Dental Care for Medicare Patients in Boise
Yes, We Accept Medicare Dental Plans in Boise, ID
According to CMS.gov, Original Medicare (Parts A and B) does not cover routine dental care like cleanings, fillings, or dentures. But if you have a Medicare Advantage plan (Part C), see Medicare.gov for plan options, your plan likely includes dental benefits. Lamb Family Dental accepts most Medicare Advantage plans with dental coverage in Boise, Idaho. We also accept standalone dental plans for seniors, including AARP dental plans. Call (208) 344-6300 and we will check your plan in under two minutes.
Serving Boise Since 2003
4.9-Star Rating
Accepting New Patients
Medicare Dental Plans We Accept
We work with many Medicare Advantage plans that include dental benefits. We also accept standalone dental plans designed for seniors. If you are not sure what your plan covers, call us and we will find out for you.
| Plan Type | Examples | Status | Notes |
|---|---|---|---|
| Original Medicare (Parts A & B) | Traditional Medicare | No Dental | Does not cover routine dental; see options below |
| Medicare Advantage (Part C) | Humana, Aetna, UHC, Blue Cross True Blue | Accepted | Most MA plans include dental; coverage varies by plan |
| AARP Dental Insurance | AARP / Delta Dental PPO | Accepted | Standalone dental plan for AARP members |
| Humana Dental for Seniors | Humana Preventive Plus, Loyalty Plus | Accepted | Individual dental plans for Medicare-age adults |
| Standalone Senior Dental Plans | Individual PPO or DHMO plans | Verify | Call us to confirm your specific plan |
| No Dental Coverage | Original Medicare only | Welcome | Ask about our in-house savings plan |
Not sure what dental coverage you have? Bring your Medicare card and any other insurance cards to your visit, or call us at (208) 344-6300 and we will help you figure it out.
What Does Medicare Cover for Dental?
This is an important question, and the answer depends on which type of Medicare you have. Original Medicare covers almost no dental care. Medicare Advantage plans are different. Here is the breakdown.
Preventive Care (MA Plans)
Most Medicare Advantage plans cover preventive dental at 100%. You pay nothing for these visits. Plans usually allow two visits per year.
- Dental exams (D0120)
- Cleanings (D1110)
- X-rays (D0274)
- Oral cancer screening
- Fluoride treatment
Basic & Restorative (MA Plans)
Many MA plans cover fillings, extractions, and root canals. Coverage rates vary by plan, usually between 50% and 80%.
- Fillings (D2391)
- Extractions
- Root canals (D3310)
- Periodontal treatment
- Denture repairs
Major Work (Varies)
Coverage for crowns, bridges, dentures, and implants depends on your specific MA plan. Some plans cover these at 50%. Others may not cover them at all.
- Crowns (D2740)
- Bridges and dentures
- Dental implants
- Oral surgery
What Original Medicare does cover: Medicare Part A may cover dental work that is part of a hospital procedure. For example, a tooth extraction before heart valve surgery or a dental exam before a kidney transplant. These are rare situations and do not include routine dental care.
Estimated Costs for Senior Dental Care
These estimates show what common dental procedures cost and what you might pay with a Medicare Advantage plan that includes dental. If you have no dental coverage, we offer an in-house savings plan that reduces these costs.
| Procedure | Average Cost | With MA Dental | You Save |
|---|---|---|---|
| Dental Exam (D0120) | $65 | $0 | $65 |
| Cleaning (D1110) | $120 | $0 | $120 |
| Full Dentures, Upper (D5110) | $1,800 | $900–$1,800 | $0–$900 |
| Full Dentures, Lower (D5120) | $1,800 | $900–$1,800 | $0–$900 |
| Partial Denture (D5213) | $1,500 | $750–$1,500 | $0–$750 |
| Porcelain Crown (D2740) | $1,150 | $575–$1,150 | $0–$575 |
| Single Dental Implant | $3,800 | $1,900–$3,800 | $0–$1,900 |
| Deep Cleaning / SRP (D4341) | $275 | $55–$138 | $137–$220 |
| Root Canal, Anterior (D3310) | $850 | $170–$425 | $425–$680 |
Disclaimer: These are estimates only. Costs depend on your specific plan, coverage level, and annual benefit limit. We always explain your costs before starting treatment. If you do not have dental coverage, ask about our savings plan.
How to Find Out What Your Medicare Plan Covers
Figuring out dental coverage with Medicare can be confusing. We make it simple. Here is what to do.
Call Us
Call (208) 344-6300. We are open Monday through Thursday 8 a.m. to 5 p.m. and Friday 8 a.m. to 2 p.m. You can also book online.
Tell Us About Your Coverage
Have your Medicare card and any other insurance cards ready. If you have a Medicare Advantage plan, it will usually say the insurance company name on the card (like Humana, Aetna, or Blue Cross). That is the card we need.
We Check Your Benefits
Our team calls your insurance company and finds out exactly what dental services are covered, what your copay is, and how much benefit you have left for the year.
We Explain Everything
Before any dental work, we sit down with you and go over what is covered and what you will pay. We use plain language. We answer every question. No rush.
Book Your Visit
Pick a day and time that works for you. If you need a ride or have mobility needs, let us know and we will make sure everything is ready when you arrive.
Dental Services for Seniors
We provide every dental service seniors commonly need, from routine cleanings to full dentures and implants. Our doctors take extra time with older patients to explain options and answer questions.
Senior-Friendly Dental Office in Boise
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 McMillan Road, in a ground-level building with easy parking right at the front door. There are no stairs to climb. The office is easy to find and easy to get into, even if you use a walker or wheelchair.
We are close to several retirement and senior living communities in the Boise and Eagle area. Many of our senior patients live in northwest Boise, Eagle, and Meridian. The drive from most parts of the Treasure Valley is 15 to 25 minutes.
How Far Are We from You?
- Downtown Boise: 15 minutes (8 miles)
- Eagle: 5 minutes (2 miles)
- Meridian: 10 minutes (6 miles)
- Garden City: 10 minutes (5 miles)
- Nampa: 25 minutes (18 miles)
- Star: 15 minutes (9 miles)
ZIP Codes We Serve
83703
83704
83705
83706
83709
83712
83713
83714
83616 (Eagle)
83642 (Meridian)
83646 (Star)
Why Seniors Choose Lamb Family Dental
Your Doctors
- Dr. Kimball Mack, DMD, Over 20 years caring for patients of all ages. Member of the American Dental Association (ADA), Idaho State Dental Association, and Academy of General Dentistry (AGD). Dr. Mack takes extra time with senior patients to explain every option in plain language.
- Dr. Kyle Pelletier, DMD, Skilled in crowns, bridges, dentures, and implants. Member of the ADA and Idaho State Dental Association. Known for his gentle approach and patience with anxious patients.
What Our Senior Patients Say
“I was confused about whether Medicare covered dental. The staff at Lamb Family Dental explained that my Humana Medicare Advantage plan included dental benefits I did not even know I had. They checked everything before my first visit.”
, Dorothy W., Boise
“I needed new dentures and was worried about the cost since Original Medicare does not cover them. Dr. Mack’s team helped me understand my options and set up a payment plan. The dentures fit perfectly and I can eat normally again.”
, Robert H., Eagle
“At 72, I was nervous about getting an implant. Dr. Pelletier walked me through every step and made sure I was comfortable. The office is easy to get to with plenty of parking right at the door. I recommend them to everyone at my senior center.”
, Marilyn S., Meridian
Idaho’s 65-and-older population is the fastest-growing age group in the state. Ada County alone is home to over 60,000 seniors. Lamb Family Dental has provided dental care to thousands of senior patients in the Treasure Valley since 2003. We understand the unique dental needs of older adults, from dry mouth and gum disease to dentures and implants.
Frequently Asked Questions About Medicare and Dental Care
Does Medicare cover dental?
Original Medicare (Parts A and B) does not cover routine dental care. That means no coverage for cleanings, fillings, dentures, or most other dental work. However, Medicare Advantage plans (Part C) often include dental benefits. If you have a Medicare Advantage plan from Humana, Aetna, UnitedHealthcare, or Blue Cross, you likely have dental coverage.
What dental procedures does Medicare Advantage cover?
Most Medicare Advantage plans with dental benefits cover preventive care like cleanings and exams at 100%. Many also cover fillings, extractions, and root canals at 50% to 80%. Some plans cover major work like crowns, dentures, and implants, but coverage levels vary. We check your specific plan before any treatment so you know what is covered.
Is there a Medicare dental plan for dentures?
Original Medicare does not cover dentures. Some Medicare Advantage plans do cover dentures, usually at 50% up to an annual limit. If your plan does not cover dentures, you can purchase a standalone dental plan like AARP Dental or Humana Dental. We also offer an in-house savings plan that reduces the cost of dentures for patients without dental coverage.
How do I add dental to my Medicare coverage?
You have three options. First, you can switch to a Medicare Advantage plan that includes dental during the annual enrollment period (October 15 through December 7). Second, you can buy a standalone dental plan from companies like AARP/Delta Dental or Humana at any time. Third, you can use our in-house savings plan, which gives you reduced rates on all dental services without monthly premiums.
Does Lamb Family Dental accept Medicare Advantage plans?
Yes. We accept most Medicare Advantage plans that include dental benefits. This includes plans from Humana, Aetna, UnitedHealthcare, and Blue Cross of Idaho (True Blue). Call (208) 344-6300 with your plan information and we will verify your dental benefits before your visit.
What if I only have Original Medicare and no dental coverage?
You are still welcome at Lamb Family Dental. We offer an in-house savings plan that gives you discounted rates on all dental services. There are no monthly premiums, no annual limits, and no waiting periods. Many of our senior patients use this plan and save hundreds of dollars each year on dental care.
Does Medicare cover dental implants?
Original Medicare does not cover dental implants. Some Medicare Advantage plans cover implants at 50%, but many do not. If your plan does not cover implants, we offer payment plans and can help you explore other ways to make implants affordable. A single implant at our office typically costs around $3,800.
I take several medications. Can that affect my dental health?
Yes. Many common medications cause dry mouth, which raises your risk for cavities and gum disease. Blood thinners can affect dental procedures. We review your full medication list at every visit and adjust your care accordingly. If you experience dry mouth, we can recommend products and treatments that help protect your teeth.
How often should seniors see the dentist?
We recommend at least two dental visits per year for cleanings and exams. Seniors with gum disease, dry mouth, or dental appliances like dentures may benefit from visits every three to four months. Regular dental visits help catch problems early, when they are smaller and less expensive to treat.
Can I get a dental exam before surgery if Medicare requires it?
Yes. Original Medicare does cover dental exams that are required before certain medical procedures, such as kidney transplants or heart valve replacements. If your doctor requires a dental clearance before surgery, call us at (208) 344-6300 and we will schedule you quickly. We can provide the clearance letter your surgeon needs.
Find Out What Your Medicare Plan Covers
Not sure if you have dental coverage? Call us and we will check for you. It takes about two minutes.