Medicaid dental reimbursement

Dental Implants Medicaid Rates by State

A titanium post surgically placed in the jaw to support a replacement tooth. Most state Medicaid programs do not cover implants; dentures and partials are the covered tooth-replacement route in nearly every state. Medicaid reimburses it in 8 of 51 states and DC, from $373 (Missouri) to $2001 (Kentucky).

Coverage rules to know first

For most people the answer is no: the large majority of state Medicaid programs do not list implant placement in their dental fee schedules, and where a rate exists it typically requires strict medical-necessity documentation and prior authorization. The states in the table are the exceptions that publish a payable rate. For the covered alternative, see the complete dentures and partial dentures pages.

Key Medicaid rates for Dental Implants

$1066
National median (8 states)
$2001
Highest: Kentucky
$373
Lowest covered: Missouri
8/51
States that cover it

Dental Implants Medicaid rate by state

What each state’s published Medicaid dental fee schedule pays for dental implants, ranked highest to lowest. Figures are the representative covered rate per state (CDT D6010).

RankStateCodeMedicaid rate
#1KentuckyD6010$2001
#2MassachusettsD6010$1263
#3TennesseeD6010$1159
#4IowaD6010$1122
#5New YorkD6010$1010
#6District of ColumbiaD6010$683
#7New JerseyD6010$550
#8MissouriD6010$373

Not separately listed in 43 jurisdictions: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Kansas, Louisiana, Maine, Maryland, Michigan, Minnesota, Mississippi, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming. “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 implants?

Across published Medicaid dental fee schedules, dental implants is reimbursed in 8 of 51 jurisdictions, at a national median near $1066 and ranging from about $373 in Missouri to $2001 in Kentucky. These are fee-for-service rates; Medicaid managed-care plan rates differ.

Does Medicaid cover implants?

A titanium post surgically placed in the jaw to support a replacement tooth. Most state Medicaid programs do not cover implants; dentures and partials are the covered tooth-replacement route in nearly every state. It is listed in 8 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.

Who qualifies for implants under Medicaid?

For most people the answer is no: the large majority of state Medicaid programs do not list implant placement in their dental fee schedules, and where a rate exists it typically requires strict medical-necessity documentation and prior authorization. The states in the table are the exceptions that publish a payable rate. For the covered alternative, see the complete dentures and partial dentures pages.

Which state Medicaid pays the most for implants?

Kentucky has the highest listed Medicaid rate for dental implants at about $2001, and Missouri the lowest among covered states at about $373. The full state ranking is above.

Are these implants 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 implants.

Methodology

Rates are pulled from each state’s published Medicaid dental fee schedule, all public records. A dental implants can be billed under more than one CDT code (D6010); 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.