Massachusetts Medicaid Dental Fee Schedule
What Massachusetts Medicaid pays dentists for common procedures. Massachusetts ranks #22 of 51 states and DC by our common-procedure basket (above the national median).
Key Medicaid dental rates
What Massachusetts Medicaid pays per procedure
A fixed basket of the procedures patients and dentists search for most. Rates are the representative amount across Massachusetts's published schedules.
| Code | Procedure | Medicaid rate |
|---|---|---|
| D0120 | Periodic oral exam | $27.50 |
| D1110 | Adult cleaning | $67.50 |
| D1120 | Child cleaningPediatric | $47.00 |
| D2391 | 1-surface composite filling | $80.50 |
| D2930 | Stainless steel crown (primary tooth)Pediatric | $179.00 |
| D7140 | Simple extraction | $92.00 |
Schedule covers 333 CDT procedure codes (2024 rates). “Not covered” means the procedure is not listed in the published fee schedule.
Massachusetts Medicaid dental schedules
Massachusetts publishes 2 distinct dental fee schedules. Each covers a different population or provider tier.
333 codes
323 codes
Common questions
What does Massachusetts Medicaid pay for a dental cleaning?
Massachusetts Medicaid pays $67.50 for an adult cleaning (D1110) and $47.00 for a child cleaning (D1120).
What does Massachusetts Medicaid pay for adult dental?
Massachusetts's Medicaid fee schedule lists rates for adult dental procedures, including an adult cleaning at $67.50 and a 1-surface filling at $80.50. 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 Massachusetts Medicaid rate for a dental crown?
Massachusetts Medicaid pays $179.00 for a stainless steel crown on a primary tooth (D2930), the standard crown billed under pediatric Medicaid dental.
How does Massachusetts Medicaid dental reimbursement compare to other states?
On a fixed basket of common procedures (exam, adult and child cleaning, filling, crown, extraction), Massachusetts ranks #22 of 51 jurisdictions, above the national median for dental Medicaid reimbursement.
When was the Massachusetts Medicaid dental fee schedule last updated?
The Massachusetts Medicaid dental rates on this page reflect the 2024 published fee schedule. ProviderSignal refreshes state Medicaid schedules on the cadence each program publishes, typically quarterly or annually.
Methodology
Rates are pulled from Massachusetts’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.