1 Dental 2011 Resource Guide
2 TABLE OF CONTENTS Afforadble Dentures Children s Health Insurance Program (CHIP) College Dental Clinic Community Health Connect Medicaid Mobile-Dentistry.org Mountain Ridge Dental Mountainlands Community Health Center Primary Care Network (PCN) Primary Children s Medical Center Salt Lake Donated Dental Service Utah College of Dental Hygiene Utah Valley Urgent Dental Care Utah Valley University Dental Hygiene Program Wisdom Teeth Only Young Family Dental
3 Affordable Dentures 484 North 950 West, Suite C The Meadows Shopping Center American Fork, UT Receptionist Phone: (801) Fax: N/A To provide dentures at an affordable cost to Orem, Provo, Draper, Heber City, Riverton, Sandy and many other communities in the surrounding area. Monday through Friday starting at 8 a.m. Population: Orem, Provo, Draper, Heber City, Riverton, Sandy and many other communities in the surrounding area. Complete dentures, partial dentures, repairs, relines, adjustments, immediate extraction service, emergency extraction service, and x-rays. Dependent on service rendered. Economy package or lowest fee is $795 for full denture and $550 for partial or single denture. Complete fees are listed on website. Application: Call for an appointment.
4 Children s Health Insurance Program (CHIP) Utah Department of Health PO Box Salt Lake City, Utah Michelle Smith, Director Phone: (877) KIDS-NOW or (888) Fax: (801) Population: Fee: CHIP provides health insurance for low-income children of working families who do not qualify for Medicaid or have any other health insurance coverage. Depends on individual provider. Children between the ages of 0 through 19 whose families income isles than equal to 200% of the Federal Poverty Level yet is too large to qualify for Medicaid. Children must be U.S. citizens, legal residents. Or have been born in the United States. Dental services include: comprehensive oral exams including radiographs; preventive care including cleanings, topical fluoride treatments and sealants; amalgam restorations; pulpotomies; extractions; stainless steel crowns and space maintainers. Co-payments and fees vary Application: Applications for children are always open. To receive more information and/or apply online go to or call toll-free (877) KIDS-NOW ( ) to find the closest eligibility office.
5 College Dental Clinic 1176 South 1480 West Orem, Utah Karen Singleton, Clinic Manager Phone: (801) Fax: (801) The College Dental Clinic provides general dentistry for any patient at a discounted price. Works with The Utah College of Dental Hygiene. Monday through Thursday 8 a.m. to 5 p.m., Friday 8 a.m. to 2 p.m. Population: Anyone 3 years or older General dentistry- fillings extractions, crowns, root canal treatment, sealants, bleach trays, and x-rays. No dentures. Spanish speakers available as needed. Dental Exam including x-rays is $20. After that, any treatment that needs to be done is approximately 50% of the average dental office price. Most insurance are accepted, such as private, Medicaid and CHIP. Application: Please call (801) to schedule an appointment.
6 Community Health Connect 250 West Center Street Suite 111 Provo, Utah Dental Coordinator Phone: (801) Fax: (801) Service: Community Health Connects mission is to improve access to quality health and dental care for low-income uninsured adults and children. They accomplish this goal through the coordination of a Volunteer Provider Network, providing health education and by maximizing existing community resources. Eligibility screening located at above address. Other care provided varies according to the available health care providers. Depends upon where services are received. Community Health Connect hours: Monday and Wednesday 9 a.m. to 6 p.m., Tuesday and Thursday 9 a.m. to 4 p.m. Population: Fee: Low income uninsured men, women, and children that are Utah County residents. Patients whose income falls at or below 150% of the Federal Poverty Level. The car coordinators provide connect patients with doctors and dentists willing to provide care on a charity basis. They provide eligibility screening, coordinate appointments between providers and patients and also coordinate ancillary care needs. Patients in the dental program receive preventive services and a full spectrum of restorative care. There is a $20 membership fee that needs to be paid every six months. There will also be additional costs related to other hard costs including crowns, bridges, partials and dentures. Application: To receive dental services through Community Health Connect, Individuals must first fills out an application, available online or in the office, and bring in proof of income in the form last year s federal income tax statement (IRS 1040) or a copy of the W-2 earnings statements for the last year. Or two most recent earning statements for the household and proof of Utah Residency (i.e. lease agreement, utility bill, etc.) Before seeing a dentist all patients are required to attend a onehour health education class and receive oral hygiene services.
7 Medicaid Utah Department of Health Division of Health Care Financing PO Box Salt Lake City, Utah Dr. Don Hawley, Dental Provider Coordinator Phone: (801) or (800) Fax: (801) The Utah Medicaid program pays for medical and dental services for some lowincome children, adults and pregnant women. Depends upon where services are received. Population: Only U.S. citizens or legal residents are eligible for the different types of Medicaid programs. The monthly income standards for these programs vary between approximately 55% and 133% of the Federal Poverty Level. Some eligible categories of adults include: adults with children under 18; women with breast or cervical cancer; pregnant women; adults over the age of 60; adults who are blind or disabled; and legal refugees. Only individuals who have a Traditional Medicaid cared are eligible for dental services. Children with an income less than or equal to 133% of the FPL between the ages of 0 and 6 and less than or equal to the 100% of the FPL between the ages of 7 and 18 are eligible for the Medicaid program CHEC, which has different dental benefits. Limited dental benefits available for adults. Children on CHEC can have periodic examinations with radiographs and prophylaxis, which include: preventative care including topical fluoride applications and sealants; restorative care including resin and amalgam restorations; root canals; orthodontia in cases of severe malocclusion; and general anesthesia with limitations and/or prior approval. None Application: People can apply to the Medicaid at their local Department of Workforce Services or Bureau of Eligibility Offices. Call (801) to find out the nearest eligibility office. An application form is also available online at
8 Mobile-Dentistry.org James Russon Phone: (801) Fax: (801) To provide full service or emergency dental care to those who are homebound or have limited mobility. Daylight hours Population: Homebound and immobile individuals. Comprehensive dental care. Varies per patient Application: Agencies should refer individuals to Dr. Russon at phone number listed above.
9 Mountain Ridge Dental 1256 South State Street Suite 103 Orem, Utah Melissa Phillips, Clinic Coordinator Phone: (801) Fax: (801) Population: N/A To provide dental care to all populations. Monday, Wednesday 9 a.m. to 6 p.m., Friday 7 a.m. to 4 p.m. Provide care to all individuals, with an emphasis on those with Medicaid. General dentistry Mountain Ridge Dental accepts all insurances. Depending on an individual s insurance coverage, there may be co-pay required. Application: Call (801) to schedule an appointment.
10 Mountainlands Community Health Center 589 South State St. Provo, UT Mountainlands receptionist Phone: Dental (801) Fax: (801) N/A Health professionals providing and collaborating with other partners to assure high quality health care for everyone in the community Monday through Friday 8 a.m. to 5 p.m. Population: MCHC will provide care to any individual. Comprehensive dental services, primarily cleanings, tooth extractions and restorative fillings. Some root canal procedures are performed. No dentures or orthodontic work is done. Emergencies are worked on as the schedule permits. Sliding fee scale. $40 deposit due at time of registration. Application: Patient registration form is filled out at the clinic, Monday through Friday from 10 a.m. to 4 p.m. If insurance is applicable, present insurance card. If no insurance is available, provide verification of income for the past month. This may include: last month s check stubs, state unemployment funding information, state disability funding information, a letter from whom ever is supporting you if you are not receiving any type of income, or last year s tax return or tax statement. New patients can schedule appointments for 1-2 weeks after registration.
11 Primary Care Network (PCN) Utah Department of Health PO Box Salt Lake City, Utah Any Hotline Member Phone: (888) Fax: (801) The Primary Care Network is state health coverage for low-income adults who do not qualify for Medicaid. Depends upon where services are received. U.S. citizens and legal residents ages 19 to 64 whose income is below 150% of the Federal Poverty Level yet is too high to qualify for Medicaid. Preventative dental benefits including examinations with radiographs and prophylaxis every six months; restorative care including resin and amalgam restorations; and emergency examinations for pain or tooth infection. An annual enrollment fee of up to $50 and co-pays for doctors visits not to exceed $1000 per year. Application: Applications are only accepted during enrollment sessions. PCN is currently only enrolling parents with children under the age 19, and is unsure of the next date it will re-open to the general public. It is best to call first to see which enrollment session is open. Applications are available online at or call (888) to find the nearest eligibility office.
12 Primary Children s Medical Center 100 North Mario Capecchi Drive Salt Lake City, Utah Sue Ellen, Dental Program Coordinator Phone: (801) Fax: (801) Primary Children s Medical Center serves five states in the Intermountain West- Utah, Idaho, Wyoming, Nevada and Montana. The 232-bed facility is equipped and staffed to treat children with complex illness and injury. Monday through Thursdays from 9:00 a.m. to 4:30 p.m. and Fridays from 9 a.m. to noon. Population: The Primary Children s Medical Center Dental Program serves children ages 0 up to 14 years old that have special needs, disabilities or medical problems, such as heart problems, cancer, bone marrow transplants, autism delayed development, and spina bifida. Children with dental needs requiring surgery are a priority they serve children who have private insurance, Medicaid or who are without insurance or public benefits. Comprehensive dental care. Low-income children without Medicaid can apply for Primary Services, which will cover their dental services. Application: Those wanting information about financial assistance for dental services at Primary Children s Medical Center should contact Teresa Loscher at ( 801)
13 Salt Lake Donated Dental Services 1383 South 900 West Suite 128 Salt Lake City, Utah Phone: Clinic Manager (801) agencies only (801) patient Information line: Fax: (801) Hour: N/A Salt Lake Donated Dental Services provide preventative and restorative dental care for those who are low-income or homeless. Monday, Tuesday, Wednesday 9 a.m. to 12:30 p.m. and 1:30 p.m. to 4 p.m., Thursday and Friday 9 a.m. to noon. Population: SLDDS provides dental service to the homeless and those falling below the very low income level as defined by the Federal Standards. SLDDS will treat those with Medicaid, PCN or CHIP as long as their income qualifies. Those seeking services should call Salt Lake Donated Dental Services to find out if they meet the income requirements. Salt Lake Donated Dental Services provides comprehensive dental services, including preventive and restorative procedures and extractions. Because the clinic is staffed by volunteer dentist, the dental services offered can change daily. Salt Lake Donated Dental Services request a $10 donation but it is not a requirement for services. Patient must pay lab costs for prosthetic procedures (dentures, partials flippers) Application: Salt Lake Donated Dental Services accepts patients on a walk-in basis. Children in pain and people with noticeable swelling will be seen first, after which patients will be seen on a first come first serve basis. Appointments are available on a limited basis. At each visit, the patient must bring proof of eligibility such as: public health benefits along with income verification, a homeless shelter card, welfare statement, social security award letter, recent paycheck stubs or income tax form.
14 Utah College of Dental Hygiene 1176 South 1480 West Orem, Utah Leah Pettit, Clinic Secretary Phone: (801) Fax: (801) N/A The Utah College of Dental Hygiene offers a Bachelor of Science in Dental Hygiene upon completions of a two year program. A significant part of the students training involved the clinical treatment of patients in the UCDH Clinic. Students are supervised by licensed dental hygiene instructors and a licensed dentist. These change yearly for the fall 2011/Spring Tuesday, Wednesday, Thursday patients will be seen at 8:00 a.m. and 1:00 p.m. From January 2012 to the end of April no patients will be seen. Summer clinic hours TBA. Population: Anyone age 3 and over is eligible Preventive services such as dental examinations, x-rays, polishing, fluoride treatments, dental sealants and deep scaling. Local anesthesia is available. Spanish speakers available as needed. There is a one-time $10 sterilization fee. Duplicate x-rays are $50. Chlorhexidine prescription rinse is $10 and Clinpro fluoride paste is $10. Application: Interested individuals can call (801) to schedule an appointment.
15 Utah Valley University Dental Hygiene Program 987 South Geneva Road Orem, Utah Linda Anderson, Clinic Secretary Phone: (801) Fax: N/A N/A The Utah Valley University Department of Dental Hygiene offers an Associates of Applied Science in Dental Hygiene degree upon completions of a two-year program. A significant part of the students training involves clinical treatment of patients in the UVU dental hygiene students clinic. Students are supervised by licensed dental hygiene instructors and a licensed dentist. Spring Semester: Monday 3 p.m. to 6 p.m. Tuesday, Wednesday, Thursday 8:30 to 11:30 a.m. & 12:30 to 3:30 p.m. Fall Semester: Tuesday, Thursday 12:30 to 3:30 p.m. Wednesday 8:30 to 11:30 a.m. & 12:30 to 3:30 p.m. Population: Individuals age 3 and older, if the parent has concerns about a younger child they can be brought in to be seen as well. Preventive services such as cleanings, x-rays, polishing and fluoride. Sealants are provided as needed. For students and staff of UVU it is a $13. For adults not a part of UVU it is $25 (depending on income it could be less). For children ages 4-10 there is a $10 fee and for adolescence ages there is a $15 fee. For a Panoramic X-Ray it costs about $18 - $20. For sealants it is $5 a tooth or $15 a quadrant of teeth. Application: Individual can call (801) to schedule an appointment.
16 Utah Valley Urgent Dental Care 3330 N University Avenue # A Provo, UT Any front office staff Phone: Population: To provide immediate relief for individuals who are unable to receive treatment elsewhere. Currently there is only one dentist. He works 4 days out of the week alternating between Monday thru Thursday and Wednesday thru Saturday. Office hours are 8 a.m. to 7 p.m. Serviced are available to general population. General dentistry. Dependent on services provided. Accepts Medicaid, PCN and CHIP as well as other insurances. Application: Process: call to make an appointment.
17 Wisdom Teeth Only 2230 North University Parkway Provo, Utah Dr. Heath Henderson s Office Phone: (801) or (800) Population: o provide extractions at an affordable cost. Call office to schedule Individuals who need wisdom teeth removed or full mouth extractions that are unable to afford treatment elsewhere. Full-mouth extractions or wisdom tooth removal (with general anesthesia). $300 Application: Payment due in full in the form of cash or money order at time of service.
18 Young Family Dental 1834 South State Orem, UT Office staff Phone: Orem (801) American Fork (801) Saratoga Springs (801) To provide a comprehensive dentistry at one location with a breadth of talent by employing a variety of doctors with different specialties. Monday through Friday 8 a.m. to 5 p.m. Saturday 8 a.m. to noon General dentistry, Cosmetic dentistry, neuromuscular dentistry, endodontic dentistry, and restorative dentistry. Population: Utah County general population Dependent upon services provided. Insurances accepted are Medicaid, PCN, and CHIP. Also accepts other insurances. Application : Call for an appointment