At Prime Smile, we practice a philosophy that ensures all patients’ needs are met; including the lower income families across Indianapolis. No matter your financial situation, your children will have access to high quality dentistry.
Prime Smile is a Medicaid Dentist. In fact, a majority of our patients utilize Medicaid to receive their dental care. As a family dentistry, we are happy to accept Medicaid for the whole family! For pediatric dentistry and adult dentistry, look no further than Prime Smile.
To find more information about Medicaid in Indiana, click here.
Dental coverage for children is significantly more comprehensive in Indiana than it is for adults. Medicaid covers dental services for all child enrollees as part of a comprehensive set of benefits, referred to as the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit. Under EPSDT, children dental services for children must minimally include: relief of pain and treatment of infections, restoration of teeth, and regular maintenance of dental health.
EPSDT also requires that all services must be provided if determined medically necessary.
For more information on EPSDT and the benefits entitled to children, visit the Medicaid dental page here.
States that provide CHIP coverage to children through a Medicaid expansion program are required to provide the EPSDT benefit. For more information, see CHIP Dental Care Goals.
Does Medicaid Cover the Full Cost of my Dental Visit?
Yes, Medicaid covers the entirety of your dental work costs. This only applies to the services covered under state laws. For adults, annual exams and preventative care are covered. Children are entitled to more coverage than adults, as dictated by EPSDT.
You may still be required to pay a co-pay cost for your visit.
Does Scheduling Work Differently with Medicaid?
No, we still try to provide same-day care to all of our patients, even if they are covered under Medicaid. At Prime Smile, professionalism is at the core of everything we do.
Can Medicaid Cover Cosmetic Dentistry?
No, as Prime Smile does not offer cosmetic dentistry, such as veneers or bleaching, to our patients.
Is Prime Smile a Registered Participating Medicaid Dentistry?
Yes, Prime Smile is listed as a participating Medicaid dentistry on all of the required sites.
Can I See the Details of the Indiana State Benefits Package?
States are required to post a listing of all participating Medicaid and CHIP dental providers and benefit packages on www.insurekidsnow.gov. You can find Indiana’s benefits package there.
Haleigh, Lela, Oliva, Nathon, Cole, Bryce, Brock, Sam, Evan & Chloe
Prime Smile West (Eagledale Plaza)
2802 Lafayette Rd Ste 33
After Hours Patient Emergency Number: (317) 201-2653
Prime Smile East (Irvington Plaza)
5430 E Washington St Ste 101
Prime Smile is an Indiana limited liability corporation owned by Helen K. Peterson, DDS.