Medicaid

Yes. We accept Georgia Adult Medicaid for members age 21 and older, PeachCare for Kids and Georgia Children's Medicaid for members under 21, and the Medicaid for Pregnant Women (MPW) benefit group — across Amerigroup (DentaQuest), CareSource (SKYGEN) and Peach State Health Plan (Envolve Dental).

Amerigroup (DentaQuest) lists no overall annual maximum for child or adult members, and CareSource (SKYGEN) lists no overall maximum for members 21 and older. Envolve Dental plans — PeachCare for Kids, Peach State adult and pregnant members — apply a $100.00 annual benefit maximum for diagnostic X-rays. Beyond that, benefits are managed through frequency limits (for example, one cleaning every 6 months) rather than a dollar cap.

Covered services on the Georgia schedules carry a $0 copay and no deductible, with 100% coinsurance in-network and out-of-network (CareSource adults: $0 copay, 0% patient coinsurance). If a service isn't covered by your plan or exceeds a frequency limit, we explain the cost before any treatment and can bridge the gap with flexible financing.

It depends on your assigned MCO: Amerigroup Community Care dental is administered by Sun Life DentaQuest, CareSource Georgia by SKYGEN USA (Dental Hub), and PeachCare for Kids / Peach State Health Plan by Envolve Dental. Your medical MCO ID card does not process dental claims — claims, attachments and prior authorizations go directly to the dental vendor. Bring your card and we'll identify the right administrator.

Across all three networks: a periodic oral evaluation once every 6 months, a routine cleaning once every 6 months (CareSource allows up to 4 per 12 months for high-risk members), bitewing X-rays once every 6 months, and a full-mouth series or panoramic image once every 36 months / 3 plan years. Fluoride is covered once every 6 months under Amerigroup and twice every 12 months under CareSource and Envolve.

Yes. Palliative treatment of dental pain is a covered service on every schedule (no time limits under Amerigroup; once per day under CareSource and Envolve), and problem-focused limited evaluations are covered twice per year. Call 770-415-0077 and tell us it's an emergency — we're an emergency dentist that accepts Medicaid and we'll confirm coverage while we book you.

Dental implants do not appear on any of the Georgia Medicaid dental schedules. Prefabricated stainless steel crowns are covered on all plans, and porcelain-fused-to-metal bridge pontics and crowns are covered once every 60 months under CareSource and Envolve. Complete and partial dentures are covered once every 36 months under Amerigroup and once every 60 months under CareSource and Envolve. Comprehensive orthodontic treatment is listed once per lifetime, with prior authorization required for PeachCare members. For anything not covered, we map lower-cost covered alternatives plus financing.

Your Georgia Medicaid or PeachCare for Kids member ID card (Amerigroup, CareSource or Peach State), a photo ID for the adult patient, parent or legal guardian, a list of any medications you take, and details of any dentures, crowns or root canals done at another office. We verify your coverage before you arrive, so there are no surprises at the desk.