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NEW YORK MEDICAID

 

Extended MLTC

Looking for a different state or plan?

DentaQuest provides dental coverage to Medicaid-eligible members of Extended MLTC, a New York State Department of Health approved Managed Long Term Care Plan.


 

Member Benefits

Prevention

  • Oral exams (every six months)
  • Dental cleanings (every six months)
  • Bitewing x-rays (three every 12 months)
  • Fluoride (every six months)

Treatments

  • Fillings – (one per 24 months)
  • Crowns - (one per 60 months)
  • Dentures – (one per 96 months)
  • Extractions (tooth removal) (one per tooth per lifetime)
  • Root canals (one per tooth per lifetime)
  • Root canal re-treats--once per lifetime, per tooth
  • Gingivectomy--once per 12 months

Additional

  • Teledentistry
  • Emergency dental care

NOTE:  The summary of benefits above is only intended for general informational purposes and may not reflect all updates or modifications to the plan benefits.  Please contact us to confirm your current benefits.

Keep Your Medicaid or CHIP Coverage!

Be sure your information is up to date to keep your smile healthy.

Preventistry Pulse

PREVENTISTRY PULSE

The newsletter designed for anyone who wants to improve oral health for themselves, their families, customers or communities.