State Medicaid Dental Fee Index 2026: What Medicaid Pays Dentists, State by State

Embeddable chart: Medicaid crown fees by state

Journalists and researchers can republish the chart or the live widget below with credit.

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<p style="font-size:13px;margin:6px 0 0">Compilation: <a href="https://realdentalcosts.com/en/medicaid-dental-fee-index-2026/">State Medicaid Dental Fee Index 2026 — Real Dental Costs</a> (RDC compilation and visualization: CC BY 4.0; source rights reserved)</p>

Key findings

• 5.5× spread for a crown. The highest schedule (Delaware, $1,512.65) pays 5.5× the lowest (Illinois, $272.83) for the same porcelain/ceramic crown (D2740).
• Dentures: $311.37 to $2,083.26. A complete upper denture (D5110) is listed from $311.37 in Florida to $2,083.26 in Delaware, median $730.00 across 42 jurisdictions.
• Source dates require context. Of 51 source schedule records, 37 carry a stored 2026 date and 2 a date from the second half of 2025. 8 have no document-level date available (Arkansas, Kansas, Minnesota, New Mexico, Rhode Island, Tennessee, Utah and Vermont); Nebraska (July 1, 2026, inferred from PDF metadata) and Virginia (July 1, 2024, inferred from filename) use inferred dates. Stored dates may be effective, as-of or revision dates, so they are not a uniform measure of when every code last changed.

What Medicaid pays vs what Medicaid paid

A fee schedule is a published rate. HHS/CMS T-MSIS summarizes paid amounts in published claim-line cells. The comparison below is exploratory rather than like-for-like: it compares a state program schedule with claims attributed to the provider's practice state.

For a crown, the largest descriptive differences between schedule fees and paid-per-line figures drawn from different populations and periods:

T-MSIS amounts are 2024 preliminary figures covering fee-for-service, managed care and CHIP claims for all ages. State is assigned from the servicing provider's NPPES practice address (billing provider when servicing is unavailable), not necessarily the beneficiary or payer-program state. HHS suppresses provider × code × month cells with fewer than 12 claim lines or 12 patients, so these are weighted averages of published cells, not complete-claims averages. States flagged for unreliable encounter amounts are excluded (Arizona, Florida, Michigan, Oregon and Virginia), as are state-code cells with fewer than 10 dentists represented in published cells. Children's schedules (Louisiana, Tennessee and Texas) are left out. Source: HHS/CMS Medicaid Provider Spending by HCPCS (T-MSIS), version 2026-02-09 (federal government work; attribution by courtesy).

Two source checks

Arizona. The AHCCCS notice dated August 17, 2026 announces 8 dental code updates for the capped fee schedule workbook effective October 1, 2026. For 3 codes, the notice and the workbook disagree: D6089 (notice $175.00, workbook $744.58), D7299 (notice $91.48, workbook $2.59) and D7979 (notice $95.50, workbook $338.70). Against the secondary ADA-compiled index, 0 of 332 codes compared differ. The index uses the workbook amounts.

Wisconsin. ForwardHealth's primary maximum fee extract was compared with the ADA-compiled index as of September 1, 2025: 88 codes differ and 73 match, with a largest difference of $168.94. 126 codes appear only in the primary extract, including the crown code D2740. The index uses the ForwardHealth extract.

Methodology and limits

• Program rates, not prices. Every published amount is a fee-for-service rate from a state Medicaid dental schedule document. It is not what a patient pays, and it is not what managed care dental plans necessarily pay their dentists.
• Texas. Texas Health Steps schedule (ages 0-20); Texas Medicaid has no comprehensive adult dental benefit.
• Children's schedules. The schedules used for Louisiana and Tennessee are children's schedules; the tool labels every row's scope.
• Virginia. Effective date inferred from the source file name (07/01/2024); the document prints none.
• New Hampshire. Manual-pricing flag with no printed amount.
• Adult rate, children's rate, not listed. Each ranked amount is the adult (21+) general-dentist rate in force. A code priced only for ages 0-20 is shown separately as children only, with the children's amount (for 7 jurisdictions on the crown code); a code from a children's schedule is shown with its amount and labeled. A code printed at $0.00 is shown as listed at $0, without inferring coverage or payment behavior, and a code absent from the schedule as not listed (Indiana: Marked not covered (NOCOV) in the schedule.). None of these non-adult statuses is ranked or counted in the median.
• Dates. “Source schedule date” may be an effective, as-of or revision date. Nebraska and Virginia use clearly labeled inferred dates; a separate per-code rate-effective date is shown when the source provides one. Do not interpret the source date as the last change date for every code.
• Ranks and medians are computed over general schedules with a paying adult fee for each code. See our methodology; report an error through data corrections.
• Reuse. CC BY 4.0 applies to the Real Dental Costs compilation, original labels, calculations and visualization. Underlying source documents remain subject to their source terms. Managed-care payer rates are excluded from this state fee-for-service index.
• License review hold. The Texas D3330 schedule amount is withheld from the downloadable and interactive data while redistribution terms for the September rate update are reviewed. It is excluded from rankings and medians; the other three index codes are not part of that update and remain available.

Press and citation

Key figures, each sourced from the state schedule documents compiled in this index:

1. A Medicaid crown (D2740) pays $272.83 in Illinois and $1,512.65 in Delaware; median $552.40.
2. The highest state schedule pays 5.5× the lowest for the same crown.
3. A Medicaid molar root canal (D3330) ranges from $234.67 in Illinois to $1,173.04 in Delaware; median $530.84 across 36 jurisdictions with a paying adult fee.

Real Dental Costs Data & Research Team. (2026). State Medicaid Dental Fee Index 2026 [Data set]. Real Dental Costs. https://realdentalcosts.com/en/medicaid-dental-fee-index-2026/ (data generated September 15, 2026).

Download the full table as CSV (one row per state and code, with source URLs). CC BY 4.0 applies to the Real Dental Costs compilation, original labels, calculations and visualization; underlying source documents retain their own terms. Credit “State Medicaid Dental Fee Index 2026, Real Dental Costs” with a link to this page. Media and research questions: research@realdentalcosts.com.

Frequently asked questions

Related data

• Medicaid dental coverage in every state
• CDT dental codes lookup
• Cite our data
• US Dental Cost Index by state