Adult Dental Benefit Changes as of January 1, 2020

01 January 2020
  • Increasing the annual maximum dollar limit on adult dental services from $510 to $1,000. This applies to Medicaid beneficiaries who are age 21 and older who are not pregnant.
  • Allowing up to two visits for preventive services per calendar year that do not count towards the $1000 annual maximum dollar limit.
    • Preventive services codes include: D1110 Prophylaxis – Adult “cleaning”, D1206 Topical Fluoride Varnish, D1208 Topical Application of Fluoride, D1320 Tobacco Counseling for the Control and Prevention of Oral Disease, and D0120 Periodic Oral Exam.
    • A copayment does not apply when a visit only includes the above codes.

For additional language, please see the Dental page.

Department of Vermont Health Access

280 State Drive
Waterbury, Vermont 05671-1010
Phone: 802-879-5900
Fax: 802-241-0260

Contact List for staff email, telephone & fax numbers

Hours of Operation: Monday-Friday (Excluding Holidays) 7:45am - 4:30pm

Public Record Requests
Kelly Provost
DVHA Public Records Officer
Visit the Agency of Administration site for the Public Records Database

Report Medicaid Fraud, Waste, and Abuse