Nevada Medicaid and Nevada Check Up
Nevada Medicaid & Nevada Check Up at Avocabo
We accept Nevada Medicaid and Nevada Check Up for pediatric dental and orthodontic care.
Avocabo Dental & Orthodontics is proud to serve Nevada Medicaid and Nevada Check Up families for covered pediatric dental services and qualifying orthodontic care for patients under age 21.
What Nevada Medicaid and Nevada Check Up cover
Nevada Medicaid and Nevada Check Up provide dental benefits for eligible children and young adults, including preventive care, restorative treatment, and certain orthodontic services when medical necessity criteria are met.
Coverage depends on your child's specific eligibility, plan, and the treatment being recommended. Not every service is automatically covered simply because a patient has Medicaid.
How prior authorization works for orthodontic care
Orthodontic treatment under Nevada Medicaid requires a review process before treatment can begin. Here is what that generally involves:
1. Orthodontic evaluation
Your child is examined and our team determines whether orthodontic treatment appears medically necessary under Medicaid's clinical criteria.
2. Documentation and submission
If treatment appears to qualify, our team prepares the required clinical documentation and submits a prior authorization request to Nevada Medicaid on your behalf.
3. Review by Nevada Medicaid
Nevada Medicaid reviews the request and determines whether the treatment is approved. This review is completed by Nevada Medicaid, not by our office, and processing times can vary.
4. Once authorized, treatment can begin
After approval, our team will contact you to schedule the start of treatment.
We understand waiting for an authorization decision can be frustrating, especially when your child is ready to start treatment. Our team will contact you when we receive an authorization update.
What to expect timeline-wise
Prior authorization review times are set by Nevada Medicaid and can vary based on case complexity and current review volume. We are not able to guarantee a specific approval timeframe. Our team will contact you when we receive an authorization update.
If you have not heard from us about a submitted authorization and would like a status update, please call our office directly.
What you can do to help the process move smoothly
- Bring your child's current Nevada Medicaid or Nevada Check Up card to every visit.
- Let us know right away if your child's eligibility or plan changes.
- Respond promptly if our team requests additional information for a Medicaid submission.
- Call us if you have questions at any point in the process. We would rather explain what is happening than leave you wondering.
Do you accept Nevada Medicaid for general dental care too?
Yes. Nevada Medicaid and Nevada Check Up cover a range of pediatric dental services in addition to orthodontic care, including exams, cleanings, and other preventive and restorative treatment. Coverage details depend on your child's specific plan and eligibility.
For a broader explanation of insurance and payment topics, including PPO coverage and self-pay options, visit our Insurance & Payment Options page.
Ready to get started?
Call our office or request an appointment online. Our team will walk you through what to expect for your child's specific situation.