Vermont Medicaid Dental Fee Schedule
Vermont Medicaid pays dentists about $75.75 for an adult cleaning, $125.25 for a one-surface filling, and $130.50 for a simple extraction under the 2025 dental fee schedule. Vermont ranks #17 of 51 states and DC on our common-procedure basket (above the national median).
The Rates plan
$29/mo7-day free trialThe table below shows common procedures. The full Vermont schedule covers 182 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
$29/mo after the trial. Cancel anytime.
Key Medicaid dental rates
Vermont’s Medicaid program lists 122 enrolled dental providers on its published roster. Enrollment means the state lists the provider as participating; call the office to confirm they are accepting new Medicaid patients.
Looking for a dentist who takes Vermont Medicaid? Browse state-listed Vermont Medicaid dentists by city and plan.
Billing medical, not dental? Vermont's Medicaid fee-schedule hub covers what the state publishes across physician, DME, labs, behavioral health, and more.
Does Vermont Medicaid cover dental for adults?
Vermont's published Medicaid dental fee schedule lists reimbursement rates for adult procedures, including cleanings, fillings, and extractions, which means Vermont 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 Vermont Medicaid program.
What Vermont Medicaid pays per procedure
A fixed basket of the procedures patients and dentists search for most. Rates are the representative amount across Vermont's published schedule.
| Code | Procedure | Medicaid rate |
|---|---|---|
| D0120 | Periodic oral exam | $39.75 |
| D1110 | Adult cleaning | $75.75 |
| D1120 | Child cleaningPediatric | $60.75 |
| D2391 | 1-surface composite filling | $125.25 |
| D2930 | Stainless steel crown (primary tooth)Pediatric | Not covered |
| D7140 | Simple extraction | $130.50 |
| D2740 | Dental crown | Rate available on the Rates plan |
| D5110 | Complete dentures | Rate available on the Rates plan |
| D7220 | Wisdom teeth removal | Rate available on the Rates plan |
177 more codes are on the full Vermont schedule. See every code for $29 a month | ||
Schedule covers 182 CDT procedure codes (2025 rates). “Not covered” means the procedure is not listed in the published fee schedule. Checked against Vermont’s published schedule on August 14, 2026.
Common questions
How much does Vermont Medicaid pay for dental?
Vermont Medicaid pays about $75.75 for an adult cleaning, $125.25 for a one-surface filling, and $130.50 for a simple extraction under the 2025 dental fee schedule. It ranks #17 of 51 jurisdictions on a basket of common procedures (above the national median). These are fee-for-service rates; Medicaid managed-care plan rates differ.
What does Vermont Medicaid pay for a dental cleaning?
Vermont Medicaid pays $75.75 for an adult cleaning (D1110) and $60.75 for a child cleaning (D1120).
Does Vermont Medicaid cover dental for adults?
Vermont's Medicaid fee schedule lists rates for adult dental procedures, including an adult cleaning at $75.75 and a 1-surface filling at $125.25. 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 Vermont Medicaid rate for a dental crown?
Vermont Medicaid does not list a stainless steel crown (D2930) rate in its published dental fee schedule.
How does Vermont Medicaid dental reimbursement compare to other states?
On a fixed basket of common procedures (exam, adult and child cleaning, filling, crown, extraction), Vermont ranks #17 of 51 jurisdictions, above the national median for dental Medicaid reimbursement.
When was the Vermont Medicaid dental fee schedule last updated?
The Vermont 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.
How much does Vermont Medicaid pay for a tooth extraction?
Vermont Medicaid's published fee schedule pays about $130.50 for a tooth extraction (CDT D7140) under the 2025 schedule. That is the fee-for-service amount paid to the dentist; it is not a coverage guarantee, and adult coverage rules differ by state. Confirm coverage for your age group and plan with the state Medicaid program.
How much does Vermont Medicaid pay for complete dentures?
Vermont Medicaid's published fee schedule pays about $1251.75 for complete dentures (CDT D5110 family) under the 2025 schedule. That is the fee-for-service amount paid to the dentist; it is not a coverage guarantee, and adult coverage rules differ by state. Confirm coverage for your age group and plan with the state Medicaid program.
How much does Vermont Medicaid pay for wisdom teeth removal?
Vermont Medicaid's published fee schedule pays about $244.50 for wisdom teeth removal (CDT D7220 family) under the 2025 schedule. That is the fee-for-service amount paid to the dentist; it is not a coverage guarantee, and adult coverage rules differ by state. Confirm coverage for your age group and plan with the state Medicaid program.
How much does Vermont Medicaid pay for a dental crown?
Vermont Medicaid's published fee schedule pays about $891.75 for a dental crown (CDT D2740 family) under the 2025 schedule. That is the fee-for-service amount paid to the dentist; it is not a coverage guarantee, and adult coverage rules differ by state. Confirm coverage for your age group and plan with the state Medicaid program.
Compare Vermont by procedure
What Vermont pays for each common procedure, with every state’s comparison one click away. Each rate shown is the median across Vermont’s localities for the first of the procedure’s CDT codes the state lists.
Methodology
Rates are pulled from Vermont’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.