Maryland Medicaid Dental Coverage Guide
Maryland Medicaid Dental Coverage Guide: verify the Maryland authority path, document the current rule or credential, compare written provider terms, and continue through Find a Provider only after the evidence check.
Maryland Medicaid Dental Coverage Guide: verify the Maryland authority path, document the current rule or credential, compare written provider terms, and continue through Find a Provider only after the evidence check. Maryland Medicaid pays a dentist $67.12. Maryland Medicaid pays a dentist $31.81.
What this page recommends
Maryland Medicaid Dental Coverage Guide: verify the Maryland 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.
Maryland Medicaid dental reimbursement rates on this page are taken from Maryland Medicaid Dental Fee Schedule and Procedure Codes, published by Maryland Department of Health, and retrieved 2026-08-26. The schedule is effective 2023-08-01. 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. Maryland operates a comprehensive adult dental benefit for adults 21 and over; children's dental care is required federally under EPSDT. Verified 2026-08-26.
Maryland Medicaid dental reimbursement: what the program pays a dentist, not what a patient pays
| Procedure (CDT code) | What Maryland Medicaid pays the dentist | Rate basis |
|---|---|---|
| Cleaning (prophylaxis), adult (CDT D1110) | Maryland Medicaid pays a dentist $67.12 | State reimbursement, effective 2023-08-01 |
| Periodic oral exam (CDT D0120) | Maryland Medicaid pays a dentist $31.81 | State reimbursement, effective 2023-08-01 |
| Root canal, molar tooth (CDT D3330) | Maryland Medicaid pays a dentist $748.00 | State reimbursement, effective 2023-08-01 |
| Extraction, erupted tooth (simple) (CDT D7140) | Maryland Medicaid pays a dentist $135.23 | State reimbursement, effective 2023-08-01 |
| Cleaning (prophylaxis), child (CDT D1120) | Maryland Medicaid pays a dentist $48.90 | State reimbursement, effective 2023-08-01 |
| Fluoride varnish (paediatric preventive) (CDT D1206) | Maryland Medicaid pays a dentist $26.29 | State reimbursement, effective 2023-08-01 |
| Sealant, per tooth (paediatric preventive) (CDT D1351) | Maryland Medicaid pays a dentist $39.88 | State reimbursement, effective 2023-08-01 |
| Amalgam filling, one surface (CDT D2140) | Maryland Medicaid pays a dentist $73.85 | State reimbursement, effective 2023-08-01 |
| Composite filling, one surface, posterior (CDT D2391) | Maryland Medicaid pays a dentist $107.33 | State reimbursement, effective 2023-08-01 |
| Surgical extraction, erupted tooth (CDT D7210) | Maryland Medicaid pays a dentist $112.69 | State reimbursement, effective 2023-08-01 |
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
- Maryland Medicaid Dental Fee Schedule and Procedure Codes — Official Maryland Medicaid dental fee schedule: amounts the state pays a dental provider per CDT procedure. Not consumer prices.; reviewed 2026-08-26
- Maryland Medicaid adult dental benefit scope — Maryland's own statement of what dental care adult Medicaid members receive; reviewed 2026-08-26
Maryland publishes its Medicaid dental reimbursement rates in Maryland Medicaid Dental Fee Schedule and Procedure Codes. Those rates are what Maryland 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 Maryland reimbursement figure cannot answer what a filling or a crown would cost you. It does answer what Maryland 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 Maryland issue.
- Select Maryland 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 Maryland primary material
- No license or designation verification
- Pressure to act before written terms are supplied
Adult and child dental benefits are set differently in Maryland. 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. Maryland operates a comprehensive adult dental benefit for adults aged 21 and over. In the state's own words: "Everyone with full Medicaid coverage is eligible. Medicaid covers: Anesthesia, Crowns, Fillings, Fluoride treatments, Pulling teeth - extractions, Regular checkups, Root canals, Teeth cleaning, X-rays. Medicaid does not cover: Cosmetic procedures; Dentures for adults 21+; Experimental procedures." Confirm your own category before booking, because Maryland eligibility groups can differ. Verified 2026-08-26.
Quick checklist
- Write the Maryland question in one sentence.
- Select Maryland 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 Maryland or the topic
- A summary that hides exceptions
- A provider answer that changes when you ask for documentation
For “What should I confirm before booking Medicaid dental care in Maryland?,” A current Maryland answer starts at Medicaid.gov’s Maryland profile and the current Maryland 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
- Record the event date and the decision deadline for the Maryland issue.
- Select Maryland 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 stale screenshot used as the only evidence
- No distinction between federal and Maryland requirements
- A recommendation based only on advertising position
For “How do prior authorization and managed-care rules affect Maryland dental access?,” Before relying on a Maryland summary, confirm the issue through Medicaid.gov’s Maryland profile and the current Maryland 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
- Record the event date and the decision deadline for the Maryland issue.
- Select Maryland 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 Maryland 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 Maryland?,” In Maryland, verify the rule or credential through Medicaid.gov’s Maryland profile and the current Maryland Medicaid dental program materials before comparing providers or acting. A provider-facing checklist should test child EPSDT obligations, optional adult coverage, covered service categories, prior authorization, managed-care network rules, and current state contacts. The provider CTA is the next step, not a substitute for verifying the governing source.
Quick checklist
- Record the event date and the decision deadline for the Maryland issue.
- Select Maryland 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
- An authority link that does not identify Maryland or the topic
- A summary that hides exceptions
- A provider answer that changes when you ask for documentation
Need help applying this guide?
- Maine Medicaid Dental Coverage Guide
- Massachusetts Medicaid Dental Coverage Guide
- Maryland Comparative or Contributory Negligence Rules
- Maryland Dental Insurance Marketplace Guide
- Maryland Personal Injury Statute of Limitations
- Neuropsychological Evaluation Access in Maryland
- Telehealth TRT Rules in Maryland
- TRT Legality and Prescribing Rules in Maryland
- USCIS Civil Surgeons in Maryland