Medicaid dental reimbursement

Dental Crown Medicaid Rates by State

A cap that covers a damaged or heavily filled tooth to restore its shape and strength. Adult crown coverage varies widely by state, and some Medicaid programs limit crowns to specific situations. Medicaid reimburses it in 38 of 51 states and DC, from $252 (Texas) to $892 (Vermont).

Key Medicaid rates for Dental Crown

$564
National median (38 states)
$892
Highest: Vermont
$252
Lowest covered: Texas
38/51
States that cover it

Dental Crown Medicaid rate by state

What each state’s published Medicaid dental fee schedule pays for dental crown, ranked highest to lowest. Figures are the representative covered rate per state (CDT D2740 / D2750 / D2790).

RankStateCodeMedicaid rate
#1VermontD2740$892
#2South DakotaD2740$827
#3AlaskaD2740$827
#4MichiganD2740$818
#5OhioD2740$817
#6MassachusettsD2740$791
#7MontanaD2740$790
#8North DakotaD2740$752
#9West VirginiaD2740$745
#10WyomingD2740$731
#11ColoradoD2740$703
#12VirginiaD2740$670
#13MississippiD2750$636
#14MaineD2740$622
#15District of ColumbiaD2740$600
#16New HampshireD2740$600
#17TennesseeD2740$596
#18OregonD2740$572
#19HawaiiD2740$566
#20WashingtonD2740$561
#21ArizonaD2740$555
#22Rhode IslandD2740$550
#23New JerseyD2740$543
#24AlabamaD2740$538
#25KentuckyD2740$530
#26NevadaD2740$521
#27New YorkD2740$505
#28UtahD2740$501
#29IowaD2740$488
#30New MexicoD2740$478
#31NebraskaD2740$460
#32MarylandD2740$394
#33KansasD2740$356
#34FloridaD2740$340
#35CaliforniaD2740$340
#36IdahoD2740$334
#37IllinoisD2740$273
#38TexasD2740$252

Not separately listed in 13 jurisdictions: Arkansas, Connecticut, Delaware, Georgia, Indiana, Louisiana, Minnesota, Missouri, North Carolina, Oklahoma, Pennsylvania, South Carolina, Wisconsin. “Not covered” means the procedure is not listed in that state’s published fee schedule, not that care is unavailable.

Common questions

Does Medicaid cover dental crowns, and how much does it pay?

Across published Medicaid dental fee schedules, dental crown is reimbursed in 38 of 51 jurisdictions, at a national median near $564 and ranging from about $252 in Texas to $892 in Vermont. These are fee-for-service rates; Medicaid managed-care plan rates differ.

Does Medicaid cover crown?

A cap that covers a damaged or heavily filled tooth to restore its shape and strength. Adult crown coverage varies widely by state, and some Medicaid programs limit crowns to specific situations. It is listed in 38 of 51 states and DC. Pediatric dental is federally mandated under EPSDT; adult coverage is optional and varies by state. Confirm current coverage with the state Medicaid program.

Which state Medicaid pays the most for crown?

Vermont has the highest listed Medicaid rate for dental crown at about $892, and Texas the lowest among covered states at about $252. The full state ranking is above.

Are these crown rates current?

These rates reflect each state's most recently published Medicaid dental fee schedule, the newest being the 2026 schedule. ProviderSignal refreshes them on the cadence each program publishes, typically quarterly or annually.

Related procedures

Medicaid reimbursement for procedures patients ask about alongside dental crown.

Methodology

Rates are pulled from each state’s published Medicaid dental fee schedule, all public records. A dental crown can be billed under more than one CDT code (D2740, D2750, D2790); each state’s figure is the representative covered rate, the median of the first of those codes the state lists, across its localities. A rate of $0 or none means the code is not in the published schedule, treated as not covered. 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.