Arizona Medicaid
dental coverage
Need dental care in Arizona? Western Dental proudly accepts Medicaid
for both children and adults across the state.
Understanding Medicaid dental benefits in Arizona
Each state has its own Medicaid program with unique coverage options. We proudly accept coverage from the Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency
Preventive & restorative
care for kids
Covers dental care for children under age 21, including exams, cleanings, fillings, and more.
Emergency dental
care for adults
Medicaid in Arizona now covers emergency dental care for adults 21 years old and up.
Low- or no-cost
services
Covered services are provided at little or no cost, reducing your out-of-pocket expenses.
Plans we Accept
Accepted AHCCCS plans may include:
- Banner – University Family Care
- Molina Complete Care
- Molina Complete Care Adult
- Molina Complete Care Child
- Molina Complete Care CRS
- Molina Complete Care Transplant
Coverage and benefits can vary by plan, age, eligibility, and service type. Before scheduling care, we recommend verifying your benefits using your AHCCCS member ID so our team can confirm what services are covered and help you understand any next steps.
Getting started with Medicaid is easy
Confirm Medicaid eligibility
Call or get assistance from Arizona Community Assistors.
Book an appointment
Find your nearest Western Dental location.
Get the care you need
We’ll verify your coverage and walk you through next steps.
What to Expect at Your Visit
1. Bring your AHCCCS ID and photo ID
Please bring your AHCCCS member ID card, a valid photo ID, and any plan information you have so our team can verify your coverage.
2. We’ll confirm your benefits before treatment
Before your appointment begins, Western Dental will check your Medicaid eligibility and review what dental services may be covered under your plan.
3. You’ll get a clear cost estimate
If a recommended service is not covered or may require prior authorization, we’ll explain your options and any potential out-of-pocket costs before moving forward.
4. We’ll submit eligible claims for you
For covered services, Western Dental will submit the claim to your Medicaid dental plan directly, helping make the billing process simple and transparent.
Find a Medicaid Dentist in Arizona
What If I Don’t Qualify for Medicaid?
Arizona Medicaid FAQs
Medicaid is available for qualified residents of Arizona, including families, seniors, persons with disabilities, children in foster care, pregnant women, and childless adults living with limited income and resources. State–funded dental care, including dental screenings and treatments, is available for children ages 0-20 only. Adults 21 years and older can receive emergency dental care.
Many services are provided at little or no cost. Some services may have limits or out-of-pocket costs. For complete coverage details, visit the Arizona Health Care Cost Containment System website.
Schedule the first dental visit by age 1 (or within 6 months of the first tooth). Most children should be seen every 6 months. Based on risk, we may recommend fluoride varnish and dental sealants to help prevent cavities—these are covered benefits for eligible kids.
For adults 21 years of age or older, the annual limit for emergency dental care is $1,000 per person for each calendar year. For complete coverage details, visit the Arizona Health Care Cost Containment System website.
Yes! We proudly accept Medicaid for eligible children, including AHCCCS and KidsCare, which is part of Arizona’s Children’s Health Insurance Program (CHIP). Visit the AZ KidsCare website for more coverage details.
If you’re not eligible for Medicaid, you still have options. You can enroll for health insurance at HealthCare.gov and find available plans with dental benefits. Depending on your income, you may qualify for reduced premiums. Western Dental also offers flexible payment plans to help you get the dental care you need.
Orthodontic treatment may be covered for children when medically necessary under AHCCCS criteria. Coverage depends on plan guidelines and clinical need. We can evaluate your child and request prior authorization if they qualify.
Adults 21+ have emergency dental coverage only, with an annual limit of $1,000 per member. Covered emergency care typically includes services to relieve severe pain, infection, or manage trauma (e.g., extractions, abscess treatment). Preventive and routine services are not covered for adults under standard AHCCCS.