Medicaid dental reimbursement

Florida Medicaid Dental Fee Schedule

What Florida Medicaid pays dentists for common procedures. Florida ranks #48 of 51 states and DC by our common-procedure basket (bottom quartile).

Key Medicaid dental rates

#48
National rank of 51 (common-procedure basket)
$47
Representative rate across the basket
$46
1-surface filling (D2391)
$34
Simple extraction (D7140)

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

Schedule covers 171 CDT procedure codes (2026 rates). “Not covered” means the procedure is not listed in the published fee schedule.

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

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).

What does Florida Medicaid pay for adult dental?

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 #48 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.

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.