Idaho Medicaid & Idaho Smiles Dental Provider
Medicaid & Idaho Smiles Dentist in Boise, ID
Yes, Lamb Family Dental accepts Idaho Medicaid and Idaho Smiles in Boise, Idaho. We see children enrolled in Idaho Smiles (the state’s Medicaid dental program for kids under 21, administered by MCNA Dental) and qualifying adults on Idaho Medicaid for emergency and preventive care. Our office at 4255 N Eagle Rd has welcomed Medicaid families across the Treasure Valley since 2003. Call (208) 344-6300 to confirm eligibility for your child or family in under two minutes.
Idaho Smiles & MCNA Provider
20+ Years Serving Boise Families
Accepting New Patients
Idaho Medicaid Dental Plans We Accept
Idaho Medicaid dental coverage works differently than commercial dental insurance. The state contracts with MCNA Dental (Managed Care of North America) to manage dental services for most Idaho Medicaid beneficiaries through a program called Idaho Smiles. We are an Idaho Smiles provider for kids under 21 and accept adult Medicaid for covered services.
| Program | Who It Covers | In-Network Status | Notes |
|---|---|---|---|
| Idaho Smiles (MCNA Dental) | Children & teens under 21 on Medicaid or CHIP | In-Network | Comprehensive preventive and restorative coverage |
| Idaho Medicaid, Adult Dental | Adults 21+ on Medicaid (Basic Plan) | In-Network | Limited preventive, restorative, and emergency benefits |
| Idaho Medicaid, Pregnant Adults | Pregnant women on Medicaid | In-Network | Expanded benefits during pregnancy and postpartum |
| Idaho Medicaid, Enhanced Plan | Adults with disabilities or special health needs | In-Network | Broader dental coverage than the Basic Plan |
| Idaho CHIP (Children’s Health Insurance Program) | Children in low-income working families | In-Network | Same dental coverage as Idaho Smiles |
Not sure which Idaho Medicaid program you or your child are on? Call us at (208) 344-6300 with your member ID and we will look it up. You can also check eligibility through the Idaho Department of Health and Welfare.
What Does Idaho Medicaid & Idaho Smiles Cover?
Coverage depends on whether you are on the Idaho Smiles program (kids under 21) or adult Medicaid. Children’s coverage is comprehensive. Adult coverage is more limited but does include preventive and emergency care under the Basic Plan, with broader benefits for the Enhanced Plan and during pregnancy.
Idaho Smiles (Under 21)
Comprehensive dental coverage with no copays for most preventive and restorative services.
- Cleanings every 6 months (D1110, D1120)
- Exams and X-rays (D0120, D0274)
- Sealants and fluoride treatments
- Composite fillings (D2391)
- Crowns, root canals, extractions
- Orthodontics for medically necessary cases
Adult Medicaid (Basic Plan)
Preventive and emergency dental services with annual limits. Some adults qualify for broader Enhanced Plan benefits.
- Periodic exams (D0120)
- Adult cleanings (D1110)
- Bitewing X-rays (D0274)
- Emergency exams (D0140)
- Tooth extractions for pain or infection
- Limited fillings and basic restorative care
Pregnant Adults
Expanded dental benefits during pregnancy and the postpartum period due to the link between oral health and pregnancy outcomes.
- Two cleanings during pregnancy
- Periodontal treatment if needed
- Restorative work (fillings, crowns)
- Extractions and oral surgery
- Coverage continues for 60 days postpartum
Coverage details can change with state legislative updates. We confirm your current eligibility and benefits before every visit. For the official benefit guide, visit the Idaho Department of Health and Welfare Medicaid page.
What You Pay with Idaho Medicaid & Idaho Smiles
Most Idaho Medicaid beneficiaries pay $0 out of pocket for covered dental services at our office. Idaho Smiles (children under 21) has no copays for any covered service. Some adult Medicaid programs include small copays for non-preventive care.
| Procedure | Average Cash Price | Idaho Smiles (Kids) | Adult Medicaid |
|---|---|---|---|
| Periodic Exam (D0120) | $65 | $0 | $0 |
| Child Cleaning (D1120) | $95 | $0 | N/A |
| Adult Cleaning (D1110) | $120 | N/A | $0 |
| Bitewing X-rays (D0274) | $55 | $0 | $0 |
| Sealant per Tooth (D1351) | $60 | $0 | N/A |
| Composite Filling (D2391) | $235 | $0 | $0–$15 |
| Simple Extraction | $195 | $0 | $0–$15 |
| Emergency Exam (D0140) | $125 | $0 | $0 |
Disclaimer: Cost estimates are based on current Idaho Medicaid coverage. Coverage and copays may change. We verify your active benefits before every appointment.
How to Use Your Idaho Medicaid or Idaho Smiles Benefits
Bringing your child or yourself in on Medicaid is straightforward. Our team handles the verification and claims so you do not have to worry about paperwork. Here is how the process works.
Call Us or Schedule Online
Call (208) 344-6300 or use our online scheduling form. Let us know your child is on Idaho Smiles or that you are on adult Medicaid so we can pull up the right coverage rules.
Bring Your Member ID
Have your Idaho Medicaid card or MCNA / Idaho Smiles card ready. The card shows the member ID number we need to verify eligibility. If you do not have the physical card, the ID number is also accessible through the idalink.idaho.gov portal.
We Verify Eligibility
Our front desk verifies your active enrollment and current benefits. Idaho Medicaid eligibility can change month to month, so we always check on the day of the appointment to make sure your coverage is active.
Receive Care, No Cost for Covered Services
For Idaho Smiles, all covered services are at no cost. For adult Medicaid, covered preventive and emergency services are typically also at no cost. We tell you upfront if any portion of treatment falls outside your benefits.
We File the Claim for You
Our billing team files the Medicaid or MCNA claim on your behalf. You will not receive a bill for any covered service. If something is not covered, we explain it before any treatment begins.
Services We Provide for Idaho Medicaid & Idaho Smiles Members
Our office offers a full range of dental services for Medicaid families. Children on Idaho Smiles get the most comprehensive coverage. Adult Medicaid focuses on preventive and emergency care, with expanded benefits during pregnancy.
Idaho Smiles Dentist Serving Boise & Treasure Valley Families
Lamb Family Dental
4255 N Eagle Rd
Boise, ID 83713
Phone: (208) 344-6300
Hours: Monday–Thursday 8 a.m.–5 p.m. | Friday 8 a.m.–2 p.m.
Our office is on Eagle Road near the intersection of McMillan Road, on the border of Boise and Eagle. We are accessible to families in every Treasure Valley city by car or local bus. We see Idaho Smiles kids and Medicaid adults from across Ada and Canyon counties, including Boise, Meridian, Eagle, Nampa, Garden City, Caldwell, Kuna, and Star.
Why Lamb Family Dental for Idaho Smiles Kids
Children’s dental care is one of our specialties. Dr. Mack and Dr. Pelletier have decades of combined experience treating kids from infancy through their teens. Our office is gentle, calm, and kid-friendly, not the sterile, overwhelming environment many parents remember from their own childhood. We use age-appropriate language to explain what we are doing, and our hygienists know how to make even the most nervous child feel safe.
Driving Distances
- Downtown Boise: 15 minutes (8 miles via State Street)
- Eagle: 5 minutes (2 miles south on Eagle Road)
- Meridian: 10 minutes (6 miles east on McMillan Road)
- Nampa: 25 minutes (18 miles east on I-84)
- Caldwell: 30 minutes (22 miles via I-84)
- Star: 15 minutes (9 miles southeast on State Highway 44)
- Kuna: 20 minutes (14 miles north on Meridian Road)
ZIP Codes We Serve
83703
83704
83705
83706
83709
83712
83713
83714
83616 (Eagle)
83642 (Meridian)
83646 (Star)
83651 (Nampa)
83686 (Nampa)
83605 (Caldwell)
Why Idaho Medicaid Families Choose Lamb Family Dental
Your Doctors
- Dr. Kimball Mack, DMD, Over 20 years of clinical experience treating families in the Treasure Valley. Member of the American Dental Association (ADA), Idaho State Dental Association, and Academy of General Dentistry (AGD). Has been an Idaho Smiles and Medicaid provider for many years.
- Dr. Kyle Pelletier, DMD, Focused on family and restorative dentistry. Member of the ADA and Idaho State Dental Association. Known for his calm, patient demeanor with kids and adults who feel anxious about dental visits.
What Our Medicaid & Idaho Smiles Patients Say
“I called four offices that supposedly took Idaho Smiles before I found Lamb Family Dental. They got my son in the same week. Dr. Mack was so gentle, my son actually asked when his next appointment is. We have not paid a dollar out of pocket.”
, Maria H., Boise (parent of Idaho Smiles patient)
“As a Medicaid patient, I have been turned away by other dental offices. Lamb Family Dental treated me with respect, explained what was covered, and got me in for an emergency extraction the same day. No copays, no surprise bills.”
, Robert T., Nampa (adult Medicaid)
“My daughter was nervous about getting fillings. The team made it fun for her, she got to pick the color of her cleaning paste, and the hygienist showed her every tool before using it. We have been on Idaho Smiles for three years and would not go anywhere else.”
, Crystal D., Meridian (parent of Idaho Smiles patient)
Idaho Smiles, administered by MCNA Dental, has been the state’s Medicaid dental managed-care program since 2017. According to the Idaho Department of Health and Welfare, more than 175,000 Idaho children are enrolled in Idaho Medicaid or CHIP and eligible for Idaho Smiles dental coverage. Lamb Family Dental is proud to be one of the participating providers serving Treasure Valley families.
Frequently Asked Questions About Idaho Medicaid & Idaho Smiles
Does Lamb Family Dental accept Idaho Medicaid?
Yes. Lamb Family Dental accepts Idaho Medicaid in Boise, Idaho. We see children on Idaho Smiles (administered by MCNA Dental) and qualifying adults on Idaho Medicaid for preventive, restorative, and emergency dental care. Call (208) 344-6300 with your member ID to confirm your coverage.
What is Idaho Smiles?
Idaho Smiles is the dental program for children and teens under 21 who are enrolled in Idaho Medicaid or CHIP. It is administered by MCNA Dental, the state’s Medicaid dental contractor. Idaho Smiles covers cleanings, exams, X-rays, fillings, sealants, crowns, root canals, extractions, and medically necessary orthodontics, all at no cost to families.
Who runs Idaho’s Medicaid dental program?
Idaho contracts with MCNA Dental (Managed Care of North America) to manage dental services for most Medicaid beneficiaries. MCNA processes claims, manages the provider network, and operates the Idaho Smiles program for children under 21. The state’s Department of Health and Welfare oversees the contract.
Does Idaho Medicaid cover dental for adults?
Yes, but coverage is more limited than for children. Adults on the Idaho Medicaid Basic Plan get preventive care like cleanings and exams, plus emergency dental services and limited basic restorative work. Adults on the Enhanced Plan and pregnant women receive broader benefits. We confirm exactly what your plan covers before treatment.
Are there copays for Idaho Smiles or Medicaid dental visits?
For Idaho Smiles (kids under 21), there are no copays for covered dental services. For adult Medicaid, copays for non-preventive services are typically very small, usually $0 to $15 depending on the procedure and your plan. We tell you upfront if any part of treatment is not covered so you can decide before we start.
How do I sign my child up for Idaho Smiles?
Children automatically receive Idaho Smiles dental coverage when they are enrolled in Idaho Medicaid or CHIP. To enroll your child in Medicaid or CHIP, apply through idalink.idaho.gov or call the Idaho Department of Health and Welfare at 1-877-456-1233. Once enrolled, MCNA mails an Idaho Smiles welcome packet with your child’s dental member ID.
Does Idaho Smiles cover braces or orthodontics?
Idaho Smiles covers orthodontic treatment only when it is medically necessary, not for purely cosmetic reasons. Cases of severe malocclusion, cleft palate, or other functional issues may qualify. Approval requires submission to MCNA for review. We can help evaluate whether a child’s case meets the criteria and submit the prior-authorization request.
What if my child has a dental emergency on Idaho Smiles?
Call us right away at (208) 344-6300. We offer same-day emergency appointments for Idaho Smiles kids during office hours. Emergency exams and urgent care like extractions for pain or infection are fully covered. After hours, MCNA’s 24-hour nurse line can also help direct you to emergency care.
Can adults on Medicaid get a cleaning at your office?
Yes. Idaho Medicaid covers one preventive cleaning and exam per year for adults on the Basic Plan, and additional cleanings for adults on the Enhanced Plan or during pregnancy. Call (208) 344-6300 to schedule and we will verify your specific coverage.
What if I lose my Medicaid card?
You can request a new card by calling the Idaho Department of Health and Welfare at 1-877-456-1233 or through the idalink.idaho.gov portal. You do not need a physical card to receive treatment, we can verify eligibility with your name, date of birth, and Medicaid ID number.
Does Lamb Family Dental accept new Idaho Medicaid patients?
Yes, we are accepting new patients on Idaho Medicaid and Idaho Smiles. Call (208) 344-6300 or visit our scheduling page to book an appointment. New-patient visits include a comprehensive exam, X-rays, and a cleaning, all covered with no copay for Idaho Smiles kids and most adult Medicaid plans.
Use Your Idaho Medicaid or Idaho Smiles Benefits
Our team verifies your eligibility in minutes. No copays for covered services, no surprise bills.