Dental Grants in New Hampshire
Free and Low-Cost Dental Care for New Hampshire Seniors: Complete 2026 Guide
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Last updated:
Medical Review: Content verified against current New Hampshire Medicaid policies and federal poverty guidelines
Key Takeaways
Bottom Line: New Hampshire offers excellent Medicaid dental coverage for eligible seniors, plus multiple free and low-cost options. Success requires understanding eligibility requirements and having proper documentation ready.
What You Need to Know Right Now:
- Major Advantage: New Hampshire provides comprehensive adult dental coverage through the NH Smiles Program , unlike many states that don’t cover adult dental.
- Income Limits: The 2026 Federal Poverty Level is $15,960 for individuals. Medicaid expansion coverage (Granite Advantage) is available to eligible adults with income up to 138% FPL (approximately $22,025 annually).
- Annual Benefit: $1,500 yearly dental coverage limited through NH Smiles for non-preventive care, plus unlimited coverage for preventive services (cleanings, X-rays, exams).
- Documentation Required: Photo ID, income verification, and residency proof are needed for most programs.
DENTAL EMERGENCY HELP – GET CARE TODAY
If you’re having a dental emergency right now:
Immediate Emergency Resources
1. NH Smiles Program Teledentistry
- Service: 24/7 emergency dental consultations via video
- Phone: (866) 302-0905
- Website: bit.ly/NH-teledentistry
- Cost: Free for New Hampshire Medicaid members
- Important: Available around the clock for urgent dental advice and pain management
2. New Hampshire Community Health Centers
- Families First Dental Center (Portsmouth): (603) 422-8208
- Address: 7 Prosperity Way, Portsmouth, NH 03801
- Emergency Hours: Limited emergency standby for established patients
- Goodwin Community Health (Somersworth): Check for emergency availability
3. Hospital Emergency Rooms
- When to Go: Severe facial swelling, difficulty swallowing, fever with tooth pain
- What They Do: Under EMTALA, hospitals must provide emergency stabilization and pain management – they cannot perform dental procedures
- Cost: Expensive, but required to provide emergency assessment and pain control
Emergency Documentation Checklist
- Required ID: Photo identification (driver’s license or state ID)
- Income Proof: Social Security statement, bank statements from last 3 months
- Residency: Utility bill or lease agreement
- Medical Info: Current medications list, insurance cards if available
Understanding New Hampshire’s Dental Care Landscape for Seniors
The Healthcare Advantage
Unlike many states, New Hampshire provides a significant advantage for seniors needing dental care. New Hampshire expanded Medicaid to include comprehensive adult dental benefits through the NH Smiles Program, which launched in April 2023. This makes New Hampshire one of the more senior-friendly states for affordable dental care.
Health Connections: Why Dental Care Matters for Seniors
Poor oral health increases risk of serious conditions common in seniors:
- Heart Disease: Gum disease bacteria can enter bloodstream, contributing to cardiovascular problems
- Diabetes Complications: Gum disease makes blood sugar harder to control
- Pneumonia: Bacteria from infected teeth and gums can be aspirated into lungs
- Malnutrition: Tooth loss leads to difficulty eating nutritious foods
Source: American Heart Association, American Diabetes Association
Verified Free and Low-Cost Programs for New Hampshire Seniors
1. New Hampshire Smiles Adult Program (Primary Option)
Current Status (Verified 2026):
- Comprehensive dental coverage for adults 21+ enrolled in NH Medicaid
- Partnership between NH DHHS, Northeast Delta Dental, and DentaQuest
- Mobile dental clinics available everywhere with regular scheduling
Services Covered:
- Diagnostic: X-rays, comprehensive oral exams, emergency evaluations
- Preventive: Cleanings, fluoride treatments (unlimited – no copay)
- Restorative: Fillings, crowns, extractions, limited gum treatment
- Surgical: Oral surgery, anesthesia services
- Special: Dentures for nursing facility residents and waiver participants
Income Requirements (2026):
| Household Size | Maximum Annual Income (138% FPL) | Maximum Monthly Income |
|---|---|---|
| 1 person | $22,025 | $1,835 |
| 2 people | $29,864 | $2,489 |
| 3 people | $37,702 | $3,142 |
Source: US Department of Health and Human Services 2026 Poverty Guidelines
Cost Sharing:
- Free: All preventive and diagnostic services
- Low Cost: 10% of service fees for those above 100% FPL, capped at 5% of household income
- Exempt: Nursing facility residents, disability waiver participants
Contact:
- Customer Service: 1-844-583-6151 (TTY: 800-466-7566)
- Hours: Monday-Wednesday 8 AM-8 PM, Thursday-Friday 8 AM-5 PM EST
- Find Dentist: DentaQuest.com/newhampshire
2. Professional Denture Care Program
How It Works (Verified 2026):
- Volunteer program by New Hampshire Dental Society since 1980
- Provides affordable full dentures to eligible NH residents
- Fees help cover lab expenses while dentists donate their time
- 2025-2026 Application Cycle is currently active
Services & Limitations:
- Covered: Full upper and/or lower dentures only
- Not Covered: Partial dentures, immediate dentures, relines, extractions
- Eligibility: Low/fixed income residents not in other programs (must provide proof of income/benefits)
Pricing (2025-2026 Cycle):
| Service | Cost |
|---|---|
| Single Denture (Upper OR Lower) | $700 |
| Complete Set (Upper AND Lower) | $1,400 |
Note: Fees cover lab costs; professional services are donated.
Application Process:
- Step 1: Download the “DCP Application 2025-2026” from nhds.org
- Step 2: Submit the completed form with required income verification documents
- Address: New Hampshire Dental Society, 23 South State St, Concord, NH 03301
- Phone: 603-225-5961
3. Donated Dental Services (DDS) Program
How It Works:
- Volunteer dentists provide comprehensive care through Dental Lifeline Network
- Patients matched with volunteer dentists based on location and need
- Important: Current wait times vary; program has limited capacity
Eligibility Requirements:
- Age 65 or older, OR permanent disability
- Cannot afford dental treatment
- Have medical condition affecting oral health
Application Process:
- Coordinator: Michelle Rhodes, DDS – (603) 826-6408
- Email: mrhodes@dentallifeline.org
- Website: dentallifeline.org/new-hampshire
- Process: Physician referral required for program review
4. Veterans Affairs (VA) Dental Benefits
NH Veterans Freedom to Smile Initiative: New Hampshire launched a special initiative recognizing that many of the state’s 91,000 veterans lack adequate dental care access.
VA Dental Eligibility Classes:
| VA Class | Who Qualifies | Coverage |
|---|---|---|
| Class 1 | Service-connected dental disability with compensation | Any needed dental care |
| Class 2 | Discharged within 180 days, incomplete dental treatment | One-time dental care |
| Class 4 | 100% service-connected disability rating OR Individual Unemployability | Any needed dental care |
| Class 5 | Enrolled in VA Vocational Rehabilitation (Chapter 31) | Care needed to achieve goals |
VA Dental Insurance Program (VADIP):
- Available to Veterans enrolled in VA health care
- Discounted dental insurance through Delta Dental or MetLife
- Three plan options with varying coverage levels
- Premium costs vary by plan selection
Contact:
- VA Manchester Medical Center: (603) 624-4366 ext. 6799
- Address: 718 Smyth Road, Manchester, NH 03104
- VA Benefits Hotline: 1-800-827-1000
- Website: va.gov/health-care/about-va-health-benefits/dental-care
Medicare and Insurance Options for New Hampshire Seniors
Traditional Medicare (Parts A & B)
Reality Check: Medicare does not cover routine dental care for adults. The only exceptions:
- Hospital-based procedures requiring medical admission
- Medicare Part A may cover facility costs, but NOT the dental work itself
- Medicare Part B may cover separately purchased medications
Medicare Advantage Plans
2026 Dental Coverage in New Hampshire:
- Stand-alone dental premiums range from $19–$65+ monthly
- Annual benefit caps typically $1,000–$4,000 (Higher caps like $4,000 are now available on select “Choice” plans, though $1,500 is standard)
- Reality Check: Market Disruption in 2026. Several major insurers have reduced their footprint or exited the NH/VT market entirely. Coverage networks have tightened, meaning your 2025 dentist may no longer be in-network for 2026. Always verify provider participation before renewing.
Marketplace Dental Plans
Three insurers offer stand-alone dental coverage through New Hampshire’s health insurance marketplace, providing varying coverage levels and costs for those who don’t qualify for Medicaid.
Understanding Dental Costs in New Hampshire (2026 Data)
Current Pricing (Higher Than National Average)
| Service | NH Average Cost | National Average | Source |
|---|---|---|---|
| Routine Cleaning | $153 | $25 | CareCredit State Analysis 2025/2026 |
| Composite Filling | $215 – $395 | 10-15% less than NH | Estimated 2026 Market Rates |
| Porcelain Crown | $1,458.00 | $1,300 | CareCredit State Data 2026 |
| Molar Root Canal | $1,200 – $1,600 | $1,030 – $1,400 | GoodRx / Gentle Dental NH Data |
Important:New Hampshire dental fees remain among the highest in the nation. Patients typically pay 10–20% above national averages , particularly in the Seacoast and Southern NH regions.
Payment Options Available
- CareCredit: Healthcare credit card (Warning: Standard interest rates are high—often 29.99%—if the balance is not paid in full during the promotional period).
- In-House Membership Plans: Many NH private practices now offer “Membership Clubs” (eg, $350/year for 2 cleanings + 15% off treatments) to replace traditional insurance.
- HSA/FSA: Pre-tax dollars can be used to cover all dental co-pays and deductibles.
Special Programs for Diverse Senior Communities
LGBTQ+ Seniors
- Equality Health Center (Concord): Provides individualized, compassionate care since 1974
- Services: General healthcare with LGBTQ+-friendly environment
- Contact: Check current dental service availability
Veteran Seniors
- NH Veterans Freedom to Smile Initiative: State-specific program addressing veteran dental care gaps
- VA Manchester Medical Center: Full-service VA facility with dental services
- Multiple Options: VA benefits, VADIP insurance, state veteran programs
Disabled Seniors
- Enhanced NH Smiles Coverage: Full and partial dentures available for those with DD, ABD, or CFI waivers
- No Cost Sharing: Disabled seniors on waivers exempt from copays
- Transportation: Coordinated Transportation Services available at 1-844-304-6630
Rural Seniors with Limited Access
- Mobile Dental Clinics: Regular statewide schedule through NH Smiles Program
- Teledentistry: 24/7 remote consultations available
- Transportation Assistance: Available through Medicaid and Area Agencies on Aging
Regional Programs by New Hampshire Area
Seacoast Area (Portsmouth, Dover, Rochester)
Families First Health Center – Dental
- Address: 7 Prosperity Way, Portsmouth, NH 03801
- Phone: (603) 422-8208
- Services: Comprehensive dental care, emergency standby for patients
- Status: Currently serving existing patients; check for new patient availability
Goodwin Community Health
- Location: Somersworth area
- Services: Dental care integrated with primary medical care
- Advantage: Coordinated care between dental and medical providers
Central New Hampshire (Concord, Manchester)
NH Smiles Mobile Clinics
- Regular schedule in Concord area
- Call 1-877-248-6684 for appointments
- Free care for Medicaid-eligible seniors
NHTI Dental Hygiene Clinic
- Address: 31 College Drive, Concord, NH 03301
- Phone: (603) 230-4023
- Services: Preventive services by supervised dental hygiene students at nominal fees
North Country (Colebrook, Berlin, Lancaster)
Upper Connecticut Valley Hospital Partnership
- Mobile dental clinics visit regularly
- Part of NH Smiles Program network
- Call for current schedule
Greater Nashua Area
Greater Nashua Dental Connection
- Mission: Non-profit providing affordable dental care regardless of barriers
- Services: Serves people of all ages with financial, linguistic, or geographic challenges
- Status: Check current services and availability
Patient Cost Scenarios: What Seniors Actually Pay
Scenario 1: Robert, Age 67, Manchester
Situation: Needs cleaning and filling, Social Security income $1,650/month
- Qualifies for: NH Smiles Program (income below 138% FPL)
- Cleaning Cost: $0 (preventive care free)
- Filling Cost: $0 (income below 100% FPL, no copay)
- Total Out-of-Pocket: $0
Scenario 2: Marie, Age 73, Portsmouth Veteran’s Spouse
Situation: Needs crown, household income $2,100/month, veteran deceased
- Best Option: Professional Denture Program or marketplace insurance
- Crown Cost: $1,533 average (no veteran benefits as survivor)
- Payment Plan: CareCredit or dental office plan
- Alternative: Consider partial denture for less cost
Scenario 3: David, Age 69, Rural New Hampshire Veteran
Situation: Needs extractions, 70% VA disability rating, income $2,800/month
- Qualifies for: VA dental care (service-connected conditions) + VADIP
- VA Coverage: Service-connected dental work at $0
- VADIP Premium: Varies by plan selection
- Non-Service Connected: VADIP insurance covers with copays
Mobile Dental Clinics and Special Events
NH Smiles Mobile Clinic Schedule (2026)
Upcoming Confirmed Dates (January–March 2026):
- Nashua: February 6-7 & February 20-21, 2026 (Lamprey Health Care, 22 Prospect Street)
- Lebanon: January 31–February 1, 2026 (Lebanon City Hall, 51 N. Park Street)
- Newport: February 22, 2026 (Sunday Only)
- Keene: February 28–March 1, 2026
- Additional locations: Manchester, Portsmouth, and Tamworth also have upcoming dates. Check DentaQuest.com/newhampshire for the full calendar.
How to Schedule:
- Central Scheduling Line: Call 1-877-248-6684 (Solvere Health) to book appointments for any mobile location.
- Eligibility: exclusively for NH Medicaid members ages 21+.
- Services: Diagnostic exams, X-rays, cleanings, fillings, and extractions (Partials/Dentures are generally not done on the mobile valve).
Regional Mission Events
While New Hampshire doesn’t host its own Mission of Mercy event, neighboring states offer opportunities:
- Vermont Mission of Mercy: Contact Vermont Dental Society
- Maine events: Check with Maine dental associations
- Regional events: May serve NH border communities
Decision Tree: Which Program Should You Try First?
Start Here: Do you have a dental emergency?
- YES → NH Smiles teledentistry (866) 302-0905 or hospital ER for severe symptoms
- NO → Continue to income and eligibility assessment
What is your household monthly income?
- Under $1,800 (single) or $2,432 (couple) → You likely qualify for NH Smiles Medicaid
- $1,800-$3,500 → Check marketplace insurance or payment plans
- Over $3,500 → Private insurance or dental office payment plans
Are you a veteran?
- YES → Check VA eligibility first: (603) 624-4366 ext. 6799
- NO → Continue to Medicaid assessment
Do you qualify for NH Medicaid?
- YES → Apply for NH Smiles Program first
- NO → Professional Denture Program, DDS Program, or marketplace insurance
Priority Order for Most New Hampshire Seniors:
- Veterans: VA benefits (if eligible)
- Low income: NH Smiles Medicaid Program
- Moderate income: Professional Denture Care, marketplace insurance
- Need dentures only: Professional Denture Care Program ($700-$1,400)
Application Process: Step-by-Step Guide
For NH Smiles Medicaid Program
Step 1: Check Eligibility
- Use NH EASY online portal for eligibility screening
- Income must be at or below 138% Federal Poverty Level
- Must be New Hampshire resident
Step 2: Apply for Medicaid
- Online: NH EASY website
- Phone: 1-844-ASK-DHHS (1-844-275-3447)
- In Person: Local DHHS district office
Step 3: Receive Dental Coverage
- Automatic enrollment in NH Smiles if Medicaid approved
- Receive DentaQuest ID card by mail
- Coverage begins first day of month after Medicaid approval
Required Documentation:
| Document Type | Specific Examples |
|---|---|
| Photo ID | Driver’s license, state ID card, passport |
| Income Verification | Social Security award letter, bank statements (3 months), tax returns |
| Residency Proof | Utility bills, lease agreement, mortgage statement |
| Citizenship | Birth certificate, passport, naturalization papers |
Typical Timeline
- Medicaid Application: 45 days maximum for decision
- Emergency Coverage: May be available during application process
- Dental Services: Available immediately upon Medicaid approval
Frequently Asked Questions
Q: Does New Hampshire Medicaid cover dental care for seniors? A: Yes! New Hampshire provides comprehensive adult dental coverage through the NH Smiles Program for adults 21 and older enrolled in Medicaid.
Q: How much do dental procedures cost in New Hampshire? A: Based on 2024 data: cleanings $121.62, composite fillings $206-$375, crowns $1,533, root canals up to $1,469. New Hampshire dental costs are 10-20% higher than national averages.
Q: Is there a yearly limit on Medicaid dental coverage? A: Yes. $1,500 annual limit on most services, but preventive care (cleanings, exams, X-rays) has no limit.
Q: Can veterans get free dental care in New Hampshire? A: Some can. Veterans with service-connected dental disabilities, 100% disability ratings, or enrolled in vocational rehab qualify for comprehensive VA dental care.
Q: What should I do for a dental emergency if I have no insurance? A: If you have NH Medicaid, call teledentistry at (866) 302-0905. For severe symptoms (swelling, fever, difficulty swallowing), go to hospital emergency room.
Q: Are there mobile dental clinics in New Hampshire? A: Yes. NH Smiles Program operates mobile clinics statewide with regular schedules. Check DentaQuest.com/newhampshire for current locations.
Q: How do I apply for NH Medicaid? A: Use NH EASY online at nheasy.nh.gov, call 1-844-275-3447, or visit a local DHHS office. If approved for Medicaid, dental coverage through NH Smiles is automatic.
Q: What if my income is slightly too high for Medicaid? A: Consider the Professional Denture Care Program, Donated Dental Services, or marketplace dental insurance. Premiums range from $13-$62 monthly.
Additional Resources and Verified Contacts
State and Regional Resources
New Hampshire Department of Health and Human Services
- Customer Service: 1-844-ASK-DHHS (1-844-275-3447)
- TDD Relay: 1-800-735-2964
- Hours: Monday-Friday, 8 AM-4 PM EST
- Services: Medicaid applications, NH Smiles program information
New Hampshire Dental Society
- Address: 23 South State St, Concord, NH
- Services: Professional Denture Care Program, dental provider lists
- Website: nhds.org
National Resources
Dental Lifeline Network
- NH Coordinator: Michelle Rhodes, DDS – (603) 826-6408
- Email: mrhodes@dentallifeline.org
- Services: Donated Dental Services matching program
- Website: dentallifeline.org
211 New Hampshire
- Phone: 2-1-1
- Website: 211nh.org
- Services: Information on local assistance programs, transportation, emergency aid
Veterans Resources
VA Manchester Medical Center
- Phone: (603) 624-4366 ext. 6799
- Address: 718 Smyth Road, Manchester, NH 03104
- Services: VA dental eligibility determination, treatment
VA Benefits Hotline
- Phone: 1-800-827-1000
- VADIP Plans: Delta Dental or MetLife
Emergency and Crisis Resources
Poison Control (medication interactions)
- Phone: 1-800-222-1222
- Available: 24/7
Veterans Crisis Line
- Phone: 988, Press 1
- Website: VeteransCrisisLine.net
- Available: 24/7
Income Eligibility Quick Reference (2026)
New Hampshire Medicaid (138% FPL)
| Household Size | Annual Income Limit | Monthly Income Limit |
|---|---|---|
| 1 person | $22,025 | $1,835 |
| 2 people | $29,864 | $2,489 |
| 3 people | $37,702 | $3,142 |
| 4 people | $45,540 | $3,795 |
Source: US Department of Health and Human Services 2026 Poverty Guidelines
Additional Income Levels (Single Person):
- 100% FPL: $15,960 annual ( $1,330 monthly)
- 150% FPL: $23,940 annual ( $1,995 monthly)
- 200% FPL: $31,920 annual ( $2,660 monthly)
Action Plan for New Hampshire Seniors Needing Dental Care
Step 1: Assess Your Situation
- Emergency? Call NH Smiles teledentistry (866) 302-0905 or go to ER for severe symptoms
- Veteran? Contact VA Manchester at (603) 624-4366 ext. 6799
- Low income? Check Medicaid eligibility through NH EASY
- Need dentures only? Consider Professional Denture Care Program
Step 2: Gather Documentation
- Photo ID and proof of income/residency for Medicaid
- List of current medications (especially blood thinners, bisphosphonates)
- Insurance cards (Medicare, supplement plans, VA cards)
- Social Security award letters
Step 3: Apply in Strategic Order
If income under $1,800/month (single):
- Apply for NH Medicaid through NH EASY
- Automatic NH Smiles dental coverage if approved
- Find dentist at DentaQuest.com/newhampshire
If you’re a veteran:
- Check VA dental eligibility first
- Consider VADIP insurance for additional coverage
- NH Smiles if income qualifies
If income too high for Medicaid:
- Professional Denture Care Program (if need dentures)
- Marketplace dental insurance ($13-$62/month)
- Donated Dental Services application
Step 4: Maintain Oral Health While Waiting
- Brush twice daily with fluoride toothpaste
- Use over-the-counter pain relievers as directed (avoid aspirin if bleeding)
- Rinse with warm salt water for minor infections
- See a doctor if you develop fever or facial swelling
Looking Ahead: Potential Changes
What May Improve
- Expansion of mobile dental clinic schedules
- Possible increases in NH Smiles annual benefit limits
- Enhanced teledentistry services
What to Watch For
- Changes in federal Medicaid funding
- New Hampshire legislative sessions discussing healthcare funding
- Expansion of community health center dental programs
Stay Informed
- Follow NH DHHS updates on Medicaid
- Check DentaQuest.com for new provider additions
- Monitor NH Dental Society for new programs
Sources
- New Hampshire Department of Health and Human Services (DHHS): Medicaid Dental Services (NH Smiles Program)
- DentaQuest: NH Smiles Adult Member Handbook & Benefits (2026)
- DentaQuest: NH Mobile Dental Clinic Schedule (2026)
- US Department of Health and Human Services: 2026 Federal Poverty Guidelines
- New Hampshire Dental Society: Professional Denture Care Program
- Dental Lifeline Network: New Hampshire Donated Dental Services (DDS)
- NH Department of Military Affairs: Veterans Freedom to Smile Initiative
- NHTI – Concord’s Community College: Dental Hygiene Clinic Services
- NewMouth / CareCredit: New Hampshire Dental Cost Analysis (2026 Data)
- NH DHHS: Medicaid Transportation Services (Coordinated Transportation Solutions)
About This Guide
Researched and Compiled by Grants for Seniors
This guide has been carefully researched using publicly available government resources and official program websites. We systematically review federal and state program information to create comprehensive, accurate guides for older Americans seeking dental care assistance.
Our Sources: All information comes from official sources including federal agency websites (HHS, VA, CMS), state government departments (NH DHHS),
About the Authors