Question: Does Medicare Pay For Oral Surgery?

Original Medicare (parts A and B)

Medicare does not cover most routine dental services such as cleanings, fillings, extractions, dentures, or oral surgery.

However, oral surgery may be covered if it is medically necessary.

Will Medicare pay for an oral surgeon?

Medicare may cover oral surgery if it is medically necessary

Oral surgery involves procedures performed on the bones, nerves or tissue of the jaw or mouth. When such a procedure is considered medically necessary and is performed by a Medicare-participating doctor or surgeon, it may be covered by Medicare.

Does Medicare cover oral surgery for tooth extraction?

Medicare doesn’t cover most dental care, dental procedures, or supplies, like cleanings, fillings, tooth extractions, dentures, dental plates, or other dental devices. Medicare Part A (Hospital Insurance) will pay for certain dental services that you get when you’re in a hospital.

How can I get Medicare to pay for dental work?

Covered Medicare dental service include:

  • An oral exam in the hospital before a kidney transplant.
  • An oral exam in a rural clinic or Federally Qualified Health Care Center before a heart valve replacement.
  • Dental services needed for a radiation treatment for certain jaw-related diseases, like oral cancer.

Is Tori removal covered by Medicare?

In a like manner, the removal of a torus palatinus (a bony protuberance of the hard palate) may be a covered service. However, with rare exception, this surgery is performed in connection with an excluded service, i.e., the preparation of the mouth for dentures.