Medicaid dental reimbursement

Texas Medicaid Dental Fee Schedule

What Texas Medicaid pays dentists for common procedures. Texas ranks #30 of 51 states and DC by our common-procedure basket (below the national median).

Key Medicaid dental rates

#30
National rank of 51 (common-procedure basket)
$73
Representative rate across the basket
$85
1-surface filling (D2391)
$68
Simple extraction (D7140)

What Texas Medicaid pays per procedure

A fixed basket of the procedures patients and dentists search for most. Rates are the representative amount across Texas's published schedules.

CodeProcedureMedicaid rate
D0120Periodic oral exam$30.42
D1110Adult cleaning$57.87
D1120Child cleaningPediatric$38.75
D23911-surface composite filling$84.72
D2930Stainless steel crown (primary tooth)Pediatric$157.25
D7140Simple extraction$67.55

Schedule covers 356 CDT procedure codes (2026 rates). “Not covered” means the procedure is not listed in the published fee schedule.

Texas Medicaid dental schedules

Texas publishes 5 distinct dental fee schedules. Each covers a different population or provider tier.

TEXAS HEALTH STEPS - DENTALStandard

357 codes

TEXAS HEALTH STEPS DENTAL - GROUPStandard

357 codes

ORTHODONTISTSpecialist

349 codes

ORAL MAXILOFACIAL SURGEONStandard

344 codes

LOCAL HEALTH DEPARTMENT (LHD)Standard

148 codes

Common questions

What does Texas Medicaid pay for a dental cleaning?

Texas Medicaid pays $57.87 for an adult cleaning (D1110) and $38.75 for a child cleaning (D1120).

What does Texas Medicaid pay for adult dental?

Texas's Medicaid fee schedule lists rates for adult dental procedures, including an adult cleaning at $57.87 and a 1-surface filling at $84.72. 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 Texas Medicaid rate for a dental crown?

Texas Medicaid pays $157.25 for a stainless steel crown on a primary tooth (D2930), the standard crown billed under pediatric Medicaid dental.

How does Texas Medicaid dental reimbursement compare to other states?

On a fixed basket of common procedures (exam, adult and child cleaning, filling, crown, extraction), Texas ranks #30 of 51 jurisdictions, below the national median for dental Medicaid reimbursement.

When was the Texas Medicaid dental fee schedule last updated?

The Texas 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.

Methodology

Rates are pulled from Texas’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.