CDPHP®

Covered services

Medicaid Select Plan, Medicaid HARP, Child Health Plus, and Essential Plans 3 & 4 covered services
  • Dental exams (every six months)
  • X-rays
  • Teeth cleaning (every six months)
  • Scaling and root planing
  • Fluoride varnish* (every six months)
  • Molar sealants*
  • Fillings
  • Crowns
  • Root canals
  • Partial and full dentures
  • Denture relines
  • Tooth removal
  • Emergency services
  • Sedation (if medically necessary)
  • Orthodontics (if medically necessary**)

* Age 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

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.