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Medicaid Oral Surgery

Wisdom Teeth Removal with Medicaid in Austin, Texas
We know how challenging it is to find an oral surgeon who accepts Medicaid dental insurance in Austin, Texas and the surrounding areas. To help our patients as well as patients in our community who need their wisdom teeth removed, we have partnered with Dr. Nitin Raju of South Austin Oral Surgery to provide this service at our William Cannon office.

 

Dr. Raju will be at our office two to four times a month helping patients with MCNA, DentaQuest, and
United Healthcare Medicaid dental insurance. Two appointments will be required. On the first
appointment, Dr. Raju will review your medical health, perform an oral exam, review your x-rays, go
over IV sedation instructions, and develop a plan for your care. The second appointment will be the
surgery. Unfortunately, same day exam and treatment is not allowed by Medicaid as surgical treatment requires preapproval.


Scheduling Your Appointment
If you have Medicaid Dental insurance and do not have a dentist already, give our office a call today. You will need to see Dr. Salas or Dr. Wallach for an exam before you are referred to Dr. Raju. Please note that this is requirement of Medicaid.
If you are a patient who already has a pediatric dentist or general dentist, we can still see you. However, we will require the following referral to be filled out and sent to
oralsurgery@supersmilesdentalcenters.com

Frequently Asked Questions

Can I have my exam and treatment done on the same day?
Unfortunately, Medicaid requires an exam by the oral surgeon first. After the exam is completed, information is sent to Medicaid for preapproval.

 

Do I need a referral to see the oral surgeon?
Medicaid requires a referral being seen by a specialist oral surgeon. If you don’t have a dentist, one of our general dentists will see you first. If you already have a dentist, please have them send over the referral.


Is there any cost for the exam and x-rays required?
Medicaid covers the cost of your exam and x-rays. If you had x-rays just completed at another office, we can use those if they have been taken within 6 months and they are forwarded to our office with the date they were taken.


Is there any out-of-pocket cost for my wisdom tooth surgery?
There is not a cost to you for any procedures approved by Medicaid. Our office will send Medicaid a note that contains the examination findings as well as symptoms that you have reported to us. Medicaid generally approves wisdom teeth for extraction if they are causing pain, hygiene issues, and have cavities or other diseases. If you wish to have the teeth not approved removed, you will need to pay the out-of-pocket cost for these procedures.

What types of sedation do you offer?
At SuperSmiles, Dr. Raju is able to offer nitrous oxide, oral sedation, moderate sedation, and deep sedation. Of course, if you do not want sedation and are not very anxious, surgery can be performed with just local anesthesia as well.

 

Is sedation covered by Medicaid?
Sedation is sometimes covered by Medicaid.

 

How long does the preapproval process take?
It generally takes 2 weeks to receive preapproval from Medicaid regarding your wisdom teeth and sedation.


Is follow-up required?
Most patients do not require follow-up care at the office following wisdom teeth removal. However, if you have any issues you will be seen by Dr. Raju at either SuperSmiles or South Austin Oral Surgery (a few miles down the road). There is no cost at either location for follow-up care.


Can I have my exam done at SuperSmiles and surgery done at South Austin Oral Surgery?
Unfortunately, the exam and surgery must be done at SuperSmiles. Dr. Raju had originally intended to accept Medicaid at his office, however was told the process would take 1.5-2 years to be credentialed – as a result he has decided to partner with Dr. Wallach and Dr. Salas at SuperSmiles on William Cannon.


Does Dr. Raju see Adult Medicaid?
Unfortunately, Dr. Raju only sees Childrens Medicaid patients at this time.


What days is the oral surgeon at SuperSmiles?
Currently, Dr. Raju is at our Austin office on Tuesdays for both exams and surgeries. In the future, we hope to add a second day as well.

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