FACT: Medicare doesn’t pay for dentistry, but it can and will pay for medically necessary oral surgery and Medicare will pay some fees for dental implants as part of bone reconstruction surgery, which most dental implantologists perform.
If you live in one of the following states, you can expect a Medicare oral surgery or a Medicare dental implant claim payment to be paid in 21-30 days for a Medicare Patient with Original Part B with medical necessity.
- Iowa
- Kansas
- Missouri
- Nebraska
- Indiana
- Michigan
- Kentucky
- Ohio
- California
- Hawaii
- Nevada
- Alaska
- Arizona
- Idaho
- Montana
- ND
- Oregon
- SD
- Utah
- Washington
- Wyoming
- Arkansas
- Colorado
- New Mexico
- Oklahoma
- Texas
- Louisiana
- Mississippi
- Delaware
- DC
- Maryland
- New Jersey
- PA
- Florida
- Puerto Rico
What If My State Isn’t Listed?
If you live in one these states, we would need a private call to discuss Medicare oral surgery and Medicare dental implants.
Illinois, Minnesota, Wisconsin, Connecticut, New York,
Maine, Mass, New Hampshire, Rhode Island, Vermont
If you live in one these states, we would also need a private call to discuss Medicare oral surgery and Medicare dental implants.
Alabama, Georgia, Tennessee, NC, SC, Virginia, West Virginia
Fees to Expect for Medicare Dental Implants
And, here are the fees you can expect paid to you for an Medicare patient with Original Part B with medical necessity. This means total fee including Medicare medical necessity oral surgery and medicare dental implant surgery.
Mandible
Grafts, Excision of Infected Bony Tissue, Implants: $8,200
Maxilla
Grafts, Excision of Infected Bony Tissue, Implants: $5,400
Total $13,600
To discuss on how all of this impacts implant cases, patient out of pocket payment to you for what’s not covered, advertising to find patients, and adding 30-50 additional full arch patients to your case flow each year, schedule a time here.
