Medicaid, CHIP & PPO Dental Insurance | Grand Prix Dental & Orthodontics
Making Quality Dental Care Accessible in Corpus Christi
At Grand Prix Dental & Orthodontics, we believe your child's dental visits should be fun, comfortable, and stress-free. Our Corpus Christi pediatric dental team specializes in comprehensive dental care for children of all ages – from 6 months through the teenage years.
SCHEDULE YOUR CHILD'S APPOINTMENT TODAY!
Call (361) 271-3000 or click here to book online. New patients welcome!
Medicaid Dental Coverage
Dental Services for Eligible Texas Residents
Texas Medicaid provides dental coverage for children, pregnant women, and certain eligible adults. Our office is a proud Medicaid provider, helping families access essential dental care.
Medicaid Dental Coverage for Children (Under 21):
- Preventive Services – Regular cleanings, exams, X-rays, fluoride treatments, and sealants
- Basic Restorative Services – Fillings, extractions, and emergency dental care
- Advanced Services – Root canals, crowns, and other necessary treatments
- Orthodontic Services – For qualified cases with severe dental issues
Medicaid Coverage for Pregnant Women:
- Expanded Dental Benefits – Additional coverage during pregnancy and up to 2 months postpartum
- Preventive Care – Regular cleanings and exams
- Treatment of Dental Issues – Services to address infections or pain
Adult Medicaid Dental Services:
- Emergency Dental Services – Relief from pain and infection
- Certain Preventive Services – Basic care to maintain oral health
- Medically Necessary Treatments – Services required for overall health
Children's Health Insurance Program (CHIP)
Comprehensive Dental Coverage for Children
The Children's Health Insurance Program (CHIP) provides coverage for children in families that earn too much to qualify for Medicaid but cannot afford private insurance. Grand Prix Dental & Orthodontics is a proud CHIP provider.
CHIP Dental Benefits Include:
- Preventive Care – Regular cleanings, exams, X-rays, and fluoride treatments
- Sealants – Protection against cavities on permanent molars
- Fillings – Tooth-colored restorations for cavities
- Extractions – When removal of teeth is necessary
- Crowns – For severely damaged teeth
- Root Canals – Treatment of infected tooth pulp
- Limited Orthodontic Coverage – For qualifying cases
Understanding CHIP Costs:
- Enrollment Fees – Range from $0-50 per year depending on family income
- Co-payments – Low co-pays for most services ($5-35)
- No Cost-Sharing – For preventive services like checkups and cleanings
- Annual Cap – Limited out-of-pocket costs per family per year
PPO Dental Insurance Plans
Flexible Coverage Options
We accept most major PPO (Preferred Provider Organization) dental insurance plans, offering our patients greater flexibility in their dental care choices while minimizing out-of-pocket expenses.
Popular PPO Plans We Accept:
- Aetna Dental
- Ameritas
- Blue Cross Blue Shield Dental
- Cigna Dental
- Delta Dental
- Guardian
- Humana Dental
- MetLife
- Principal
- UnitedHealthcare Dental
- And many more!
Benefits of Using Your PPO Insurance at Grand Prix Dental:
- In-Network Savings – Reduced fees and maximized benefits
- Preventive Care Coverage – Most plans cover 80-100% of preventive services
- Basic Services Coverage – Typically covered at 70-80% after deductible
- Major Services Coverage – Usually covered at 50% after deductible
- Annual Maximums – We help you maximize your benefits throughout the year
- Pre-Treatment Estimates – We can verify your coverage before treatment begins
How We Make Insurance Easy
Streamlined Process for Our Patients
At Grand Prix Dental & Orthodontics, we handle the complex aspects of dental insurance so you don't have to.
Our Insurance Services Include:
- Complimentary Benefits Verification – We check your coverage before your appointment
- Insurance Filing – We submit all claims on your behalf
- Benefit Maximization – Strategic scheduling to optimize your annual benefits
- Pre-Treatment Estimates – Detailed cost information before beginning treatment
- Explanation of Benefits – Clear communication about what's covered
- Alternative Treatment Options – Solutions to fit your coverage and budget
- Insurance Coordinators – Dedicated staff to answer your insurance questions
No Insurance? No Problem!
Affordable Options for Everyone
We believe financial constraints shouldn't prevent anyone from receiving quality dental care. If you don't have insurance coverage, we offer several options:
- In-House Dental Plan – Affordable annual membership with included services
- CareCredit Financing – Interest-free payment options for larger treatments
- Flexible Payment Plans – Customized arrangements to fit your budget
- New Patient Specials – Discounted initial visits and treatments
- Transparent Pricing – Clear cost information before treatment
Visit Our Racing-Themed Dental Office in Corpus Christi
Located at 5118 S. Staples St. Suite C, Corpus Christi, TX 78411, our office is designed to make dental visits exciting for kids and stress-free for parents.
Insurance FAQ
Common Questions About Dental Coverage
Does Medicaid cover dental services for adults in Texas?
Texas Medicaid provides limited dental coverage for adults. For most adults over 21, Medicaid typically covers emergency dental services to alleviate pain and treat infections. Some medically necessary procedures may also be covered when they impact overall health. Pregnant women receive expanded dental benefits during pregnancy and up to 2 months postpartum. Children under 21 receive the most comprehensive Medicaid dental coverage through the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit. At Grand Prix Dental & Orthodontics, we can help determine what services are covered under your specific Medicaid plan.
What dental services are covered by CHIP in Texas?
The Children's Health Insurance Program (CHIP) in Texas provides comprehensive dental coverage for eligible children. Services covered include preventive care (regular cleanings, exams, X-rays, fluoride treatments, and sealants), basic restorative services (fillings), and more extensive treatments when medically necessary (extractions, crowns, root canals). CHIP may also cover medically necessary orthodontic treatment for qualifying cases with severe dental problems. Most preventive services are covered with no copayment, while other services may require a small copay depending on your family's income level. Annual out-of-pocket costs are capped to keep care affordable for families.
How do I maximize my PPO dental insurance benefits?
To get the most from your PPO dental insurance, schedule regular preventive appointments (typically covered at 80-100%) to avoid more costly procedures later. Don't let your annual maximum go unused—if you have pending treatment, complete it before your benefits reset, usually at calendar year-end. Understand your plan's details, including deductibles, waiting periods, and coverage percentages for different service categories. At Grand Prix Dental & Orthodontics, our insurance specialists can help schedule your treatments strategically, provide pre-treatment estimates, and suggest alternative treatments that maximize your coverage while addressing your dental needs.
What if my insurance doesn't cover a necessary dental procedure?
If your insurance doesn't fully cover a necessary procedure, we offer several options to make treatment affordable. Our team can provide alternative treatment plans that might have better coverage while still addressing your dental needs. We offer CareCredit financing with interest-free payment options for qualified patients, as well as flexible in-house payment plans. For patients without insurance, our in-house dental plan provides discounts on many procedures. Before any treatment, we'll provide a clear breakdown of costs and discuss all available payment options so you can make an informed decision about your dental care without financial stress.