
  • Emergency services
  • Molar sealants†
  • Scaling and root planing
  • Crowns
  • Partial and full dentures
  • Denture relines
  • Sedation (if medically necessary)
  • Orthodontics (if medically necessary‡)

* Covered for members between ages 6 months and 6 years.

** Covered for members ages 1-20.

† Covered for members ages 5-15. Restrictions apply.

‡ CDPHP® will cover braces for children up to age 21 who have a severe problem with their teeth, such as not being able to chew food due to severely crooked teeth, cleft palate, or cleft lip.

Dental Terms

Common questions

Do I qualify for dental benefits?

To find out if you qualify for CDPHP benefits, including dental, visit the CDPHP website or call CDPHP at 1-866-MY-CDPHP (1-866-692-3747).

How do I apply for CDPHP benefits?

For information on how to apply for CDPHP benefits, including dental, visit the CDPHP website or call 1-866-MY-CDPHP (1-866-692-3747) to speak with a representative who can walk you through your benefit options.

Which dental services are covered?

As a CDPHP member, your dental benefits include two exams and cleanings each year, as well as x-rays, fillings, and more. View a full list of covered services.

How can I find a participating dentist?

Find a participating dentist online or call Delta Dental’s Customer Service line at 1-800-542-9782. The call is free, and Delta Dental representatives are available to assist you Monday through Friday, between 8 a.m. and 8 p.m. Eastern Time.

Do I need a referral to see a specialist?

You can see any dentist in the Delta Dental network for your necessary care. CDPHP does not require referrals for dental visits.

What do I need to bring to my dental appointment?

You will need to bring your Delta Dental ID card and a government-issued photo ID to your dental appointment.

What happens if I miss my appointment?

It is important to show up to your dental appointments. However, if you know you will not be able to make it, please call your dentist at least 24-hours in advance to cancel and reschedule.

It is best to make all necessary arrangements (transportation, babysitting, time off work) when you first schedule your appointment so that you are more likely to keep it.

Are transportation services available?

Yes, as a CDPHP member, you may be eligible for transportation to and from your dental appointments. Learn more.

Services for all smiles

Babies

Caring for your baby’s smile begins the moment your child is born. Healthy gums make way for healthy teeth.

Keep your baby’s gums clean by gently wiping them with a washcloth every day. In about four to six months, “teething” will begin as your child’s primary teeth (baby teeth) start to come in. Most babies have at least one tooth before they turn 1. By the time your child is 3, all 20 primary teeth should be in place.

Make an appointment for your child’s first dental visit by age 1 or after the first tooth appears, whichever comes first. Many kids get cavities as early as age 2. See the dentist as soon as possible to prevent problems.

Toddlers

As your baby becomes a toddler and more primary teeth come in, the dental visits may include teeth cleanings and fluoride varnish to protect baby teeth from cavities.

Baby teeth do fall out, but it is important to take good care of them in the meantime. Baby teeth help your child chew and speak properly. Losing a baby tooth too early due to poor care may cause problems with permanent teeth, like growing in crooked.

Remember, healthy baby teeth usually lead to healthy adult teeth.

Kids

The best way to ensure healthy gums and teeth is to take your child to regular dental visits every six months. These twice-a-year visits are covered in your child’s dental plan.

Usually, children will start to lose their baby teeth at 6 or 7 years old. This is when their permanent teeth begin to grow in.

Protect your child’s back teeth (molars) from cavities with sealants. Molar sealants are clear, protective coatings applied by your child’s dentist. They are quick and painless. This is not the same as fluoride treatment, which is a gel or varnish applied to all teeth.

Molar sealants are provided in your child’s dental plan and can protect your child’s back teeth for several years.

Teens

Wisdom teeth are your child’s last permanent teeth to grow in. They usually come in between ages 17 and 21. To help keep teeth clean and strong, make sure your teen gets regular dental checkups every six months. Talk to your teen about important ways to prevent cavities, like brushing, flossing, and avoiding sugary foods and drinks.

Adults

As we get older, taking care of our health continues to be important. Good oral health can prevent tooth loss and lessen the impact of diabetes, cardiovascular disease, and even respiratory illnesses. If you have any concerns about your teeth, schedule an appointment to see your dentist right away.

Your mouth changes as you age, but there is plenty you can do to keep it in great shape. Brush and floss your teeth twice a day. Do not smoke or chew tobacco, which stains your teeth, gives you bad breath, and can cause cancer. Use your dental benefits through CDPHP to see a dentist every six months for regular checkups and cleanings.

Seniors

No matter your age, you can keep your gums and teeth healthy, strong, and pain-free. As an older adult, you are prone to gum disease and other oral health problems, but by brushing twice a day, flossing daily, and seeing your dentist regularly, you can lower your risk.

It is important to work closely with your dentist to keep your teeth healthy.

Services your dentist may provide

Crown
A crown is a tooth-shaped cover placed over a repaired tooth or a lost portion of its structure. A crown may also be called a “cap.”
Dentures
Dentures are a removable set of teeth that can make it easier to eat and speak. There are two main types of dentures: full and partial. Your dentist will help you choose the type of denture best for you.
Denture relines
Relining is a type of denture repair. New dentures are made specifically for your mouth. As time goes by, your gum and bone structure may change, and dentures become loose and start to move inside your mouth. Having your denture relined keeps the denture secure.
Filling
A filling helps restore a decayed or damaged tooth. The dentist will first remove the decay and clean the area and then fill the cleaned-out cavity with a filling material.
Fluoride treatment
Minerals are lost when acids, caused by bacteria, start to dissolve a tooth’s enamel (the hard, outer layer of your teeth). Fluoride treatments re-deposit minerals back onto a tooth’s surface to strengthen the tooth and protect against tooth decay. Fluoride treatment can be topical (applied directly to your teeth) or systemic (digestible).
Fluoride varnish
Fluoride varnish is a pale-yellow gel that has a pleasant taste and fruity smell and is put on a child’s teeth using a soft brush to help protect against tooth decay.
Molar sealants
Sealants are liquid coatings painted on the chewing surface of teeth to prevent tooth decay. They harden into the grooves of your teeth, forming a shield over each tooth.
Root canal
Root canal treatment removes the infected tissue inside a tooth. The tooth is then filled. Root canals are used to repair and save your tooth instead of pulling it.
Scaling and root planing
Scaling and root planing removes plaque and tartar below your gums. This is a common treatment for gum disease.
Teeth cleaning
Your dentist or a hygienist cleans your teeth with tools specially made to remove plaque and tartar, and then polishes and flosses your teeth.
Tooth removal
If a tooth is broken or damaged by decay, your dentist will try to fix it with a filling, crown, or other treatment. Sometimes, though, there’s too much damage for the tooth to be repaired. In this case, the tooth needs to be pulled.
X-ray
An X-ray is a common imaging test used to help your dentist see your entire tooth, including the root below the gums. X-rays help your dentist diagnose tooth and gum conditions.