South Dakota Medicaid Dental Fee Schedule
South Dakota Medicaid pays dentists about $72.85 for an adult cleaning, $137.37 for a one-surface filling, and $139.55 for a simple extraction under the 2026 dental fee schedule. South Dakota ranks #5 of 51 states and DC on our common-procedure basket (top quartile).
The table below covers common procedures. The Rates plan unlocks every code on the South Dakota fee schedule, plus CSV export and alerts when rates change.
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Key Medicaid dental rates
Does South Dakota Medicaid cover dental for adults?
South Dakota's published Medicaid dental fee schedule lists reimbursement rates for adult procedures, including cleanings, fillings, and extractions, which means South Dakota Medicaid pays for these when they are provided to adult members. Pediatric dental is federally mandated under EPSDT; adult dental is an optional benefit each state funds on its own, so covered procedures and annual limits vary. The rates below are what Medicaid pays when a service is reimbursed, not a statement of eligibility. Confirm current adult coverage with the South Dakota Medicaid program.
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What South Dakota Medicaid pays per procedure
A fixed basket of the procedures patients and dentists search for most. South Dakota publishes separate adult and pediatric schedules, shown side by side below.
| Code | Procedure | Adult | Pediatric |
|---|---|---|---|
| D0120 | Periodic oral exam | $43.86 | $43.86 |
| D1110 | Adult cleaning | $72.85 | $72.85 |
| D1120 | Child cleaningPediatric | Not covered | $54.18 |
| D2391 | 1-surface composite filling | $137.37 | $137.37 |
| D2930 | Stainless steel crown (primary tooth)Pediatric | Not covered | $222.28 |
| D7140 | Simple extraction | $139.55 | $139.55 |
Schedule covers 279 CDT procedure codes (2026 rates). “Not covered” means the procedure is not listed in the published fee schedule.
Get this fee schedule by email
Take South Dakota’s fee schedule with you
We’ll email you the common-procedure Medicaid rates as a CSV: exams, cleanings, fillings, crowns, extractions, and more. No login, no spam.
South Dakota Medicaid dental schedules
South Dakota publishes 2 distinct dental fee schedules. Each covers a different population or provider tier.
279 codes
218 codes
Common questions
How much does South Dakota Medicaid pay for dental?
South Dakota Medicaid pays about $72.85 for an adult cleaning, $137.37 for a one-surface filling, and $139.55 for a simple extraction under the 2026 dental fee schedule. It ranks #5 of 51 jurisdictions on a basket of common procedures (top quartile). These are fee-for-service rates; Medicaid managed-care plan rates differ.
What does South Dakota Medicaid pay for a dental cleaning?
South Dakota Medicaid pays $72.85 for an adult cleaning (D1110) and $54.18 for a child cleaning (D1120).
Does South Dakota Medicaid cover dental for adults?
South Dakota's Medicaid fee schedule lists rates for adult dental procedures, including an adult cleaning at $72.85 and a 1-surface filling at $137.37. 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 South Dakota Medicaid rate for a dental crown?
South Dakota Medicaid pays $222.28 for a stainless steel crown on a primary tooth (D2930), the standard crown billed under pediatric Medicaid dental.
How does South Dakota Medicaid dental reimbursement compare to other states?
On a fixed basket of common procedures (exam, adult and child cleaning, filling, crown, extraction), South Dakota ranks #5 of 51 jurisdictions, top quartile for dental Medicaid reimbursement.
When was the South Dakota Medicaid dental fee schedule last updated?
The South Dakota Medicaid dental rates on this page reflect the 2026 published fee schedule. ProviderSignal refreshes state Medicaid schedules on the cadence each program publishes, typically quarterly or annually.
Compare South Dakota by procedure
See how South Dakota compares to every state on what Medicaid pays for a single procedure.
Methodology
Rates are pulled from South Dakota’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.
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.
Territory trigger feeds, license expiration alerts, and practice profiles for reps who sell into dental offices.
DSO acquisition teamsDSO affiliation mapping and practice-level signals for buy-side sourcing.
Practice brokersRetirement-age and license signals for finding practices likely to transition.
Our data sourcesEvery dataset behind these numbers: NPPES, state dental boards, Medicaid fee schedules, CMS, and OIG exclusions.