Dental emergency? Seen today8175 Custer Rd, Suite A110 · Frisco, TX 75035Frisco, TXOpen today 9–6(469) 262-2111Book an appointmentBook now
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Children's Dentistry

Medicaid, CHIP and Braces for Children in Frisco, TX

We take Medicaid and CHIP for children's dental care, and this page explains what is covered, what needs a referral, and where that referral goes.

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Accepted hereMedicaid and CHIP, for children's dental care
Referred outorthodontics under Medicaid, to a specialist
Medically necessary onlywhich is the whole of the braces question
Saturdays 9–3so a visit does not cost a school day
The process

What Medicaid and CHIP cover for a child's teeth

Dental coverage for children under Texas Medicaid and CHIP is considerably better than most parents expect. Orthodontics is the exception, and it is the exception that causes the confusion.

  1. Routine preventive care — covered

    Checkups, cleanings, X-rays and fluoride at the standard intervals. Parents often don't realize this is fully available. It's worth using.

  2. Fillings, crowns and extractions — covered

    The everyday restorative work, including stainless steel crowns on baby teeth and pulpotomies. All of it done here.

  3. Sealants and space maintainers — covered

    Both, and both worth asking about. A space maintainer after an early tooth loss is exactly the kind of small covered item that prevents a much larger uncovered problem later.

  4. Orthodontics — only where it is medically necessary

    This is the crux. Texas Medicaid does not cover braces for crowding or appearance. It covers orthodontic treatment only where a case meets a defined medical-necessity standard: severe handicapping malocclusion, cleft palate, and certain other qualifying conditions. It also requires prior authorisation, with records submitted for scoring.

  5. Orthodontic assessment: not done at our office

    This practice does not provide orthodontic treatment under Medicaid. So it isn't the practice to assess or submit a case for it. What we will do is tell you that plainly, at the first appointment, before several more visits, and point you toward providers who do.

Good to know

Medicaid and CHIP for children's teeth: what parents should know

Why we explain coverage before your child's visit

Families on Medicaid are used to finding out what isn't available only after taking time off work for an appointment. That's the specific waste we're trying to avoid here. So: children's dental care, yes — checkups, fillings, crowns, extractions, sealants, space maintainers, and Saturday appointments. Orthodontics under Medicaid, no. You shouldn't have to discover that on the day. It isn't a comment on your coverage or your child's case. It's simply what we do and don't provide. If you're looking for braces for your child under Medicaid, ring and ask us anyway. We'd rather spend two minutes pointing you somewhere useful than have you spend a morning finding out.

A clipboard holding a blank sheet of paper, with a pen beside it on a pale desk.

Use your preventive coverage while you sort out the rest

Whatever happens with orthodontics, the preventive coverage is there now, and it's genuinely good. Two checkups a year, cleanings, X-rays, fluoride and sealants — all covered. These are the things that decide whether your child needs expensive dentistry later. Many children arrive at an orthodontic assessment with untreated decay. That decay has to be dealt with before any treatment can start, which delays everything by months. Using the preventive coverage now is the single most useful thing you can do, and it's free at the point of use.

A child sitting beside a parent, the parent's hands resting over the child's, photographed from the shoulders down.

Children's dental care near Frisco, Prosper and Plano

Children's dental care under Medicaid and CHIP is provided in our office at 8175 Custer Rd, Suite A110, Frisco, TX 75035. We are open Monday, Tuesday, Thursday and Friday from 9 AM to 6 PM and Saturday from 9 AM to 3 PM. Wednesday and Sunday we are closed, though the phone is still answered on Wednesday. Patients come from Frisco and from Prosper, Plano, Little Elm, Allen, Celina and McKinney. Call (469) 262-2111 to book a visit.

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Choosing between options

What we do and don't provide under Medicaid and CHIP

Stated plainly so no family makes a wasted trip.

Comparison of Provided here, Not provided here
FeatureProvided hereNot provided here
Checkups, cleanings, X-rays, fluorideYes—
Fillings and extractionsYes—
Pulpotomies and baby-tooth crownsYes—
Sealants and space maintainersYes—
Nitrous oxide for an anxious childYes—
Orthodontics and braces—Referred out
Orthodontic medical-necessity assessment—Referred out
Deeper sedation or general anesthetic for a child—Referred to a pediatric specialist
In depth

Looking for braces for your child?

Ring us anyway. Two minutes on the phone is better than a morning spent finding out.

We will tell you plainly that orthodontic treatment under Medicaid is not something we provide. And we will point you toward practices that do, so you don’t have to work through a directory alone.

Two things worth knowing before you go.

The medical-necessity standard is strict. Texas Medicaid covers orthodontics for severe handicapping malocclusion and certain qualifying conditions. It does not cover crowding or appearance. A great many families are surprised by where that line falls. It’s better to know before an assessment than after.

Get the routine dental care done first. Untreated decay has to be resolved before orthodontic treatment can start. Arriving at an assessment with cavities delays everything by months. That care is covered, it’s available here, and it’s the most useful thing you can do while you sort out the rest.

(469) 262-2111

Related pages: orthodontics, what orthodontics costs and children’s dentistry.

Cost & insurance

What you will pay for children's dental care in Frisco

Covered care means coveredFor children's dental services under Medicaid and CHIP, there's no balance to settle afterward on covered treatment. If something isn't covered, you'll be told the figure before it's done.
We check before treatingEligibility and coverage are verified before every appointment, which is what stops surprises. That is what the ZenHub back office does all day for practices, including this one.
Orthodontics is a separate conversationApproval is decided by the medical-necessity standard and prior authorisation — the assessment happens wherever you go for treatment.
If you lose coverageTell us. Our membership plan exists for uninsured families and is designed to keep routine care predictable.

You get the figure in writing before treatment starts. We accept all major PPO plans and file the claim for you, our membership plan takes a percentage off treatment, and CareCredit financing is available.

Book a consultationCall (469) 262-2111
Getting here

Booking medicaid, chip and braces for children in Frisco

Book an appointmentCall (469) 262-2111
Hours
Weekdays 9–6
Saturdays 9–3
Languages
English, Telugu, Hindi, Urdu
Arabic with Saba, our hygienist, Tuesdays, Thursdays and Fridays
Vietnamese with Anh, our hygienist, Saturdays
Cantonese and Mandarin with Dr. Louie, our periodontist, on his scheduled days, by internal referral
Also serving
McKinneyPlanoProsperLittle ElmAllenCelina
Before you call

Medicaid, CHIP and Braces for Children FAQs in Frisco, TX

Grouped so you can go straight to the one you came for.

Medicaid, CHIP and Braces for Children — common questions

Does Medicaid cover braces in Texas?
Only where the case meets a medical-necessity standard: severe handicapping malocclusion, cleft palate, and certain other qualifying conditions. It requires prior authorisation, with records submitted and scored against defined criteria. It does not cover braces for crowding or appearance. That standard is genuinely strict, and a lot of families are surprised by where the line falls.
Do you provide braces under Medicaid?
No. We accept Medicaid and CHIP for children's dental care: checkups, cleanings, X-rays, fillings, crowns, extractions, sealants and space maintainers. Orthodontic treatment under them is not something we provide, and the medical-necessity assessment is not carried out here either. We would rather you knew now. Ring us and we will point you toward providers who do.
What does Medicaid cover for my child's teeth?
More than most parents expect: regular checkups and cleanings, X-rays, fluoride, sealants, fillings, stainless steel crowns and pulpotomies on baby teeth, extractions, and space maintainers. All of that is done here. Saturday appointments are available too, so it doesn't cost a school day.
How does the orthodontic approval process work?
A provider takes records, such as photographs, X-rays and models or scans, and submits them for prior authorization. The case is scored against the medical-necessity criteria, and treatment proceeds only if it qualifies. The provider who will do the treatment does the assessment, so the sensible route is a practice that does Medicaid orthodontics, where both happen in one place.
My child's braces were denied. Is that the end of it?
Not necessarily. Denials can be appealed. A case that doesn't qualify at one age can sometimes qualify later, as the bite develops — a real reason to keep up routine dental visits during that wait. The provider who submitted the records is the right person to ask about an appeal, since they hold the case.
Do you accept CHIP for children's dental care?
Yes, for children's dental care, on the same basis as Medicaid. Coverage details differ between the two programs. There can be small co-payments under CHIP, depending on the plan. We verify your specific coverage before treatment, so you know in advance.
Will my child be treated differently because they are on Medicaid?
No — and it shouldn't need saying, but it does. Same hour-long hygiene appointments, same doctors, same Saturday availability, same toy machine token. The only difference in the entire practice is which orthodontic treatment we can provide. That comes down to contracting, and not anything about your child.
What if we lose coverage part-way through treatment?
Tell us as soon as you know, before cancelling appointments. We can sequence what's genuinely urgent. Our membership plan is built for uninsured families, to keep routine care predictable. The worst outcome is a child quietly dropping out of dental care because coverage lapsed — and that's avoidable in almost every case.
Does CHIP cover braces in Texas?
Orthodontic coverage under CHIP is limited and depends on the plan, so ask your plan before booking. We accept CHIP for children's checkups, fillings, sealants and space maintainers, but we do not provide braces under it. Call (469) 262-2111 and we will point you toward providers who do.
Are there free braces for kids in Texas?
There is no general free braces program that we can point to. Medicaid covers braces only for severe, medically necessary cases, not for crowding or appearance. Many orthodontic practices offer payment plans, so it is worth asking. We do not provide braces ourselves, but call (469) 262-2111 and we will point you toward providers.
Where can I get children's dental care with Medicaid in Frisco?
At White Lotus Dental, 8175 Custer Rd, Suite A110, Frisco, TX 75035. We accept Medicaid and CHIP for checkups, cleanings, X-rays, fillings, crowns, extractions, sealants and space maintainers, and we confirm your child's coverage ahead of time. Saturday appointments run from 9 AM to 3 PM. Call (469) 262-2111.
All children's dentistry treatments
Dental emergency?

Toothache at 7am? You'll be seen today.

Same-day and Saturday appointments for toothaches, broken teeth, knocked-out teeth and lost crowns. Call us and we'll tell you what to do first, while you're still at home.

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White Lotus Dental offers nine dental specialties inside one calm office on Custer Road. Having general dentists and an in-house periodontist on staff means your entire family can receive preventive, restorative, and surgical treatments in one familiar place.

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