This paper examines how access to and use of oral and dental care under the Children’s Health Insurance Program (CHIP) compared to private coverage and being uninsured in 10 states. We report on findings drawn from a 2012 survey of CHIP enrollees in 10 states. We find that enrolling eligible uninsured children in CHIP led to improvements in their access to preventive dental care, as well as reductions in their unmet dental care needs, yet the CHIP program has more work to do to address the oral health problems of children.