Medicaid dental reimbursement

Florida Medicaid Dental Fee Schedule

Florida Medicaid pays dentists about $42.70 for an adult cleaning, $46.28 for a one-surface filling, and $33.72 for a simple extraction under the 2026 dental fee schedule. Florida ranks #49 of 51 states and DC on our common-procedure basket (bottom quartile).

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The table below shows common procedures. The full Florida schedule covers 171 codes.

  • Every code on all 51 published schedules
  • Full-schedule CSV export
  • Full state Medicaid dental network lists
  • Email alerts when a state changes its rates
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Key Medicaid dental rates

#49
National rank of 51 (common-procedure basket)
$47
Representative rate across the basket
$46
1-surface filling (D2391)
$34
Simple extraction (D7140)

Florida’s Medicaid program lists 1,832 enrolled dental providers on its published roster. Enrollment means the state lists the provider as participating; call the office to confirm they are accepting new Medicaid patients.

Looking for a dentist who takes Florida Medicaid? Browse state-listed Florida Medicaid dentists by city and plan.

Billing medical, not dental? Florida's Medicaid fee-schedule hub covers what the state publishes across physician, DME, labs, behavioral health, and more.

Does Florida Medicaid cover dental for adults?

Florida's published Medicaid dental fee schedule lists reimbursement rates for adult procedures, including cleanings, fillings, and extractions, which means Florida 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 Florida Medicaid program.

What Florida Medicaid pays per procedure

A fixed basket of the procedures patients and dentists search for most. Florida publishes separate adult and pediatric schedules, shown side by side below.

CodeProcedureAdultPediatric
D0120Periodic oral examNot covered$22.39
D1110Adult cleaningNot covered$42.70
D1120Child cleaningPediatricNot covered$33.21
D23911-surface composite fillingNot covered$46.28
D2930Stainless steel crown (primary tooth)PediatricNot covered$101.52
D7140Simple extraction$27.12$40.31
D3330Root canalRate available on the Rates planRate available on the Rates plan
D2740Dental crownRate available on the Rates planRate available on the Rates plan
D5110Complete denturesRate available on the Rates planRate available on the Rates plan

165 more codes are on the full Florida schedule.

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Schedule covers 171 CDT procedure codes (2026 rates). “Not covered” means the procedure is not listed in the published fee schedule. Checked against Florida’s published schedule on August 18, 2026.

Florida Medicaid dental schedules

Florida publishes 2 distinct dental fee schedules. Each covers a different population or provider tier.

Pediatric 0-20Pediatric

171 codes

Adult 21+Adult

171 codes

Common questions

How much does Florida Medicaid pay for dental?

Florida Medicaid pays about $42.70 for an adult cleaning, $46.28 for a one-surface filling, and $33.72 for a simple extraction under the 2026 dental fee schedule. It ranks #49 of 51 jurisdictions on a basket of common procedures (bottom quartile). These are fee-for-service rates; Medicaid managed-care plan rates differ.

What does Florida Medicaid pay for a dental cleaning?

Florida Medicaid pays $42.70 for an adult cleaning (D1110) and $33.21 for a child cleaning (D1120).

Does Florida Medicaid cover dental for adults?

Florida's Medicaid fee schedule lists rates for adult dental procedures, including an adult cleaning at $42.70 and a 1-surface filling at $46.28. 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 Florida Medicaid rate for a dental crown?

Florida Medicaid pays $101.52 for a stainless steel crown on a primary tooth (D2930), the standard crown billed under pediatric Medicaid dental.

How does Florida Medicaid dental reimbursement compare to other states?

On a fixed basket of common procedures (exam, adult and child cleaning, filling, crown, extraction), Florida ranks #49 of 51 jurisdictions, bottom quartile for dental Medicaid reimbursement.

When was the Florida Medicaid dental fee schedule last updated?

The Florida Medicaid dental rates on this page reflect the 2026 published fee schedule. ProviderSignal refreshes state Medicaid schedules on the cadence each program publishes, typically quarterly or annually.

How much does Florida Medicaid pay for a root canal?

Florida Medicaid's published fee schedule pays about $220.94 for a root canal (CDT D3310 family) under the 2026 schedule. That is the fee-for-service amount paid to the dentist; it is not a coverage guarantee, and adult coverage rules differ by state. Confirm coverage for your age group and plan with the state Medicaid program.

How much does Florida Medicaid pay for a tooth extraction?

Florida Medicaid's published fee schedule pays about $33.72 for a tooth extraction (CDT D7140) under the 2026 schedule. That is the fee-for-service amount paid to the dentist; it is not a coverage guarantee, and adult coverage rules differ by state. Confirm coverage for your age group and plan with the state Medicaid program.

How much does Florida Medicaid pay for complete dentures?

Florida Medicaid's published fee schedule pays about $387.07 for complete dentures (CDT D5110 family) under the 2026 schedule. That is the fee-for-service amount paid to the dentist; it is not a coverage guarantee, and adult coverage rules differ by state. Confirm coverage for your age group and plan with the state Medicaid program.

How much does Florida Medicaid pay for wisdom teeth removal?

Florida Medicaid's published fee schedule pays about $77.42 for wisdom teeth removal (CDT D7220 family) under the 2026 schedule. That is the fee-for-service amount paid to the dentist; it is not a coverage guarantee, and adult coverage rules differ by state. Confirm coverage for your age group and plan with the state Medicaid program.

How much does Florida Medicaid pay for a dental crown?

Florida Medicaid's published fee schedule pays about $340.37 for a dental crown (CDT D2740 family) under the 2026 schedule. That is the fee-for-service amount paid to the dentist; it is not a coverage guarantee, and adult coverage rules differ by state. Confirm coverage for your age group and plan with the state Medicaid program.

Compare Florida by procedure

What Florida pays for each common procedure, with every state’s comparison one click away. Each rate shown is the median across Florida’s localities for the first of the procedure’s CDT codes the state lists.

Methodology

Rates are pulled from Florida’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.