Dental Grants in Montana
Free and Low-Cost Dental Care for Montana Seniors: Complete 2025 Guide
Written & Reviewed by
Last updated:
Medical Review: Content verified against current Montana Medicaid policies and federal poverty guidelines
Key Takeaways
Bottom Line: Montana provides good Medicaid dental coverage for adults with an annual benefit limit of $1,125, plus preventive services that don’t count toward this cap. The state also has multiple community health centers offering sliding fee scales, making dental care more accessible than in many states.
What You Need to Know Right Now:
- Medicaid Coverage: Adults qualify with income up to 138% of Federal Poverty Level ($21,597 annually for individuals in 2025)
- Dental Benefits: $1,125 annual limit for treatment services; cleanings, x-rays, and dentures don’t count toward cap
- Community Options: 13+ community health centers provide dental care on sliding fee scales
- Reality Check: Wait times can be 2-8 weeks for routine care; emergency care often available same-day
DENTAL EMERGENCY HELP – GET CARE TODAY
If you’re having a dental emergency right now:
Immediate Emergency Resources
1. Community Health Partners (Bozeman)
- Emergency Line: (406) 585-8701
- Walk-In Clinic: Tuesday-Friday mornings, first-come, first-served
- Address: 1695 Tschache Lane, Bozeman, MT 59718
- Services: Emergency extractions, pain relief, antibiotics
2. RiverStone Health Dental Clinic (Billings)
- Main Line: (406) 247-3333
- Address: 2900 12th Avenue North, Billings, MT 59101
- Status: Accepts Medicaid and offers uninsured sliding fee scale
- Emergency Care: Available during clinic hours
3. Southwest Montana Community Health Center (Butte)
- Phone: (406) 723-4075
- Services: Emergency dental care for existing and new patients
- Payment: Sliding fee scale available for uninsured patients
4. Hospital Emergency Rooms
- When to Go: Severe facial swelling, difficulty swallowing, fever with tooth pain
- What They Do: Provide emergency stabilization and pain management – 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 Montana’s Dental Care Landscape for Seniors
The Good News for Montana Seniors
Montana Medicaid provides adult dental coverage with an annual $1,125 treatment limit, while preventive services (cleanings, x-rays) and dentures don’t count toward this cap. Adult members with Standard Medicaid Benefits will have an annual $1,125 dental treatment services cap; Covered Anesthesia, dentures, diagnostic, and preventative services do not count towards the annual cap.
The Challenges
Montana faces a significant shortage of dental providers. In 2019, 79% of counties in Montana were reported to experience a shortage of dental professionals. However, the state has responded with expanded community health center programs and transportation assistance for rural residents.
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 Montana Seniors
1. Montana Medicaid Dental Coverage
Current Status (Verified 2025): Montana Medicaid covers extensive adult dental services with an annual $1,125 treatment limit. Adults enrolled in Medicaid in Montana are eligible for extensive dental services up to an annual limit of $1,125 (anesthesia, dentures, diagnostic and preventative services do not count towards the annual cap).
Services Covered:
- Preventive: Cleanings every 6 months, x-rays, fluoride treatments (not counted toward annual cap)
- Restorative: Fillings, crowns, root canals (counted toward $1,125 cap)
- Surgical: Extractions, oral surgery (counted toward cap)
- Prosthetics: Dentures (not counted toward annual cap, limited to one set every 10 years)
- Emergency: Pain management, antibiotics
Income Requirements (2025):
| Household Size | Maximum Annual Income (138% FPL) | Maximum Monthly Income |
|---|---|---|
| 1 person | $21,597 | $1,800 |
| 2 people | $29,207 | $2,434 |
| 3 people | $36,817 | $3,068 |
| 4 people | $44,427 | $3,702 |
Source: Montana Department of Public Health and Human Services 2025 guidelines
How to Apply:
- Online: apply.mt.gov or HealthCare.gov
- Phone: 1-800-318-2596
- In-Person: Local DPHHS offices
2. Community Health Partners (Bozeman/Livingston)
Why Consider CHP: We provide first-come, first-serve emergency dental services to all patients during our morning Walk-In Clinic. This makes CHP an excellent option for both emergency and routine care.
Services Available:
- Emergency Care: Walk-in clinic Tuesday-Friday mornings
- Comprehensive Care: Exams, digital x-rays, cleanings, fillings, extractions
- Preventive Care: Sealants, fluoride treatment, oral hygiene counseling
- Limited Specialties: Some wisdom tooth extractions (complexity dependent)
Locations & Contact:
| Location | Address | Phone | Services |
|---|---|---|---|
| Bozeman | 1695 Tschache Lane | (406) 585-8701 | Medical, dental, behavioral health, pharmacy |
| Livingston | Contact for address | (406) 946-4291 | Full services |
Payment Options:
- Medicaid accepted
- Sliding fee scale for uninsured patients
- 340B pharmacy provides reduced-cost medications
3. RiverStone Health (Billings)
Current Status: Large community health organization serving Yellowstone County and surrounding areas with comprehensive dental services.
Services Offered:
- Routine dental care for all ages
- Emergency dental services
- Preventive care programs
- Mobile health services
Contact Information:
- Main Line: (406) 247-3333
- Address: 2900 12th Avenue North, Billings, MT 59101
- Payment: Accepts Medicaid, sliding fee scale available
4. Southwest Montana Community Health Center
Coverage Area: Serves Southwest Montana including Butte and Dillon with comprehensive healthcare services.
Dental Services:
- Primary dental care
- Emergency dental services
- Sliding fee scale based on income
Contact Information:
- Butte: (406) 723-4075
- Dillon: (406) 683-4440
- Years of Service: Operating for more than 39 years
5. Donated Dental Services (DDS) Program
How It Works: DDS has 183 volunteer dentists and 43 labs, served over 1,500 patients, and provided $5.8 million in donated treatment since 1997. Currently, nearly 150 dentists and more than 65 dental laboratories across Montana serve as volunteers.
Eligibility Requirements:
- Age 65 or older, OR permanent disability
- Cannot afford dental treatment
- Need comprehensive treatment (more than just cleanings)
Application Process:
- Phone: (888) 449-9670 or (406) 449-9670
- Website: dentallifeline.org/montana
- Important: Due to high demand, wait times can be significant; no cosmetic or emergency services
Medicare and Insurance Options for Montana Seniors
Traditional Medicare (Parts A & B)
Reality Check: Medicare doesn’t pay for routine dental care except when dental services are inextricably linked to other Medicare-covered procedures like organ transplant or cancer treatment.
Medicare Advantage Plans
2025 Dental Coverage Reality: For adults who purchase their own stand-alone dental coverage through the exchange in Montana, premiums in 2025 range from about $15 to $56 per month. Many Medicare Advantage plans offer dental benefits, but coverage varies significantly.
Montana Health Insurance Marketplace
Montana uses HealthCare.gov for individual dental plans. Stand-alone dental plans are available with premiums ranging from $15-$56 monthly, though these typically have annual benefit caps of $1,000-$3,000.
Patient Cost Scenarios: What Seniors Actually Pay
Scenario 1: Robert, Age 72, Billings
Situation: Needs 2 fillings and cleaning, has Social Security income of $1,700/month
- Qualifies for: Montana Medicaid (income below 138% FPL)
- Total Cost: Cleaning free (preventive), $40-60 for fillings depending on provider
- Documentation: SS statement, utility bill, photo ID
Scenario 2: Mary, Age 68, Rural Montana
Situation: Needs dentures, has income $2,200/month (slightly over Medicaid limit)
- Best Option: Community health center with sliding fee scale
- Transportation: Medicaid transportation available if over 30 miles to provider
- Estimated Cost: $800-$1,500 (vs. $3,000+ private practice)
Scenario 3: William, Age 75, Veteran in Great Falls
Situation: Needs crown, has 60% VA disability rating
- Options: VA dental benefits + Community Health Care Center as backup
- VA Coverage: May qualify for service-connected dental care
- Backup Plan: Sliding fee scale at community health center
Regional Programs by Montana Area
Billings Area (Yellowstone County)
RiverStone Health (Primary Option)
- Comprehensive community health organization
- Mobile health services for rural areas
- Accepts Medicaid and offers sliding fee scale
Bozeman/Gallatin County
Community Health Partners (Primary Option)
- Walk-in emergency dental clinic Tuesday-Friday mornings
- Comprehensive dental services with experienced providers
- 340B pharmacy for reduced medication costs
Butte/Southwest Montana
Southwest Montana Community Health Center
- Serving the region for over 39 years
- Dental services at both Butte and Dillon locations
- Sliding fee scale available
Great Falls Area
Community Health Care Center
- Phone: (406) 454-6973
- Serves north-central Montana
- Comprehensive dental services
Rural Areas Statewide
Montana Primary Care Association Network
- 13+ community health centers across the state
- All offer sliding fee scale dental services
- Transportation assistance available through Medicaid
Additional Rural Options:
- Bullhook Community Health Center (Havre): (406) 395-4305
- Flathead CHC (Kalispell): (406) 751-8221
- Northwest CHC (Libby): (406) 283-6900
- Partnership Health Center (Missoula): (406) 258-4789
Understanding Dental Costs in Montana (2025 Data)
Current Pricing Estimates
| Service | Montana Average Cost | With Sliding Scale | Medicaid Coverage |
|---|---|---|---|
| Routine Cleaning | $100-$180 | $30-$90 | Covered (no cap) |
| Composite Filling | $200-$350 | $60-$175 | Covered (toward cap) |
| Porcelain Crown | $900-$1,400 | $450-$700 | Covered (toward cap) |
| Root Canal | $800-$1,200 | $400-$600 | Covered (toward cap) |
| Complete Dentures | $2,500-$4,000 | $1,250-$2,000 | Covered (no cap) |
Payment Options Available
- Montana Medicaid: Most comprehensive coverage with $1,125 annual treatment limit
- Sliding fee scales: Available at all community health centers
- Payment plans: Offered by most community health centers
- CareCredit: Available but watch for high APR after promotional periods
- HSA/FSA: Pre-tax dollars can cover dental expenses
Transportation and Access Solutions
Medicaid Transportation Benefits
Benefits are available to Medicaid enrollees to and from dental care appointments. The Transportation Center must approve all travel prior to date of travel. Contact the Transportation Center at (800) 292-7114 or (406) 443-6100.
Rural Access Programs
- Mobile Dental Services: Some areas served by mobile units
- Teledentistry: Limited availability for consultations
- Area Agencies on Aging: May provide transportation assistance
- Indian Health Service: Serves tribal communities with dental clinics in multiple locations
Decision Tree: Which Program Should You Try First?
Start Here: Do you have a dental emergency?
- YES → Community health center walk-in clinic or hospital ER (severe symptoms)
- NO → Continue to income assessment
What is your household monthly income?
- Under $1,800 (single) or $2,434 (couple) → Apply for Montana Medicaid first
- $1,800-$3,500 → Community health centers with sliding fee scale
- Over $3,500 → Private practice or marketplace dental insurance
Are you a veteran?
- YES → Check VA eligibility first: 1-800-827-1000
- NO → Continue to location assessment
Where do you live?
- Billings area → RiverStone Health
- Bozeman/Gallatin County → Community Health Partners
- Butte/Southwest → Southwest Montana CHC
- Great Falls → Community Health Care Center
- Rural areas → Nearest community health center + consider transportation options
Priority Order for Most Montana Seniors:
- Low income (under 138% FPL): Montana Medicaid
- Veterans: VA benefits (if eligible)
- All income levels: Community health centers with sliding fee scales
- Limited income, long wait for Medicaid: Donated Dental Services
Special Considerations for Montana Seniors
Rural Challenges and Solutions
- Distance to Care: Montana’s rural nature means some seniors may need to travel 50+ miles for dental care
- Transportation: Medicaid provides transportation benefits for dental appointments
- Weather: Winter weather can delay appointments; plan ahead during severe weather months
- Provider Shortages: 79% of counties have dental provider shortages
Senior-Specific Dental Challenges
- Dry Mouth: Common side effect of medications, increases cavity and gum disease risk
- Fixed Incomes: Medicare doesn’t cover routine dental care, making Medicaid crucial
- Medication Interactions: Many seniors take medications that can affect dental treatments
- Mobility Issues: Some community health centers offer assistance for seniors with mobility challenges
Medication Interactions – Critical Warnings
Always tell your dentist about:
- Blood thinners (Warfarin, Eliquis, Xarelto) – may require procedure modifications
- Bisphosphonates (Fosamax, Boniva) – can affect jaw bone healing
- Diabetes medications – can affect infection fighting ability
- Blood pressure medications – may interact with dental anesthetics
Source: American Dental Association Drug Interaction Guidelines
Application Process: Step-by-Step Guide
Before You Apply – Gather These Documents
Required for Most Programs:
| 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 |
| Medical Information | Medication list, medical conditions summary, insurance cards |
Typical Application Timeline
Montana Medicaid:
- Online application: Available at apply.mt.gov
- Processing time: 30-45 days typically
- Coverage start: Usually first of month after approval
- Emergency coverage: May be available for urgent needs
Community Health Centers:
- Initial appointment: 1-4 weeks for routine care
- Emergency walk-in: Same day at centers offering walk-in services
- Sliding fee determination: Usually completed at first visit
Donated Dental Services:
- Application: Call (888) 449-9670
- Matching process: Varies by location and volunteer availability
- Wait time: Can be several months due to high demand
Application Success Tips
- Apply to Multiple Programs: Don’t rely on just one option
- Start with Medicaid: If income-eligible, this provides the most comprehensive coverage
- Keep Documentation Current: Income verification expires after 3-6 months
- Plan for Transportation: Factor travel time and costs, use Medicaid transportation if eligible
- Consider Timing: Apply before severe problems develop
Resources for Specific Senior Populations
Rural Seniors with Limited Access
- Medicaid Transportation: Available for dental appointments over approved distances
- Mobile Dental Services: Contact Montana Primary Care Association for schedules
- Teledentistry: Some providers offer remote consultations
- Community Resources: Local churches and organizations sometimes provide transportation
Veteran Seniors
- VA Dental Care: (800) 827-1000
- Indian Health Service: Multiple dental clinic locations for eligible veterans
- Veterans Service Organizations: Can help navigate benefits
Disabled Seniors
- Montana Medicaid: Automatic eligibility if receiving SSI
- Specialized Equipment: Community health centers accommodate disabilities
- Home Health Services: Some providers offer limited in-home dental care
LGBTQ+ Seniors
- Community Health Centers: Required to serve all populations without discrimination
- Cultural Competency: Many providers receive training in inclusive care
- Support Organizations: Contact Montana LGBTQ+ organizations for provider recommendations
Tribal Seniors
- Indian Health Service Dental Clinics:
- Browning, Crow Agency, Lodge Grass, Pryor
- Polson, Pablo, St. Ignatius
- Harlem, Hays, Poplar, Wolf Point
- Lame Deer, Box Elder
- Tribal Health Programs: Additional services may be available through tribal organizations
Warning Signs and Red Flags
Dental Emergency Symptoms – Seek Immediate Help
- Facial swelling that affects breathing or swallowing
- Fever with dental pain (sign of serious infection)
- Severe bleeding that won’t stop
- Trauma affecting multiple teeth
Avoid These Dental Scams
- Door-to-door dental services
- “Free” dental work with no income verification
- Pressure to sign up immediately
- Unlicensed mobile dental units
- Requests for Social Security numbers before verification
Legitimate Program Characteristics
- Licensed facilities and dentists
- Income verification required for sliding scales
- Clear information about costs and coverage
- No upfront fees for applications
- Established physical addresses
Frequently Asked Questions
Q: Does Montana Medicaid cover dental care for seniors? A: Yes! Montana Medicaid covers adult dental services with an annual $1,125 treatment limit. Preventive services (cleanings, x-rays) and dentures don’t count toward this cap.
Q: What income qualifies for Montana Medicaid? A: Adults qualify with income up to 138% of Federal Poverty Level – $21,597 annually ($1,800 monthly) for individuals in 2025.
Q: Where can I get emergency dental care in Montana? A: Community Health Partners in Bozeman offers walk-in emergency dental care Tuesday-Friday mornings. Other community health centers provide emergency care during regular hours.
Q: How much do dental procedures cost in Montana? A: With Medicaid, most services have minimal copays. Community health centers offer sliding fee scales that can reduce costs by 50-70% for uninsured patients.
Q: Are there free dental clinics in Montana? A: The Donated Dental Services program provides free comprehensive care to eligible seniors through volunteer dentists, though wait times can be significant.
Q: Can veterans get free dental care in Montana? A: Some veterans qualify for VA dental benefits. Additionally, Indian Health Service provides dental care at multiple Montana locations for eligible veterans.
Q: What should I do if I live in rural Montana and need dental care? A: Montana Medicaid provides transportation to dental appointments. Contact the Transportation Center at (800) 292-7114 to arrange approved travel.
Q: How long does it take to get Montana Medicaid? A: Typically 30-45 days for processing, though emergency coverage may be available for urgent medical needs.
Additional Resources and Verified Contacts
State and Regional Resources
Montana Department of Public Health and Human Services
- Phone: (406) 444-5622
- Medicaid Applications: apply.mt.gov
- Services: Medicaid eligibility, program information
Montana Primary Care Association
- Phone: (406) 442-2750
- Website: mtpca.org
- Services: Community health center locations, program information
Montana Dental Association
- Phone: (406) 443-2061
- Website: montanadental.org
- Services: Provider referrals, community program information
National Resources
Dental Lifeline Network – Montana
- Phone: (888) 449-9670 or (406) 449-9670
- Website: dentallifeline.org/montana
- Services: Donated Dental Services program
211 Montana
- Phone: 2-1-1
- Services: Information on local assistance programs, transportation, emergency aid
Veterans Resources
VA Benefits Hotline
- Phone: 1-800-827-1000
- Website: va.gov/health-care/about-va-health-benefits/dental-care
Emergency and Crisis Resources
Poison Control (medication interactions)
- Phone: 1-800-222-1222
- Available: 24/7
Veterans Crisis Line
- Phone: 988, Press 1
- Available: 24/7
Income Eligibility Quick Reference (2025)
Federal Poverty Level Percentages for Montana
| Household Size | 100% FPL | 138% FPL (Medicaid) | 200% FPL |
|---|---|---|---|
| Annual Income | |||
| 1 person | $15,650 | $21,597 | $31,300 |
| 2 people | $21,150 | $29,207 | $42,300 |
| 3 people | $26,650 | $36,817 | $53,300 |
| 4 people | $32,150 | $44,427 | $64,300 |
| Monthly Income | |||
| 1 person | $1,304 | $1,800 | $2,608 |
| 2 people | $1,763 | $2,434 | $3,525 |
| 3 people | $2,221 | $3,068 | $4,442 |
| 4 people | $2,679 | $3,702 | $5,358 |
Source: U.S. Department of Health and Human Services 2025 Poverty Guidelines
Montana Uses: 138% FPL for Medicaid expansion eligibility
Action Plan for Montana Seniors Needing Dental Care
Step 1: Assess Your Situation
- Emergency? Go to ER for severe symptoms, or walk-in clinic for dental emergencies
- Veteran? Call VA benefits hotline: 1-800-827-1000
- Low income? Apply for Montana Medicaid – excellent dental coverage available
- Rural location? Identify nearest community health center and transportation options
Step 2: Gather Documentation
- Photo ID and proof of income/residency
- List of current medications (especially blood thinners, bisphosphonates)
- Insurance cards (Medicare, supplement plans, VA cards)
Step 3: Apply in Strategic Order
If income under 138% FPL:
- Montana Medicaid (best coverage available)
- Community health center (faster access while waiting for Medicaid approval)
- Donated Dental Services (for comprehensive treatment needs)
If you’re a veteran:
- VA dental benefits (1-800-827-1000)
- Montana Medicaid (if income eligible)
- Community health centers
If income over Medicaid limits:
- Community health centers with sliding fee scale
- Montana Health Insurance Marketplace dental plans
- Donated Dental Services program
Step 4: Address Transportation
- Medicaid recipients: Contact Transportation Center at (800) 292-7114
- Rural seniors: Explore local transportation resources
- Family support: Arrange assistance for appointments
Step 5: Follow Up and Maintain Care
- Check application status monthly
- Schedule regular preventive care to avoid emergency situations
- Keep documentation current for annual renewals
- Maintain oral health while waiting for appointments
Step 6: Maintain Oral Health While Waiting
- Brush twice daily with fluoride toothpaste
- Use over-the-counter pain relievers as directed (avoid aspirin if bleeding)
- Avoid hard foods that could cause further damage
- Rinse with warm salt water for minor infections (1 tsp salt in 8 oz warm water)
- See a doctor if you develop fever or facial swelling
Looking Ahead: Potential Changes
What May Improve
- Montana’s 2025 Legislature is considering making Medicaid expansion permanent
- Continued growth in community health center capacity
- Expansion of teledentistry services for rural areas
What to Watch For
- 2025 Legislative Session: Will determine future of Medicaid expansion (currently set to sunset unless renewed)
- Changes in federal funding for community health centers
- New mobile dental clinic programs
- Potential work requirements for Medicaid (if approved by federal government)
Stay Informed
- Follow Montana Department of Public Health and Human Services updates
- Check Montana Primary Care Association for new community health center locations
- Monitor legislative developments regarding Medicaid expansion
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 options.
Our Sources: All information comes from official sources including federal agency websites (HHS, CMS, VA), Montana state government departments, official program documentation, and verified nonprofit organization resources.
Verification Process: Each program listing undergoes thorough online verification by cross-referencing information across multiple official sources, checking current program status, verifying contact information, and confirming eligibility requirements and application processes.
Information Currency:
- Last Updated: August 2025
- Sources Verified: August 2025
- Next Review: February 2026
Important Note: Government programs can change without advance notice. While this guide uses the most current available information, we strongly recommend verifying all details directly with program administrators before applying.
Found an Error? If you discover outdated information or additional programs that should be included, please contact us at info@grantsforseniors.org.
Disclaimer: This guide is for informational purposes only and does not constitute professional medical or legal advice. Always confirm program details with official sources before applying. Dental program details, eligibility requirements, income limits, and contact information can change frequently. Always verify current information directly with the relevant organization before making decisions about your dental care. This guide is not a substitute for professional medical advice. Income limits and program availability are subject to change based on federal and state legislation and funding availability. All costs and statistics cited are from the sources indicated and were accurate as of the publication date shown. Medical advice should always be sought from qualified healthcare professionals.
This resource is independently researched to help seniors access available dental care programs.
About the Authors