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 | Routine care excluded under Section 1862(a)(12) | |
| Fillings, Crowns, Root Canals | Excluded unless inextricably linked to a covered medical service | |
| Dentures | Not covered as standalone service | |
| Oral Exams prior to Organ Transplants | Must be part of comprehensive pre-transplant workup | |
| Oral Exams prior to Cardiac Procedures | Applies to valve replacement or valvuloplasty | |
| Oral Exams prior to Cancer Treatment | Applies to chemotherapy, CAR-T, antiresorptive agents | |
| Treatment for Oral Complications post-Cancer Therapy | Covers treatment for complications after cancer therapy | |
| Dental Treatment prior to Dialysis (ESRD) | Includes exam and treatment to eliminate infection | |
| Jaw Fracture Repair | Covered under A or B depending on setting | |
| Tooth Extractions for Radiation Preparation | If extraction is part of cancer treatment protocol | |
| Reconstruction at Time of Tumor Removal | As part of oncologic surgery, not routine reconstruction | |
| Dental Splints (medically necessary) | When part of trauma or medically related condition |
AAOMS Advantage Approved Partners
To print out a PDF with brief descriptions of all AAOMS Advantage Approved Partners, please click here.
