Medicaid dental reimbursement

Maryland Medicaid Dental Fee Schedule

Maryland Medicaid pays dentists about $67.12 for an adult cleaning, $107.33 for a one-surface filling, and $135.23 for a simple extraction under the 2025 dental fee schedule. Maryland ranks #10 of 51 states and DC on our common-procedure basket (top quartile).

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The table below shows common procedures. The full Maryland schedule covers 215 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

#10
National rank of 51 (common-procedure basket)
$95
Representative rate across the basket
$107
1-surface filling (D2391)
$135
Simple extraction (D7140)

Maryland’s Medicaid program lists 288 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 Maryland Medicaid? Browse state-listed Maryland Medicaid dentists by city and plan.

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

Does Maryland Medicaid cover dental for adults?

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

What Maryland Medicaid pays per procedure

A fixed basket of the procedures patients and dentists search for most. Rates are the representative amount across Maryland's published schedule.

CodeProcedureMedicaid rate
D0120Periodic oral exam$31.81
D1110Adult cleaning$67.12
D1120Child cleaningPediatric$48.90
D23911-surface composite filling$107.33
D2930Stainless steel crown (primary tooth)Pediatric$177.74
D7140Simple extraction$135.23
D3330Root canalRate available on the Rates plan
D2740Dental crownRate available on the Rates plan
D5110Complete denturesRate available on the Rates plan

209 more codes are on the full Maryland schedule.

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Schedule covers 215 CDT procedure codes (2025 rates). “Not covered” means the procedure is not listed in the published fee schedule. Checked against Maryland’s published schedule on August 14, 2026.

Common questions

How much does Maryland Medicaid pay for dental?

Maryland Medicaid pays about $67.12 for an adult cleaning, $107.33 for a one-surface filling, and $135.23 for a simple extraction under the 2025 dental fee schedule. It ranks #10 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 Maryland Medicaid pay for a dental cleaning?

Maryland Medicaid pays $67.12 for an adult cleaning (D1110) and $48.90 for a child cleaning (D1120).

Does Maryland Medicaid cover dental for adults?

Maryland's Medicaid fee schedule lists rates for adult dental procedures, including an adult cleaning at $67.12 and a 1-surface filling at $107.33. 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 Maryland Medicaid rate for a dental crown?

Maryland Medicaid pays $177.74 for a stainless steel crown on a primary tooth (D2930), the standard crown billed under pediatric Medicaid dental.

How does Maryland Medicaid dental reimbursement compare to other states?

On a fixed basket of common procedures (exam, adult and child cleaning, filling, crown, extraction), Maryland ranks #10 of 51 jurisdictions, top quartile for dental Medicaid reimbursement.

When was the Maryland Medicaid dental fee schedule last updated?

The Maryland 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.

How much does Maryland Medicaid pay for a root canal?

Maryland Medicaid's published fee schedule pays about $550.00 for a root canal (CDT D3310 family) under the 2025 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 Maryland Medicaid pay for a tooth extraction?

Maryland Medicaid's published fee schedule pays about $135.23 for a tooth extraction (CDT D7140) under the 2025 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 Maryland Medicaid pay for complete dentures?

Maryland Medicaid's published fee schedule pays about $375.00 for complete dentures (CDT D5110 family) under the 2025 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 Maryland Medicaid pay for wisdom teeth removal?

Maryland Medicaid's published fee schedule pays about $157.54 for wisdom teeth removal (CDT D7220 family) under the 2025 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 Maryland Medicaid pay for a dental crown?

Maryland Medicaid's published fee schedule pays about $393.84 for a dental crown (CDT D2740 family) under the 2025 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 Maryland by procedure

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

Methodology

Rates are pulled from Maryland’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.