Starting points for your exploration of teledentistry laws and how to use teledentistry in your state
“What states allow teledentistry?” is for the most part the wrong question to ask since teledentistry is not an on or off switch. If you are a dentist or other dental professional, a better question to ask is, “How can I work within my state parameters to use telehealth technology effectively?” Some states incorporate dental telehealth under wider telehealth legislation. State Dental Boards have widely varying policies on scope of practice and expanded functions. This is a quick reference guide to the status of teledentistry regulation in each U.S. state as part of asking those beginning questions. Click on your state in the interactive map below to find out what level of teledentistry regulations exist in your state, how dental hygienists, dental assistants and expanded function dental professionals (ex. dental therapists) can use teledentistry in your state, if there is public coverage available for telehealth and if payment parity laws are in place.
Please note: This document does not reflect the temporary Covid-realted federal or state-specific policy changes around teledentistry guidance including allowed functions of dental personnel and their practice acts or payment parity for teledentistry services by state Medicaid or private insurers.
- State Teledentistry Regulation Status
Expanded Function: Allowed duties that dental hygienists and dental assistants can provide practicing with teledentistry. Expanded roles/licenses of dental hygienists and dental assistants.
Medicare: Federal health care coverage for individuals aged 65+, certain younger people with disabilities, or people with End-Stage Renal Disease (medicare.gov)
Medicaid: Health coverage for low-income adults, children, pregnant women, elderly adults, and people with disabilities. It is administered by states with their own regulations, guided by federal requirements (medicaid.gov)
Payment Parity: Payment rates for services provided using telehealth or teledentistry must be the same as if those services were provided in person.
Asynchronous teledentistry: Store and forward. Not realtime communication. Such as text or chat messaging or email.
Synchronous teledentistry: Real-time communication. Such as live video consultation.
None: No regulations for teledentistry exist in the state (Note: Lack of specific teledentistry legislation does not mean teledentistry is not allowed in your state. Wider telehealth state laws may also be applicable).
Limited: Teledentistry has been mentioned in other bills or possibly defined but no real regulations for practicing with teledentistry exist in the state.
Extensive: Regulations for practicing with teledentistry exist in the state in the form of a Teledentistry Act or other documentation.