District of Columbia Medicaid Dental Fee Schedule
District of Columbia Medicaid pays dentists about $73.25 for an adult cleaning, $108.00 for a one-surface filling, and $99.00 for a simple extraction under the 2025 dental fee schedule. District of Columbia ranks #6 of 51 states and DC on our common-procedure basket (top quartile).
The table below covers common procedures. The Rates plan unlocks every code on the District of Columbia fee schedule, plus CSV export and alerts when rates change.
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Key Medicaid dental rates
Does District of Columbia Medicaid cover dental for adults?
District of Columbia's published Medicaid dental fee schedule lists reimbursement rates for adult procedures, including cleanings, fillings, and extractions, which means District of Columbia Medicaid pays for these when they are provided to adult members. Pediatric dental is federally mandated under EPSDT; adult dental is an optional benefit each state funds on its own, so covered procedures and annual limits vary. The rates below are what Medicaid pays when a service is reimbursed, not a statement of eligibility. Confirm current adult coverage with the District of Columbia Medicaid program.
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What District of Columbia Medicaid pays per procedure
A fixed basket of the procedures patients and dentists search for most. District of Columbia publishes separate adult and pediatric schedules, shown side by side below.
| Code | Procedure | Adult | Pediatric |
|---|---|---|---|
| D0120 | Periodic oral exam | $31.00 | $35.00 |
| D1110 | Adult cleaning | $69.00 | $77.50 |
| D1120 | Child cleaningPediatric | $47.00 | $47.00 |
| D2391 | 1-surface composite filling | $96.00 | $120.00 |
| D2930 | Stainless steel crown (primary tooth)Pediatric | $300.00 | $300.00 |
| D7140 | Simple extraction | $88.00 | $110.00 |
Schedule covers 260 CDT procedure codes (2025 rates). “Not covered” means the procedure is not listed in the published fee schedule.
Get this fee schedule by email
Take District of Columbia’s fee schedule with you
We’ll email you the common-procedure Medicaid rates as a CSV: exams, cleanings, fillings, crowns, extractions, and more. No login, no spam.
District of Columbia Medicaid dental schedules
District of Columbia publishes 2 distinct dental fee schedules. Each covers a different population or provider tier.
260 codes
260 codes
Common questions
How much does District of Columbia Medicaid pay for dental?
District of Columbia Medicaid pays about $73.25 for an adult cleaning, $108.00 for a one-surface filling, and $99.00 for a simple extraction under the 2025 dental fee schedule. It ranks #6 of 51 jurisdictions on a basket of common procedures (top quartile). These are fee-for-service rates; Medicaid managed-care plan rates differ.
What does District of Columbia Medicaid pay for a dental cleaning?
District of Columbia Medicaid pays $73.25 for an adult cleaning (D1110) and $47.00 for a child cleaning (D1120).
Does District of Columbia Medicaid cover dental for adults?
District of Columbia's Medicaid fee schedule lists rates for adult dental procedures, including an adult cleaning at $73.25 and a 1-surface filling at $108.00. A listed rate is what Medicaid pays when a service is reimbursed, not a statement of adult eligibility; confirm current coverage with the state program.
What is the District of Columbia Medicaid rate for a dental crown?
District of Columbia Medicaid pays $300.00 for a stainless steel crown on a primary tooth (D2930), the standard crown billed under pediatric Medicaid dental.
How does District of Columbia Medicaid dental reimbursement compare to other states?
On a fixed basket of common procedures (exam, adult and child cleaning, filling, crown, extraction), District of Columbia ranks #6 of 51 jurisdictions, top quartile for dental Medicaid reimbursement.
When was the District of Columbia Medicaid dental fee schedule last updated?
The District of Columbia Medicaid dental rates on this page reflect the 2025 published fee schedule. ProviderSignal refreshes state Medicaid schedules on the cadence each program publishes, typically quarterly or annually.
Compare District of Columbia by procedure
See how District of Columbia compares to every state on what Medicaid pays for a single procedure.
Methodology
Rates are pulled from District of Columbia’s published Medicaid dental fee schedule, a public record. The national rank uses a fixed basket of six common procedures (periodic exam, adult and child cleaning, 1-surface filling, stainless steel crown, simple extraction) so every state is compared on the same procedures rather than on a raw average that code mix would distort. Where a state publishes separate adult and pediatric schedules, both are shown. These are fee-for-service schedule amounts (what Medicaid pays when a service is reimbursed), not a coverage or eligibility guarantee, and they do not reflect Medicaid managed-care plan rates. Confirm current rates and eligibility with the state Medicaid program.
Who uses this data
Fee schedules are one slice of a larger dental market dataset. The same government sources power territory and acquisition intelligence for the teams that work with dental practices every day.
Territory trigger feeds, license expiration alerts, and practice profiles for reps who sell into dental offices.
DSO acquisition teamsDSO affiliation mapping and practice-level signals for buy-side sourcing.
Practice brokersRetirement-age and license signals for finding practices likely to transition.
Our data sourcesEvery dataset behind these numbers: NPPES, state dental boards, Medicaid fee schedules, CMS, and OIG exclusions.