Georgia Medicaid Dental Coverage Guide
Georgia Medicaid Dental Coverage Guide: verify the Georgia authority path, document the current rule or credential, compare written provider terms, and continue through Find a Provider only after the evidence check.
Georgia Medicaid Dental Coverage Guide: verify the Georgia authority path, document the current rule or credential, compare written provider terms, and continue through Find a Provider only after the evidence check. Georgia Medicaid pays a dentist $36.53. Georgia Medicaid pays a dentist $25.93.
What this page recommends
Georgia Medicaid Dental Coverage Guide: verify the Georgia 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.
Georgia Medicaid dental reimbursement rates on this page are taken from Georgia Medicaid Dental Services Manual, Appendix B - Maximum Allowable Charges, published by Georgia Department of Community Health, 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. Georgia operates a comprehensive adult dental benefit for adults 21 and over; children's dental care is required federally under EPSDT. Verified 2026-08-26.
Georgia Medicaid dental reimbursement: what the program pays a dentist, not what a patient pays
| Procedure (CDT code) | What Georgia Medicaid pays the dentist | Rate basis |
|---|---|---|
| Cleaning (prophylaxis), adult (CDT D1110) | Georgia Medicaid pays a dentist $36.53 | State reimbursement, effective 2026-07-01 |
| Periodic oral exam (CDT D0120) | Georgia Medicaid pays a dentist $25.93 | State reimbursement, effective 2026-07-01 |
| Extraction, erupted tooth (simple) (CDT D7140) | Georgia Medicaid pays a dentist $82.80 | State reimbursement, effective 2026-07-01 |
| Comprehensive oral exam (CDT D0150) | Georgia Medicaid pays a dentist $44.79 | State reimbursement, effective 2026-07-01 |
| Cleaning (prophylaxis), child (CDT D1120) | Georgia Medicaid pays a dentist $36.53 | State reimbursement, effective 2026-07-01 |
| Fluoride varnish (paediatric preventive) (CDT D1206) | Georgia Medicaid pays a dentist $20.03 | State reimbursement, effective 2026-07-01 |
| Sealant, per tooth (paediatric preventive) (CDT D1351) | Georgia Medicaid pays a dentist $31.83 | State reimbursement, effective 2026-07-01 |
| Composite filling, one surface, posterior (CDT D2391) | Georgia Medicaid pays a dentist $91.94 | State reimbursement, effective 2026-07-01 |
| Root canal, premolar tooth (CDT D3320) | Georgia Medicaid pays a dentist $475.27 | State reimbursement, effective 2026-07-01 |
| Complete denture, upper (CDT D5110) | Georgia Medicaid pays a dentist $690.62 | State reimbursement, effective 2026-07-01 |
| Complete denture, lower (CDT D5120) | Georgia Medicaid pays a dentist $690.62 | State reimbursement, effective 2026-07-01 |
| Bridge pontic, porcelain fused to high noble metal (CDT D6240) | Georgia Medicaid pays a dentist $569.97 | State reimbursement, effective 2026-07-01 |
| Bridge retainer crown, porcelain fused to high noble metal (CDT D6750) | Georgia Medicaid pays a dentist $595.70 | State reimbursement, effective 2026-07-01 |
| Surgical extraction, erupted tooth (CDT D7210) | Georgia Medicaid pays a dentist $153.51 | 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
- Georgia Medicaid Dental Services Manual, Appendix B - Maximum Allowable Charges — Official Georgia Medicaid dental fee schedule: amounts the state pays a dental provider per CDT procedure. Not consumer prices.; reviewed 2026-08-26
- Georgia Medicaid adult dental benefit scope — Georgia's own statement of what dental care adult Medicaid members receive; reviewed 2026-08-26
Georgia publishes its Medicaid dental reimbursement rates in Georgia Medicaid Dental Services Manual, Appendix B - Maximum Allowable Charges. Those rates are what Georgia 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 Georgia reimbursement figure cannot answer what a filling or a crown would cost you. It does answer what Georgia Medicaid will pay a dentist who accepts it. The figures on this page were retrieved 2026-08-26.
Quick checklist
- Record the event date and the decision deadline for the Georgia issue.
- Select Georgia in Medicaid.gov’s state profiles, then confirm adult and child dental benefits in the state program documents.
- Capture the operative rule, not merely a search-result snippet.
- Use Find a Provider if interpretation or application remains uncertain.
Red flags
- A generic fifty-state chart replacing Georgia primary material
- No license or designation verification
- Pressure to act before written terms are supplied
Adult and child dental benefits are set differently in Georgia. 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. Georgia operates a comprehensive adult dental benefit for adults aged 21 and over. In the state's own words: "Effective July 1, 2024, individuals over age 21 and older will receive the following medically necessary dental services: diagnostic, preventive, restorative, periodontal, prosthodontic, orthodontic, endodontic, emergency dental services, and oral surgery (inpatient and outpatient)." Confirm your own category before booking, because Georgia eligibility groups can differ. Verified 2026-08-26.
Quick checklist
- Name the exact Georgia decision and the date that could change it.
- Select Georgia 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 Georgia claim with no source date
- A provider who will not identify the governing authority
- A price, deadline, or eligibility statement presented as universal
For “What should I confirm before booking Medicaid dental care in Georgia?,” A current Georgia answer starts at Medicaid.gov’s Georgia profile and the current Georgia 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
- Name the exact Georgia decision and the date that could change it.
- Select Georgia 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
- An authority link that does not identify Georgia 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 Georgia dental access?,” For Georgia, begin with Medicaid.gov’s Georgia profile and the current Georgia Medicaid dental program materials; it is the correct authority path for this page’s decision. Do not advance until the evidence file covers child EPSDT obligations, optional adult coverage, covered service categories, prior authorization, managed-care network rules, and current state contacts. Find a Provider routes to the canonical destination for current local options and verification.
Quick checklist
- Write the Georgia question in one sentence.
- Select Georgia 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 Georgia claim with no source date
- A provider who will not identify the governing authority
- A price, deadline, or eligibility statement presented as universal
For “When should I use Find a Provider for Medicaid dental care in Georgia?,” The defensible starting point in Georgia is Medicaid.gov’s Georgia profile and the current Georgia Medicaid dental program materials, not an undated national summary. Then confirm child EPSDT obligations, optional adult coverage, covered service categories, prior authorization, managed-care network rules, and current state contacts. Do not rely on the summary alone; verify first, then use Find a Provider.
Quick checklist
- Write the Georgia question in one sentence.
- Select Georgia 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 Georgia claim with no source date
- A provider who will not identify the governing authority
- A price, deadline, or eligibility statement presented as universal
Need help applying this guide?
- Florida Medicaid Dental Coverage Guide
- Hawaii Medicaid Dental Coverage Guide
- Georgia Comparative or Contributory Negligence Rules
- Georgia Dental Insurance Marketplace Guide
- Georgia Personal Injury Statute of Limitations
- Neuropsychological Evaluation Access in Georgia
- Telehealth TRT Rules in Georgia
- TRT Legality and Prescribing Rules in Georgia
- USCIS Civil Surgeons in Georgia