Medicaid dental reimbursement

Washington Medicaid Dental Fee Schedule

Washington Medicaid pays dentists about $46.88 for an adult cleaning, $59.97 for a one-surface filling, and $51.69 for a simple extraction under the 2026 dental fee schedule. Washington ranks #38 of 51 states and DC on our common-procedure basket (below the national median).

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The table below shows common procedures. The full Washington schedule covers 192 codes.

  • Every code on all 51 published schedules
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  • Full state Medicaid dental network lists
  • Email alerts when a state changes its rates
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Key Medicaid dental rates

#38
National rank of 51 (common-procedure basket)
$66
Representative rate across the basket
$60
1-surface filling (D2391)
$52
Simple extraction (D7140)

Washington’s Medicaid program lists 32 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 Washington Medicaid? Browse state-listed Washington Medicaid dentists by city and plan.

Billing medical, not dental? Washington's Medicaid fee-schedule hub covers what the state publishes across physician, DME, labs, behavioral health, and more.

Does Washington Medicaid cover dental for adults?

Washington's published Medicaid dental fee schedule lists reimbursement rates for adult procedures, including cleanings, fillings, and extractions, which means Washington 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 Washington Medicaid program.

What Washington Medicaid pays per procedure

A fixed basket of the procedures patients and dentists search for most. Washington publishes separate adult and pediatric schedules, shown side by side below.

CodeProcedureAdultPediatric
D0120Periodic oral exam$30.36$27.07
D1110Adult cleaning$51.57$42.19
D1120Child cleaningPediatricNot covered$32.17
D23911-surface composite filling$49.74$59.97
D2930Stainless steel crown (primary tooth)PediatricNot covered$129.78
D7140Simple extraction$45.73$57.65
D3330Root canalRate available on the Rates planRate available on the Rates plan
D2740Dental crownRate available on the Rates planRate available on the Rates plan
D5110Complete denturesRate available on the Rates planRate available on the Rates plan

186 more codes are on the full Washington schedule.

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Schedule covers 192 CDT procedure codes (2026 rates). “Not covered” means the procedure is not listed in the published fee schedule. Checked against Washington’s published schedule on August 14, 2026.

Washington Medicaid dental schedules

Washington publishes 4 distinct dental fee schedules. Each covers a different population or provider tier.

WA Apple Health Dental 0-20Pediatric

180 codes

WA Apple Health Dental 21+Adult

125 codes

WA Apple Health (ABCD)Standard

26 codes

WA Apple Health Ortho 0-20Pediatric

26 codes

Common questions

How much does Washington Medicaid pay for dental?

Washington Medicaid pays about $46.88 for an adult cleaning, $59.97 for a one-surface filling, and $51.69 for a simple extraction under the 2026 dental fee schedule. It ranks #38 of 51 jurisdictions on a basket of common procedures (below the national median). These are fee-for-service rates; Medicaid managed-care plan rates differ.

What does Washington Medicaid pay for a dental cleaning?

Washington Medicaid pays $46.88 for an adult cleaning (D1110) and $32.17 for a child cleaning (D1120).

Does Washington Medicaid cover dental for adults?

Washington's Medicaid fee schedule lists rates for adult dental procedures, including an adult cleaning at $46.88 and a 1-surface filling at $59.97. 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 Washington Medicaid rate for a dental crown?

Washington Medicaid pays $173.39 for a stainless steel crown on a primary tooth (D2930), the standard crown billed under pediatric Medicaid dental.

How does Washington Medicaid dental reimbursement compare to other states?

On a fixed basket of common procedures (exam, adult and child cleaning, filling, crown, extraction), Washington ranks #38 of 51 jurisdictions, below the national median for dental Medicaid reimbursement.

When was the Washington Medicaid dental fee schedule last updated?

The Washington 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.

How much does Washington Medicaid pay for a root canal?

Washington Medicaid's published fee schedule pays about $373.81 for a root canal (CDT D3310 family) under the 2026 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 Washington Medicaid pay for a tooth extraction?

Washington Medicaid's published fee schedule pays about $51.69 for a tooth extraction (CDT D7140) under the 2026 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 Washington Medicaid pay for complete dentures?

Washington Medicaid's published fee schedule pays about $527.71 for complete dentures (CDT D5110 family) under the 2026 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 Washington Medicaid pay for wisdom teeth removal?

Washington Medicaid's published fee schedule pays about $100.12 for wisdom teeth removal (CDT D7220 family) under the 2026 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 Washington Medicaid pay for a dental crown?

Washington Medicaid's published fee schedule pays about $560.97 for a dental crown (CDT D2740 family) under the 2026 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 Washington by procedure

What Washington pays for each common procedure, with every state’s comparison one click away. Each rate shown is the median across Washington’s localities for the first of the procedure’s CDT codes the state lists.

Methodology

Rates are pulled from Washington’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.