Rhode Island Medicaid Dental Fee Schedule
What Rhode Island Medicaid pays dentists for common procedures. Rhode Island ranks #46 of 51 states and DC by our common-procedure basket (bottom quartile).
Key Medicaid dental rates
What Rhode Island Medicaid pays per procedure
A fixed basket of the procedures patients and dentists search for most. Rates are the representative amount across Rhode Island's published schedule.
| Code | Procedure | Medicaid rate |
|---|---|---|
| D0120 | Periodic oral exam | $21.00 |
| D1110 | Adult cleaning | $53.00 |
| D1120 | Child cleaningPediatric | $22.00 |
| D2391 | 1-surface composite filling | $55.00 |
| D2930 | Stainless steel crown (primary tooth)Pediatric | $88.00 |
| D7140 | Simple extraction | $75.00 |
Schedule covers 273 CDT procedure codes (2025 rates). “Not covered” means the procedure is not listed in the published fee schedule.
Common questions
What does Rhode Island Medicaid pay for a dental cleaning?
Rhode Island Medicaid pays $53.00 for an adult cleaning (D1110) and $22.00 for a child cleaning (D1120).
What does Rhode Island Medicaid pay for adult dental?
Rhode Island's Medicaid fee schedule lists rates for adult dental procedures, including an adult cleaning at $53.00 and a 1-surface filling at $55.00. 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 Rhode Island Medicaid rate for a dental crown?
Rhode Island Medicaid pays $88.00 for a stainless steel crown on a primary tooth (D2930), the standard crown billed under pediatric Medicaid dental.
How does Rhode Island Medicaid dental reimbursement compare to other states?
On a fixed basket of common procedures (exam, adult and child cleaning, filling, crown, extraction), Rhode Island ranks #46 of 51 jurisdictions, bottom quartile for dental Medicaid reimbursement.
When was the Rhode Island Medicaid dental fee schedule last updated?
The Rhode Island Medicaid dental rates on this page reflect the 2025 published fee schedule. ProviderSignal refreshes state Medicaid schedules on the cadence each program publishes, typically quarterly or annually.
Methodology
Rates are pulled from Rhode Island’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.