Community Health Center
Horizon Health - Howard Dental
112 N Main St, Howard, SD 57349-9055 25.9 miles away
Community Health Center
Horizon Health - De Smet Medical and Dental
401 Prairie Ave SW, De Smet, SD 57231
Horizon Health - De Smet Medical and Dental is a community health center dental clinic in De Smet, SD, operated by Horizon Health Care, which runs 8 clinics in South Dakota.
The health center is open about 50 hours a week, though dental sessions are usually a subset of that.
Clinic Details
| Address | 401 Prairie Ave SW, De Smet, SD 57231 |
|---|---|
| Phone | 605-854-3455 |
| Operated by | Horizon Health Care |
| Program | Health Center Program (federally funded) |
| Site schedule | Full-Time |
| Operating calendar | Year-Round |
Dental Services
What is treated here is not published in a form we can confirm. Examinations, cleanings, fillings and extractions are standard at this kind of clinic. Root canals and dentures are the ones to ask about, since a referral to a private specialist changes the cost completely.
Common Questions
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. Horizon Health Care sets its own scale.
Do I have to be a registered patient first?
Some clinics require you to register with the health center before booking dental, which adds a step and sometimes a separate appointment. Ask about that on the first call so you are not turned back at the desk.
What happens if I miss an appointment?
Missed dental appointments are taken seriously because the chair time cannot be reused, and repeated no-shows can affect whether you keep the slot. Call to cancel even at short notice; it costs you nothing and keeps you on the books.
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.
Do I have to pay on the day?
Commonly yes, at least the discounted portion, and some clinics ask for it before treatment rather than after. Ask what is due at the first visit, because a discount determination and the first appointment are sometimes separate visits.
Can they do specialist work here?
Providers in more than general dentistry are registered at this address, which is listed further up the page. That does not mean the clinic is taking new patients for those treatments or that they fall inside the discount, so name the treatment when you call.
Costs and Coverage
This clinic prices by household income and family size instead of charging everyone the same. Where the thresholds fall is decided by Horizon Health Care, so what a friend paid elsewhere is not a guide. 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.
No Medicaid registration has been recorded for this clinic, which is not the same as Medicaid being refused. Adult dental benefits vary by state and South Dakota 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
401 Prairie Ave SW, De Smet, SD 57231
The published number is 605-854-3455. 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, whether your insurance or Medicaid dental plan is accepted, by plan name, and what to bring for the sliding fee application.
Size of the Dental Service
Horizon Health Care provided 20,742 dental visits and 8,992 dental patients in 2025, with the equivalent of 28.47 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 Horizon Health Care
Horizon Health Care operates 7 other clinics in 6 other communities in South Dakota. 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
Distances are as the crow flies. Wait times are set clinic by clinic, so ask each one rather than assuming.
- Horizon Health - Howard Dental — Howard, about 25.9 miles away
- Horizon Health - Howard Medical — Howard, about 26 miles away
Confirmed Payment Options
Income-Based Fees
Call Horizon Health - De Smet Medical and Dental
Confirm current dental services, appointment availability, costs and accepted insurance directly with the clinic.
Nearby Affordable Dental Clinics
Community Health Center
Horizon Health - Howard Medical
208 S Main St, Howard, SD 57349-8813 26 miles away
Community Health Center
Horizon Health - Wessington Springs Dental
602 1st St NE STE 3, Wessington Springs, SD 57382-2167 54 miles away
Community Health Center
Horizon Health - Plankinton Medical and Dental
106 S Main St, Plankinton, SD 57368-2264 65.2 miles away
Before you call
