Medicaid dental reimbursement

Fluoride Treatment Medicaid Rates by State

A topical fluoride application, often a varnish, that strengthens enamel and helps prevent cavities. It is a common preventive add-on at a cleaning, especially for children. Medicaid reimburses it in 51 of 51 states and DC, from $12 (Idaho) to $62 (Nevada).

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Key Medicaid rates for Fluoride Treatment

$26
National median (51 states)
$62
Highest: Nevada
$12
Lowest covered: Idaho
51/51
States that cover it

Fluoride Treatment Medicaid rate by state

What each state’s published Medicaid dental fee schedule pays for fluoride treatment, ranked highest to lowest. Figures are the representative covered rate per state (CDT D1206 / D1208).

RankStateCodeMedicaid rate
#1NevadaD1206$62
#2WyomingD1206$43
#3DelawareD1206$39
#4WisconsinD1206$38
#5MissouriD1206$37
#6New JerseyD1206$36
#7ColoradoD1206$35
#8VermontD1206$34
#9South DakotaD1206$33
#10LouisianaD1206$33
#11OregonD1206$32
#12MichiganD1206$32
#13New YorkD1206$30
#14OhioD1206$29
#15North DakotaD1206$29
#16District of ColumbiaD1206$29
#17MississippiD1206$29
#18AlaskaD1206$29
#19VirginiaD1206$28
#20IllinoisD1206$27
#21NebraskaD1206$27
#22MassachusettsD1206$27
#23MaineD1206$27
#24HawaiiD1206$27
#25IndianaD1206$26
#26MarylandD1206$26
#27AlabamaD1206$26
#28FloridaD1206$26
#29Rhode IslandD1206$26
#30ConnecticutD1206$24
#31TennesseeD1206$24
#32MontanaD1206$24
#33West VirginiaD1206$23
#34ArizonaD1206$23
#35New MexicoD1206$23
#36New HampshireD1206$23
#37IowaD1206$22
#38KansasD1206$22
#39TexasD1206$21
#40OklahomaD1206$20
#41ArkansasD1206$20
#42GeorgiaD1206$20
#43WashingtonD1206$20
#44South CarolinaD1206$19
#45KentuckyD1206$19
#46CaliforniaD1206$18
#47PennsylvaniaD1206$18
#48UtahD1206$18
#49North CarolinaD1206$17
#50MinnesotaD1206$14
#51IdahoD1206$12

Common questions

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

Across published Medicaid dental fee schedules, fluoride treatment is reimbursed in 51 of 51 jurisdictions, at a national median near $26 and ranging from about $12 in Idaho to $62 in Nevada. These are fee-for-service rates; Medicaid managed-care plan rates differ.

Does Medicaid cover fluoride?

A topical fluoride application, often a varnish, that strengthens enamel and helps prevent cavities. It is a common preventive add-on at a cleaning, especially for children. It is listed in 51 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 fluoride?

Nevada has the highest listed Medicaid rate for fluoride treatment at about $62, and Idaho the lowest among covered states at about $12. The full state ranking is above.

Are these fluoride 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 fluoride treatment.

Dental Sealant

How much does Medicaid pay for a dental sealant?

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 fluoride treatment can be billed under more than one CDT code (D1206, D1208); 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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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.

Dental supply reps

Territory trigger feeds, license expiration alerts, and practice profiles for reps who sell into dental offices.

DSO acquisition teams

DSO affiliation mapping and practice-level signals for buy-side sourcing.

Practice brokers

Retirement-age and license signals for finding practices likely to transition.

Our data sources

Every dataset behind these numbers: NPPES, state dental boards, Medicaid fee schedules, CMS, and OIG exclusions.