Updated April 10. 2025
Those on Medicaid often have difficulty locating a dentist who accepts their coverage. Although it can decrease emergency room visits for dental issues, many dentists don’t touch it. Some dentists find it flawed, but accepting it could benefit their practice.
Why many dentists don’t accept Medicaid
Despite the improvements to Medicaid, according to the ADA, only 1/3 of dentists accept it. This results in patients who are unable to obtain coverage for treatments and services. Many dentists do not accept Medicaid because of its low reimbursement rates and complex claims processes. Dental clinic employees must devote more time to Medicaid credentialing and claims than to private insurance claims.
Supply and demand
While many states have added dental benefits under Medicaid, there has been a surge in demand. Millions of low-income adults gained dental coverage due to the Affordable Care Act. However, provider shortages, especially in rural and urban areas, continue to limit access. In some cases, even patients who previously had access to care are now competing with newly eligible patients, making it harder for everyone to get an appointment.
How eAssist can help
Despite the challenges of working with Medicaid, there are support solutions that can ease the burden. At eAssist, we offer outsourced dental billing services that take the burden of Medicaid claims off your in-office team. By handling the most time-consuming and complex parts of dental billing, we allow your staff to focus on delivering excellent patient care, not paperwork. Schedule a consultation to learn more.
