Medicaid Coverage and CPT Codes for Orthodontics

Orthodontics is a subspecialty of dentistry. The term “orthodontics” is made up of two Greek words: “orthos,” which means “straight or correct,” and “dontics,” which means “teeth.” Thus, orthodontics refers to the practice of straightening misaligned teeth or malocclusions. Orthodontists are dentists who specialize in the Treatment of abnormal tooth, jaw, and face positioning.

Medicaid programs are primarily intended to cover dental services for children and adolescents under 21. Adult dental benefits are available in some regions. However, health insurance does not cover orthodontic treatments performed for cosmetic reasons. Medicaid covers medically necessary and only orthodontic procedures. Poor oral health is a major concern in the United States, particularly among the low class.
Medicaid assists patients with comprehensive dental coverage. Dental benefits include pain and infection treatment, tooth restoration, and routine checks and cleanings.