NY CenterLight Pace Medicaid Dental Plan

NEW YORK MEDICAID

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DentaQuest provides dental coverage to eligible members of NY CenterLight Pace Medicaid.

Member Benefits

Prevention

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

Treatments

Fillings (once every 24 months, per tooth)
Crowns (once every 60 months, per tooth)
Dentures (once every 96 months, per tooth)
Extractions (tooth removal) (once per lifetime, per tooth)
Root canals (once per lifetime, per tooth)
Root canal re-treats (once per lifetime, per tooth)

Additional

Gingivectomy (annually)
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.

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CenterLight Pace Medicaid