Arizona Medicaid Dental Coverage Guide
Arizona Medicaid Dental Coverage Guide: verify the Arizona authority path, document the current rule or credential, compare written provider terms, and continue through Find a Provider only after the evidence check.
Arizona Medicaid Dental Coverage Guide: verify the Arizona authority path, document the current rule or credential, compare written provider terms, and continue through Find a Provider only after the evidence check. Arizona Medicaid pays a dentist $54.36. Arizona Medicaid pays a dentist $29.74.
What this page recommends
Arizona Medicaid Dental Coverage Guide: verify the Arizona authority path, document the current rule or credential, compare written provider terms, and continue through Find a Provider only after the evidence check.
- Next step: Find a Provider
What should I verify before acting?
Verify the local workflow, provider fit, pricing details, and timing directly through the canonical guide or a qualified professional before making a decision.
Related decision paths people also use
These are nearby ways people describe the same decision before they move into local comparison, pricing, or urgent next-step mode.
Arizona Medicaid dental reimbursement rates on this page are taken from AHCCCS Fee-for-Service Dental Rates, published by Arizona Health Care Cost Containment System (AHCCCS), and retrieved 2026-08-26. The schedule is effective 2026-07-01. Every amount shown is what the state pays a dental provider for the procedure. It is not a price a patient pays, and self-pay and insured prices are typically far higher. Arizona operates an emergency-only adult dental benefit for adults 21 and over; children's dental care is required federally under EPSDT. Verified 2026-08-26.
Arizona Medicaid dental reimbursement: what the program pays a dentist, not what a patient pays
| Procedure (CDT code) | What Arizona Medicaid pays the dentist | Rate basis |
|---|---|---|
| Cleaning (prophylaxis), adult (CDT D1110) | Arizona Medicaid pays a dentist $54.36 | State reimbursement, effective 2026-07-01 |
| Periodic oral exam (CDT D0120) | Arizona Medicaid pays a dentist $29.74 | State reimbursement, effective 2026-07-01 |
| Crown, porcelain/ceramic (CDT D2740) | Arizona Medicaid pays a dentist $554.80 | State reimbursement, effective 2026-07-01 |
| Root canal, molar tooth (CDT D3330) | Arizona Medicaid pays a dentist $546.14 | State reimbursement, effective 2026-07-01 |
| Extraction, erupted tooth (simple) (CDT D7140) | Arizona Medicaid pays a dentist $87.59 | State reimbursement, effective 2026-07-01 |
| Comprehensive oral exam (CDT D0150) | Arizona Medicaid pays a dentist $46.28 | State reimbursement, effective 2026-07-01 |
| Cleaning (prophylaxis), child (CDT D1120) | Arizona Medicaid pays a dentist $44.44 | State reimbursement, effective 2026-07-01 |
| Fluoride varnish (paediatric preventive) (CDT D1206) | Arizona Medicaid pays a dentist $22.12 | State reimbursement, effective 2026-07-01 |
| Sealant, per tooth (paediatric preventive) (CDT D1351) | Arizona Medicaid pays a dentist $29.70 | State reimbursement, effective 2026-07-01 |
| Amalgam filling, one surface (CDT D2140) | Arizona Medicaid pays a dentist $71.62 | State reimbursement, effective 2026-07-01 |
| Composite filling, one surface, posterior (CDT D2391) | Arizona Medicaid pays a dentist $80.90 | State reimbursement, effective 2026-07-01 |
| Crown, porcelain fused to high noble metal (CDT D2750) | Arizona Medicaid pays a dentist $544.00 | State reimbursement, effective 2026-07-01 |
| Crown, porcelain fused to predominantly base metal (CDT D2751) | Arizona Medicaid pays a dentist $527.04 | State reimbursement, effective 2026-07-01 |
| Crown, full cast predominantly base metal (CDT D2791) | Arizona Medicaid pays a dentist $588.30 | State reimbursement, effective 2026-07-01 |
| Root canal, anterior tooth (CDT D3310) | Arizona Medicaid pays a dentist $372.58 | State reimbursement, effective 2026-07-01 |
| Root canal, premolar tooth (CDT D3320) | Arizona Medicaid pays a dentist $442.47 | State reimbursement, effective 2026-07-01 |
| Complete denture, upper (CDT D5110) | Arizona Medicaid pays a dentist $792.33 | State reimbursement, effective 2026-07-01 |
| Complete denture, lower (CDT D5120) | Arizona Medicaid pays a dentist $796.21 | State reimbursement, effective 2026-07-01 |
| Surgical extraction, erupted tooth (CDT D7210) | Arizona Medicaid pays a dentist $133.09 | State reimbursement, effective 2026-07-01 |
Ready to compare providers?
Use the source-backed framework above, then continue to the matching provider destination.
Verify the rule before acting
- State Medicaid and CHIP Profiles — State-specific Medicaid and CHIP program profile; reviewed 2026-08-26
- Dental Care — Federal dental benefit requirements and state-option context; reviewed 2026-08-26
- Dental Licensure by State — State dental board and licensure pathway discovery; reviewed 2026-08-26
- AHCCCS Fee-for-Service Dental Rates — Official Arizona Medicaid dental fee schedule: amounts the state pays a dental provider per CDT procedure. Not consumer prices.; reviewed 2026-08-26
- Arizona Medicaid adult dental benefit scope — Arizona's own statement of what dental care adult Medicaid members receive; reviewed 2026-08-26
Arizona publishes its Medicaid dental reimbursement rates in AHCCCS Fee-for-Service Dental Rates. Those rates are what Arizona Medicaid pays a dental provider for each procedure, and they are not prices a patient pays. A self-pay or insured price for the same procedure is normally much higher, so a Arizona reimbursement figure cannot answer what a filling or a crown would cost you. It does answer what Arizona Medicaid will pay a dentist who accepts it. The figures on this page were retrieved 2026-08-26.
Quick checklist
- Write the Arizona question in one sentence.
- Select Arizona in Medicaid.gov’s state profiles, then confirm adult and child dental benefits in the state program documents.
- Check the exception, eligibility category, or license status that applies.
- Route to the canonical provider destination with the verified facts in hand.
Red flags
- A stale screenshot used as the only evidence
- No distinction between federal and Arizona requirements
- A recommendation based only on advertising position
Adult and child dental benefits are set differently in Arizona. Children's dental coverage is federally required under EPSDT, so every state must cover medically necessary dental care for eligible children. Adult dental coverage is a state option, which is why it varies so sharply. Arizona operates an emergency-only adult dental benefit for adults aged 21 and over. In the state's own words: "Emergency Dental (for adults 21 and older. Up to $1000 per contract year). [Dental Screening and Dental Treatment are listed] for children under age 21." Confirm your own category before booking, because Arizona eligibility groups can differ. Verified 2026-08-26.
Quick checklist
- Identify the person, service, and jurisdiction involved in Arizona.
- Select Arizona in Medicaid.gov’s state profiles, then confirm adult and child dental benefits in the state program documents.
- Separate federal rules from Arizona-specific rules.
- Ask the provider to explain any conflict in writing.
Red flags
- A stale screenshot used as the only evidence
- No distinction between federal and Arizona requirements
- A recommendation based only on advertising position
For “What should I confirm before booking Medicaid dental care in Arizona?,” A current Arizona answer starts at Medicaid.gov’s Arizona profile and the current Arizona Medicaid dental program materials and then narrows to the exact facts, date, and service involved. Your written comparison should cover child EPSDT obligations, optional adult coverage, covered service categories, prior authorization, managed-care network rules, and current state contacts. The final action is a provider search informed by the source record, not an unsourced recommendation.
Quick checklist
- Write the Arizona question in one sentence.
- Select Arizona in Medicaid.gov’s state profiles, then confirm adult and child dental benefits in the state program documents.
- Check the exception, eligibility category, or license status that applies.
- Route to the canonical provider destination with the verified facts in hand.
Red flags
- An authority link that does not identify Arizona or the topic
- A summary that hides exceptions
- A provider answer that changes when you ask for documentation
For “How do prior authorization and managed-care rules affect Arizona dental access?,” Use Medicaid.gov’s Arizona profile and the current Arizona Medicaid dental program materials as the first verification layer for Arizona, then document what you checked and when. The practical review is incomplete until it addresses child EPSDT obligations, optional adult coverage, covered service categories, prior authorization, managed-care network rules, and current state contacts. If the rule or provider fit remains unclear, use Find a Provider for the nearest canonical next step.
Quick checklist
- Name the exact Arizona decision and the date that could change it.
- Select Arizona in Medicaid.gov’s state profiles, then confirm adult and child dental benefits in the state program documents.
- Save the source URL, page title, and review date in your notes.
- Compare provider scope and written terms before using Find a Provider.
Red flags
- A generic fifty-state chart replacing Arizona primary material
- No license or designation verification
- Pressure to act before written terms are supplied
For “When should I use Find a Provider for Medicaid dental care in Arizona?,” Treat Medicaid.gov’s Arizona profile and the current Arizona Medicaid dental program materials as the source-of-record pathway for this Arizona question. The source review should produce a dated note covering child EPSDT obligations, optional adult coverage, covered service categories, prior authorization, managed-care network rules, and current state contacts. When facts or timing could change the answer, take the source record to a qualified provider.
Quick checklist
- Name the exact Arizona decision and the date that could change it.
- Select Arizona in Medicaid.gov’s state profiles, then confirm adult and child dental benefits in the state program documents.
- Save the source URL, page title, and review date in your notes.
- Compare provider scope and written terms before using Find a Provider.
Red flags
- A stale screenshot used as the only evidence
- No distinction between federal and Arizona requirements
- A recommendation based only on advertising position
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