North Carolina Medicaid Dental Fee Schedule
What North Carolina Medicaid pays dentists for common procedures. North Carolina ranks #35 of 51 states and DC by our common-procedure basket (below the national median).
Key Medicaid dental rates
What North Carolina Medicaid pays per procedure
A fixed basket of the procedures patients and dentists search for most. Rates are the representative amount across North Carolina's published schedule.
| Code | Procedure | Medicaid rate |
|---|---|---|
| D0120 | Periodic oral exam | $26.96 |
| D1110 | Adult cleaning | $39.83 |
| D1120 | Child cleaningPediatric | $28.46 |
| D2391 | 1-surface composite filling | $83.60 |
| D2930 | Stainless steel crown (primary tooth)Pediatric | $150.87 |
| D7140 | Simple extraction | $66.44 |
Schedule covers 219 CDT procedure codes (2022 rates). “Not covered” means the procedure is not listed in the published fee schedule.
Common questions
What does North Carolina Medicaid pay for a dental cleaning?
North Carolina Medicaid pays $39.83 for an adult cleaning (D1110) and $28.46 for a child cleaning (D1120).
What does North Carolina Medicaid pay for adult dental?
North Carolina's Medicaid fee schedule lists rates for adult dental procedures, including an adult cleaning at $39.83 and a 1-surface filling at $83.60. 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 North Carolina Medicaid rate for a dental crown?
North Carolina Medicaid pays $150.87 for a stainless steel crown on a primary tooth (D2930), the standard crown billed under pediatric Medicaid dental.
How does North Carolina Medicaid dental reimbursement compare to other states?
On a fixed basket of common procedures (exam, adult and child cleaning, filling, crown, extraction), North Carolina ranks #35 of 51 jurisdictions, below the national median for dental Medicaid reimbursement.
When was the North Carolina Medicaid dental fee schedule last updated?
The North Carolina Medicaid dental rates on this page reflect the 2022 published fee schedule. ProviderSignal refreshes state Medicaid schedules on the cadence each program publishes, typically quarterly or annually.
Methodology
Rates are pulled from North Carolina’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.