If you are experiencing a throbbing toothache or extreme sensitivity, the words “root canal” might be scary. But for many, the biggest fear isn’t the procedure—it’s the price tag. If you are searching “does Medi-Cal cover root canals for adults,” the answer is a resounding YES.

At Mission Dental Care, we specialize in helping our Oceanside neighbors save their natural teeth using their state benefits. We believe that everyone deserves a pain-free smile, regardless of their budget.

The Details: What exactly does Medi-Cal cover?

Since the full restoration of adult dental benefits in 2018, Medi-Cal (Denti-Cal) has expanded its coverage to include comprehensive restorative care for adults (21+).

  • Front Teeth (Anterior): Root canals on your front teeth are fully covered when medically necessary.

  • Back Teeth (Posterior): Previously restricted, Medi-Cal now also covers root canals for molars and premolars. This is a game-changer for saving your chewing surface and avoiding extractions.

  • $0 Out-of-Pocket: For the majority of our patients with full-scope Medi-Cal, these procedures come with no out-of-pocket costs.

Why Saving Your Tooth is Better Than Pulling It

When faced with a “no insurance” or “low income” situation, many patients think pulling the tooth is the cheaper, easier option. However, a root canal is often the best long-term investment.

  • Maintain Your Jawbone: Pulling a tooth can lead to bone loss and shifting teeth.

  • Chewing Power: Keeping your natural tooth allows you to eat comfortably.

  • Aesthetics: A root canal keeps your natural smile intact, avoiding the need for expensive bridges or implants later.

The “Soft Cap” and Medical Necessity

Medi-Cal has an annual “soft cap” of $1,800 per year for adult dental services. If your root canal and subsequent crown exceed this amount, don’t worry! Our team at Mission Dental Care is highly experienced in submitting Treatment Authorization Requests (TARs) to prove medical necessity, ensuring your treatment is covered even if you’ve reached the cap.

Urgent Notice: The July 1, 2026 Deadline

In 2026, California is seeing significant shifts in Medi-Cal policy. Starting July 1, 2026, certain adult groups (specifically undocumented individuals 19+) may see their full dental benefits transition to “emergency-only” coverage.

If you have a tooth that is currently bothering you, do not wait. By booking your comprehensive exam today, we can help you utilize your current full-scope benefits to save your teeth before these policy changes take effect.

Experience Private Practice Care at No Extra Cost

Why go to a crowded public clinic when you can visit a modern, boutique private dental office in Oceanside? We are a “No-Judgment Zone” dedicated to your comfort and health.

  • 📍 Address: 219 N Horne St, Oceanside, CA 92054

  • 📞 Text: (760) 465-0538

  • 🌐 Website: www.mdentalcareoceanside.com

  • 👨‍⚕️ Doctors: Dr. Sandra Rios & Dr. Manuel Lopez

The Fastest Way to Book Your Appointment: Because our doctors provide one-on-one attention, our phone lines are often very busy. To get an answer about your coverage or to secure the next available time slot, the fastest method is to reach out digitally: