Michigan Medicaid Dental Coverage Guide
Michigan Medicaid Dental Coverage Guide: verify the Michigan authority path, document the current rule or credential, compare written provider terms, and continue through Find a Provider only after the evidence check.
Michigan Medicaid Dental Coverage Guide: verify the Michigan authority path, document the current rule or credential, compare written provider terms, and continue through Find a Provider only after the evidence check. Michigan Medicaid pays a dentist $62.14. Michigan Medicaid pays a dentist $33.99.
What this page recommends
Michigan Medicaid Dental Coverage Guide: verify the Michigan 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.
Michigan Medicaid dental reimbursement rates on this page are taken from Michigan Medicaid Dental Fee Schedule, published by Michigan Department of Health and Human Services, and retrieved 2026-08-26. The schedule is effective 2026-01-01. 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. Michigan operates a comprehensive adult dental benefit for adults 21 and over; children's dental care is required federally under EPSDT. Verified 2026-08-26.
Michigan Medicaid dental reimbursement: what the program pays a dentist, not what a patient pays
| Procedure (CDT code) | What Michigan Medicaid pays the dentist | Rate basis |
|---|---|---|
| Cleaning (prophylaxis), adult (CDT D1110) | Michigan Medicaid pays a dentist $62.14 | State reimbursement, effective 2026-01-01 |
| Periodic oral exam (CDT D0120) | Michigan Medicaid pays a dentist $33.99 | State reimbursement, effective 2026-01-01 |
| Crown, porcelain/ceramic (CDT D2740) | Michigan Medicaid pays a dentist $817.57 | State reimbursement, effective 2026-01-01 |
| Root canal, molar tooth (CDT D3330) | Michigan Medicaid pays a dentist $742.86 | State reimbursement, effective 2026-01-01 |
| Extraction, erupted tooth (simple) (CDT D7140) | Michigan Medicaid pays a dentist $101.00 | State reimbursement, effective 2026-01-01 |
| Comprehensive oral exam (CDT D0150) | Michigan Medicaid pays a dentist $54.14 | State reimbursement, effective 2026-01-01 |
| Cleaning (prophylaxis), child (CDT D1120) | Michigan Medicaid pays a dentist $46.71 | State reimbursement, effective 2026-01-01 |
| Fluoride varnish (paediatric preventive) (CDT D1206) | Michigan Medicaid pays a dentist $32.29 | State reimbursement, effective 2026-01-01 |
| Sealant, per tooth (paediatric preventive) (CDT D1351) | Michigan Medicaid pays a dentist $33.71 | State reimbursement, effective 2026-01-01 |
| Amalgam filling, one surface (CDT D2140) | Michigan Medicaid pays a dentist $77.14 | State reimbursement, effective 2026-01-01 |
| Composite filling, one surface, posterior (CDT D2391) | Michigan Medicaid pays a dentist $113.57 | State reimbursement, effective 2026-01-01 |
| Crown, porcelain fused to high noble metal (CDT D2750) | Michigan Medicaid pays a dentist $744.14 | State reimbursement, effective 2026-01-01 |
| Crown, porcelain fused to predominantly base metal (CDT D2751) | Michigan Medicaid pays a dentist $677.00 | State reimbursement, effective 2026-01-01 |
| Crown, full cast predominantly base metal (CDT D2791) | Michigan Medicaid pays a dentist $668.14 | State reimbursement, effective 2026-01-01 |
| Root canal, anterior tooth (CDT D3310) | Michigan Medicaid pays a dentist $499.43 | State reimbursement, effective 2026-01-01 |
| Root canal, premolar tooth (CDT D3320) | Michigan Medicaid pays a dentist $584.86 | State reimbursement, effective 2026-01-01 |
| Complete denture, upper (CDT D5110) | Michigan Medicaid pays a dentist $937.00 | State reimbursement, effective 2026-01-01 |
| Complete denture, lower (CDT D5120) | Michigan Medicaid pays a dentist $932.00 | State reimbursement, effective 2026-01-01 |
| Surgical extraction, erupted tooth (CDT D7210) | Michigan Medicaid pays a dentist $181.86 | State reimbursement, effective 2026-01-01 |
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
- Michigan Medicaid Dental Fee Schedule — Official Michigan Medicaid dental fee schedule: amounts the state pays a dental provider per CDT procedure. Not consumer prices.; reviewed 2026-08-26
- Michigan Medicaid adult dental benefit scope — Michigan's own statement of what dental care adult Medicaid members receive; reviewed 2026-08-26
Michigan publishes its Medicaid dental reimbursement rates in Michigan Medicaid Dental Fee Schedule. Those rates are what Michigan 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 Michigan reimbursement figure cannot answer what a filling or a crown would cost you. It does answer what Michigan 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 Michigan.
- Select Michigan in Medicaid.gov’s state profiles, then confirm adult and child dental benefits in the state program documents.
- Separate federal rules from Michigan-specific rules.
- Ask the provider to explain any conflict in writing.
Red flags
- A generic fifty-state chart replacing Michigan primary material
- No license or designation verification
- Pressure to act before written terms are supplied
Adult and child dental benefits are set differently in Michigan. 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. Michigan operates a comprehensive adult dental benefit for adults aged 21 and over. In the state's own words: "Medicaid beneficiaries ages 21 and older who are not enrolled in a Medicaid Health Plan (MHP), Integrated Care Organization (ICO)/Highly Integrated Dual Eligible Special Needs Plan (HIDE SNP), or Program of All Inclusive Care for the Elderly (PACE) will receive dental benefits through the Medicaid FFS Program." Confirm your own category before booking, because Michigan eligibility groups can differ. Verified 2026-08-26.
Quick checklist
- Identify the person, service, and jurisdiction involved in Michigan.
- Select Michigan in Medicaid.gov’s state profiles, then confirm adult and child dental benefits in the state program documents.
- Separate federal rules from Michigan-specific rules.
- Ask the provider to explain any conflict in writing.
Red flags
- A generic fifty-state chart replacing Michigan primary material
- No license or designation verification
- Pressure to act before written terms are supplied
For “What should I confirm before booking Medicaid dental care in Michigan?,” The defensible starting point in Michigan is Medicaid.gov’s Michigan profile and the current Michigan 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 Michigan question in one sentence.
- Select Michigan 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 Michigan 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 Michigan dental access?,” For Michigan, begin with Medicaid.gov’s Michigan profile and the current Michigan 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
- Record the event date and the decision deadline for the Michigan issue.
- Select Michigan 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 Michigan 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 Michigan?,” For Michigan, begin with Medicaid.gov’s Michigan profile and the current Michigan 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
- Identify the person, service, and jurisdiction involved in Michigan.
- Select Michigan in Medicaid.gov’s state profiles, then confirm adult and child dental benefits in the state program documents.
- Separate federal rules from Michigan-specific rules.
- Ask the provider to explain any conflict in writing.
Red flags
- A generic fifty-state chart replacing Michigan primary material
- No license or designation verification
- Pressure to act before written terms are supplied
Need help applying this guide?
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- Minnesota Medicaid Dental Coverage Guide
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