Community Health Center

BIG SANDY HEALTH CARE, INC.

1709 Ky Route 321, Prestonsburg, KY 41653-9097

BIG SANDY HEALTH CARE, INC. is a community health center dental clinic in Prestonsburg, KY, operated by Big Sandy Health Care, which runs 6 clinics in Kentucky.

Clinic Details

Address1709 Ky Route 321, Prestonsburg, KY 41653
Phone606-886-8546
Operated byBig Sandy Health Care
ProgramHealth Center Program (federally funded)
Site scheduleFull-Time
Operating calendarYear-Round

Dental Services

Service and coverage information recorded for this clinic includes:

  • Medicaid

Treatments offered and insurance accepted change over time, and services not listed here may still be available. Contact the clinic to confirm what is currently offered.

Common Questions

Is the building accessible if I use a wheelchair?

Federally supported facilities are subject to accessibility requirements, but the practical questions — whether the dental chair can be transferred to, whether the accessible entrance is the one you would arrive at — are worth asking directly rather than assuming from the front door.

Is treatment free?

Usually not, though it can come close. Clinics like this one discount by household income and are required to see patients regardless of ability to pay, but a charge normally applies and the lowest band is a nominal fee rather than nothing. Big Sandy Health Care sets its own scale.

Does Medicare cover this?

Original Medicare does not cover routine dental care, which surprises most people who reach retirement expecting otherwise. Some Medicare Advantage plans include a limited dental benefit. The sliding scale here does not depend on Medicare, so ask about it separately.

What happens at a first appointment?

Usually an examination with X-rays, sometimes a cleaning, and normally no treatment beyond that — anything found is scheduled for a later visit. Those items are billed separately, which is where unexpected first-visit charges come from. Ask for a written treatment plan with itemized costs before agreeing to anything, so you can stage the work over time if you need to.

What if I have no fixed address?

Say so when you call rather than leaving the field blank. Health centers see people without stable housing routinely, some hold a specific program for it, and a shelter or day center address is normally accepted for the paperwork. Not having an address is not a disqualification.

Do they treat patients who are pregnant?

Yes, and dental care during pregnancy is not something to postpone: professional guidance is that examinations, cleanings, fillings and extractions can be done, and untreated infection carries its own risk. Tell them when you book. Our pregnancy guide covers what changes and what does not.

Costs and Coverage

This clinic prices by household income and family size instead of charging everyone the same. The bands are set by Big Sandy Health Care rather than nationally, which is why prices differ between two clinics on the same scale. Have them assess you before treatment is agreed, not after the first appointment. Our guide to applying for the discount lists the documents to bring.

This clinic has a Medicaid billing registration on file, which is a good sign but not a guarantee for your particular plan. Adult dental benefits vary by state and Kentucky has set its own; children’s dental coverage is mandatory in every state regardless. The Medicaid dental page covers how to check yours.

Planning Your Visit

1709 Ky Route 321, Prestonsburg, KY 41653

The published number is 606-886-8546. This can be a general line rather than the dental desk. Naming both the clinic and the department saves being transferred twice.

Worth confirming before you travel: the dental hours, and which days appointments run, whether new dental patients are being taken, and the current wait, what a first visit costs, before and after any discount, and what to bring for the sliding fee application.

Size of the Dental Service

Big Sandy Health Care provided 8,526 dental visits and 4,811 dental patients in 2025, with the equivalent of 15.03 full-time dental staff. This indicates an established dental service operating regular sessions, although appointment availability still varies by clinic and time of year.

Figures describe the operating organization as a whole, across all of its clinics.

Other Clinics Operated by Big Sandy Health Care

Big Sandy Health Care operates 5 other clinics in 5 other communities in Kentucky. The wait differs between them, sometimes by weeks, so ask which site could see you first rather than assuming the nearest is quickest. Once your discount is assessed at one of its sites, the others normally honor it without a second application. What is treated at one site is no guide to another, so confirm with the clinic you actually intend to visit.

Other Dental Clinics Nearby

Straight-line distances. The nearest clinic is not reliably the one that can see you soonest, so try a couple.

Confirmed Payment Options

Income-Based FeesMedicaid

Call BIG SANDY HEALTH CARE, INC.

Confirm current dental services, appointment availability, costs and accepted insurance directly with the clinic.

606-886-8546

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