Medi-Cal Dental Affordable Care at Epic Smile NewportNewport Beach, CA

Who is Eligible for Medi-Cal Dental?

Medi-Cal Dental is available to eligible residents of California, including:

1. Families with limited income
2. Seniors
3. Persons with disabilities
4. Children in foster care
5. Pregnant women
6. Low-income, childless adults

If you meet the income qualifications, you may be eligible to receive dental services under Medi-Cal.

What Does Medi-Cal Dental Cover?

Medi-Cal Dental provides a wide range of medically necessary dental care, making it a key resource for maintaining oral health. Services covered include:

Preventive Care:

1. Oral evaluations for children under age 3
2. Dental exams and X-rays
3. Cleanings and fluoride treatments

Restorative and Advanced Dental Care:

1. Fillings (amalgams and composites)
2. Crowns (pre-fabricated and laboratory-processed)
3. Scaling and root planing (deep cleaning)
4. Periodontal (gum) maintenance
5. Root canals
6. Partial and full dentures
7. Tooth extractions
8. Oral and maxillofacial surgery

Other Services:

1. Emergency dental care
2. Medically necessary procedures to restore oral health

Can I Change Dental Providers During Treatment?

Yes. If you are in the middle of treatment and want to switch providers, you can submit a letter requesting the change. The new provider will handle the submission to Medi-Cal Dental for prior approval of remaining services.

Medi-Cal Dental Annual Coverage Limits

1. For children: There is no annual limit on covered services.
2. For adults (21+): Some services are limited to $1,800 per calendar year. However, medically necessary services are exempt from this limit.
3. Adults in nursing facilities: No annual limit applies.

How to Schedule a Medi-Cal Dental Appointment

1. Call the dental office: Let them know you are covered by Medi-Cal and confirm they accept Medi-Cal patients.
2. Bring your Benefits Identification Card (BIC) and a valid photo ID to your appointment.
3. Be prepared: If you have other dental insurance, bring that information as well.

What to Do in a Dental Emergency

A dental emergency includes severe pain, facial trauma, non-stop bleeding, or painful swelling. If you experience an emergency during office hours, contact your dental provider immediately. For after-hours emergencies, follow your provider’s instructions or visit the nearest emergency room.

Understanding Medi-Cal’s “Medical Necessity”

Medical necessity refers to services that are deemed necessary to treat conditions affecting your teeth, gums, and supporting structures. These treatments are based on professional dental standards and are essential for your oral health.

Can I Get a Second Opinion?

If you disagree with a treatment decision, you are entitled to seek a second opinion from another Medi-Cal dental provider. The second provider will evaluate your condition and either confirm or adjust the proposed treatment plan.

Cancelling or Rescheduling Appointments

If you need to cancel or reschedule, notify your dental office at least one day in advance to make new arrangements.

Do I Have to Pay for Dental Services?

In most cases, Medi-Cal Dental covers all medically necessary services, and no payment is required from you. However, you may need to cover costs for treatments not included in Medi-Cal’s coverage. Always discuss your treatment plan with your provider to understand what is covered.

Contact Us

Epic Smile Newport is located at 355 Placentia Ave #207B Newport Beach, CA 92663.

(949) 531-6740