Medicare A & B Dental Coverage Summary

This reference guide outlines which dental services are covered under Traditional Medicare Parts A and B, based on the CMS 2023–2025 Physician Fee Schedule Final Rules. Coverage is limited to services that are medically necessary and inextricably linked to the success of a covered medical procedure.

Dental Service Category Covered by Medicare A/B Coverage Notes
Routine Dental Exams & Cleanings ❌ Not Covered Routine care excluded under Section 1862(a)(12)
Fillings, Crowns, Root Canals ❌ Not Covered Excluded unless inextricably linked to a covered medical service
Dentures ❌ Not Covered Not covered as standalone service
Oral Exams prior to Organ Transplants ✅ Covered (If medically necessary and linked to procedure) Must be part of comprehensive pre-transplant workup
Oral Exams prior to Cardiac Procedures ✅ Covered (Effective 2023) Applies to valve replacement or valvuloplasty
Oral Exams prior to Cancer Treatment ✅ Covered (Effective 2024) Applies to chemotherapy, CAR-T, antiresorptive agents
Treatment for Oral Complications post-Cancer Therapy ✅ Covered (Effective 2024) Covers treatment for complications after cancer therapy
Dental Treatment prior to Dialysis (ESRD) ✅ Covered (Effective 2025) Includes exam and treatment to eliminate infection
Jaw Fracture Repair ✅ Covered (If related to trauma) Covered under A or B depending on setting
Tooth Extractions for Radiation Preparation ✅ Covered (If preparing for radiation) If extraction is part of cancer treatment protocol
Reconstruction at Time of Tumor Removal ✅ Covered (If simultaneous with tumor removal) As part of oncologic surgery, not routine reconstruction
Dental Splints (medically necessary) ✅ Covered (Only when medically necessary) When part of trauma or medically related condition

AAOMS Advantage Approved Partners

Financial Services

Merchant services, collections, practice and patient financing

Practice Efficiency

Electronic attachment, business report tool, coding products, dental inventory management program, and automated answering service

Supplies and Repairs

Pharmaceuticals and surgical supplies, OMS specialty products, office supplies, pneumatic and electrical drill repair

Specialty Services

Medications, PPO analysis and negotiation, stem cell banking, refining

To print out a PDF with brief descriptions of all AAOMS Advantage Approved Partners, please click here.