Kansas Medicaid Dental Coverage Guide
Kansas Medicaid Dental Coverage Guide: verify the Kansas authority path, document the current rule or credential, compare written provider terms, and continue through Find a Provider only after the evidence check.
Kansas Medicaid Dental Coverage Guide: verify the Kansas authority path, document the current rule or credential, compare written provider terms, and continue through Find a Provider only after the evidence check. Kansas Medicaid pays a dentist $63.95. Kansas Medicaid pays a dentist $36.39.
What this page recommends
Kansas Medicaid Dental Coverage Guide: verify the Kansas 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.
Kansas Medicaid dental reimbursement rates on this page are taken from Kansas Medical Assistance Program Title XIX Fee Schedule, published by Kansas Department of Health and Environment (KMAP), and retrieved 2026-08-26. The schedule is effective 2025-07-01. 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. Kansas operates a limited adult dental benefit for adults 21 and over; children's dental care is required federally under EPSDT. Verified 2026-08-26.
Kansas Medicaid dental reimbursement: what the program pays a dentist, not what a patient pays
| Procedure (CDT code) | What Kansas Medicaid pays the dentist | Rate basis |
|---|---|---|
| Cleaning (prophylaxis), adult (CDT D1110) | Kansas Medicaid pays a dentist $63.95 | State reimbursement, effective 2025-07-01 |
| Periodic oral exam (CDT D0120) | Kansas Medicaid pays a dentist $36.39 | State reimbursement, effective 2025-07-01 |
| Crown, porcelain/ceramic (CDT D2740) | Kansas Medicaid pays a dentist $356.40 | State reimbursement, effective 2025-07-01 |
| Root canal, molar tooth (CDT D3330) | Kansas Medicaid pays a dentist $415.80 | State reimbursement, effective 2025-07-01 |
| Extraction, erupted tooth (simple) (CDT D7140) | Kansas Medicaid pays a dentist $104.94 | State reimbursement, effective 2025-07-01 |
| Comprehensive oral exam (CDT D0150) | Kansas Medicaid pays a dentist $49.80 | State reimbursement, effective 2025-07-01 |
| Cleaning (prophylaxis), child (CDT D1120) | Kansas Medicaid pays a dentist $46.79 | State reimbursement, effective 2025-07-01 |
| Fluoride varnish (paediatric preventive) (CDT D1206) | Kansas Medicaid pays a dentist $21.60 | State reimbursement, effective 2025-07-01 |
| Sealant, per tooth (paediatric preventive) (CDT D1351) | Kansas Medicaid pays a dentist $31.38 | State reimbursement, effective 2025-07-01 |
| Amalgam filling, one surface (CDT D2140) | Kansas Medicaid pays a dentist $53.50 | State reimbursement, effective 2025-07-01 |
| Composite filling, one surface, posterior (CDT D2391) | Kansas Medicaid pays a dentist $96.17 | State reimbursement, effective 2025-07-01 |
| Crown, porcelain fused to predominantly base metal (CDT D2751) | Kansas Medicaid pays a dentist $495.00 | State reimbursement, effective 2025-07-01 |
| Crown, full cast predominantly base metal (CDT D2791) | Kansas Medicaid pays a dentist $216.00 | State reimbursement, effective 2025-07-01 |
| Root canal, anterior tooth (CDT D3310) | Kansas Medicaid pays a dentist $297.00 | State reimbursement, effective 2025-07-01 |
| Root canal, premolar tooth (CDT D3320) | Kansas Medicaid pays a dentist $326.70 | State reimbursement, effective 2025-07-01 |
| Complete denture, upper (CDT D5110) | Kansas Medicaid pays a dentist $1,216.75 | State reimbursement, effective 2025-07-01 |
| Complete denture, lower (CDT D5120) | Kansas Medicaid pays a dentist $1,218.71 | State reimbursement, effective 2025-07-01 |
| Surgical extraction, erupted tooth (CDT D7210) | Kansas Medicaid pays a dentist $142.64 | State reimbursement, effective 2025-07-01 |
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
- Kansas Medical Assistance Program Title XIX Fee Schedule — Official Kansas Medicaid dental fee schedule: amounts the state pays a dental provider per CDT procedure. Not consumer prices.; reviewed 2026-08-26
- Kansas Medicaid adult dental benefit scope — Kansas's own statement of what dental care adult Medicaid members receive; reviewed 2026-08-26
Kansas publishes its Medicaid dental reimbursement rates in Kansas Medical Assistance Program Title XIX Fee Schedule. Those rates are what Kansas 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 Kansas reimbursement figure cannot answer what a filling or a crown would cost you. It does answer what Kansas Medicaid will pay a dentist who accepts it. The figures on this page were retrieved 2026-08-26.
Quick checklist
- Identify the person, service, and jurisdiction involved in Kansas.
- Select Kansas in Medicaid.gov’s state profiles, then confirm adult and child dental benefits in the state program documents.
- Separate federal rules from Kansas-specific rules.
- Ask the provider to explain any conflict in writing.
Red flags
- A generic fifty-state chart replacing Kansas primary material
- No license or designation verification
- Pressure to act before written terms are supplied
Adult and child dental benefits are set differently in Kansas. 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. Kansas operates a limited adult dental benefit for adults aged 21 and over. In the state's own words: "Any person 21 years of age and older who is enrolled in KMAP may be eligible for benefits under the KMAP dental program. Title 19 Ages 21 and Over (not ICF/IID) - Extractions are covered for Title 19 adults only when considered medically necessary." Confirm your own category before booking, because Kansas eligibility groups can differ. Verified 2026-08-26.
Quick checklist
- Identify the person, service, and jurisdiction involved in Kansas.
- Select Kansas in Medicaid.gov’s state profiles, then confirm adult and child dental benefits in the state program documents.
- Separate federal rules from Kansas-specific rules.
- Ask the provider to explain any conflict in writing.
Red flags
- A Kansas 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 Kansas?,” The defensible starting point in Kansas is Medicaid.gov’s Kansas profile and the current Kansas 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
- Name the exact Kansas decision and the date that could change it.
- Select Kansas 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 Kansas primary material
- No license or designation verification
- Pressure to act before written terms are supplied
For “How do prior authorization and managed-care rules affect Kansas dental access?,” Use Medicaid.gov’s Kansas profile and the current Kansas Medicaid dental program materials as the first verification layer for Kansas, 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 Kansas decision and the date that could change it.
- Select Kansas 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 Kansas requirements
- A recommendation based only on advertising position
For “When should I use Find a Provider for Medicaid dental care in Kansas?,” Before relying on a Kansas summary, confirm the issue through Medicaid.gov’s Kansas profile and the current Kansas Medicaid dental program materials. Record the source date and verify child EPSDT obligations, optional adult coverage, covered service categories, prior authorization, managed-care network rules, and current state contacts. After the source check, Find a Provider routes you to the relevant local directory or service path.
Quick checklist
- Name the exact Kansas decision and the date that could change it.
- Select Kansas 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 Kansas or the topic
- A summary that hides exceptions
- A provider answer that changes when you ask for documentation
Need help applying this guide?
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