Medicaid dental reimbursement

Dental Sealant Medicaid Rates by State

A thin protective coating painted onto the chewing surface of a back tooth to seal out decay. Sealants are a per-tooth preventive service most common for children. Medicaid reimburses it in 50 of 51 states and DC, from $17 (Minnesota) to $54 (Wisconsin).

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Key Medicaid rates for Dental Sealant

$34
National median (50 states)
$54
Highest: Wisconsin
$17
Lowest covered: Minnesota
50/51
States that cover it

Dental Sealant Medicaid rate by state

What each state’s published Medicaid dental fee schedule pays for dental sealant, ranked highest to lowest. Figures are the representative covered rate per state (CDT D1351).

RankStateCodeMedicaid rate
#1WisconsinD1351$54
#2DelawareD1351$52
#3MissouriD1351$50
#4AlaskaD1351$50
#5ColoradoD1351$48
#6VermontD1351$44
#7South DakotaD1351$43
#8OhioD1351$43
#9VirginiaD1351$43
#10OregonD1351$43
#11New JerseyD1351$41
#12ConnecticutD1351$40
#13MarylandD1351$40
#14TennesseeD1351$39
#15District of ColumbiaD1351$38
#16IllinoisD1351$38
#17MassachusettsD1351$37
#18New HampshireD1351$37
#19New YorkD1351$35
#20West VirginiaD1351$35
#21North DakotaD1351$35
#22LouisianaD1351$35
#23WyomingD1351$34
#24NebraskaD1351$34
#25MichiganD1351$34
#26MaineD1351$34
#27South CarolinaD1351$33
#28MississippiD1351$33
#29IndianaD1351$33
#30MontanaD1351$32
#31KansasD1351$31
#32IowaD1351$31
#33ArizonaD1351$31
#34GeorgiaD1351$31
#35WashingtonD1351$31
#36FloridaD1351$31
#37HawaiiD1351$30
#38North CarolinaD1351$30
#39TexasD1351$30
#40UtahD1351$30
#41New MexicoD1351$29
#42ArkansasD1351$29
#43NevadaD1351$27
#44AlabamaD1351$26
#45PennsylvaniaD1351$25
#46KentuckyD1351$24
#47CaliforniaD1351$22
#48IdahoD1351$19
#49Rhode IslandD1351$18
#50MinnesotaD1351$17

Not separately listed in 1 jurisdiction: Oklahoma. “Not covered” means the procedure is not listed in that state’s published fee schedule, not that care is unavailable.

Common questions

How much does Medicaid pay for a dental sealant?

Across published Medicaid dental fee schedules, dental sealant is reimbursed in 50 of 51 jurisdictions, at a national median near $34 and ranging from about $17 in Minnesota to $54 in Wisconsin. These are fee-for-service rates; Medicaid managed-care plan rates differ.

Does Medicaid cover sealant?

A thin protective coating painted onto the chewing surface of a back tooth to seal out decay. Sealants are a per-tooth preventive service most common for children. It is listed in 50 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 sealant?

Wisconsin has the highest listed Medicaid rate for dental sealant at about $54, and Minnesota the lowest among covered states at about $17. The full state ranking is above.

Are these sealant 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 sealant.

Fluoride Treatment

Does Medicaid cover fluoride treatment, and how much does it pay?

Routine Dental Exam

How much does Medicaid pay for a routine dental exam?

Emergency Dental Visit

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

Dental X-Rays

How much does Medicaid pay for dental x-rays?

Methodology

Rates are pulled from each state’s published Medicaid dental fee schedule, all public records. A dental sealant can be billed under more than one CDT code (D1351); 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.

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