Missouri Medicaid Dental Coverage Guide
Missouri Medicaid Dental Coverage Guide: verify the Missouri authority path, document the current rule or credential, compare written provider terms, and continue through Find a Provider only after the evidence check.
Missouri Medicaid Dental Coverage Guide: verify the Missouri authority path, document the current rule or credential, compare written provider terms, and continue through Find a Provider only after the evidence check. Missouri Medicaid pays a dentist $85.60. Missouri Medicaid pays a dentist $48.80.
What this page recommends
Missouri Medicaid Dental Coverage Guide: verify the Missouri 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.
Missouri Medicaid dental reimbursement rates on this page are taken from MO HealthNet Dental Fee Schedule, published by Missouri Department of Social Services (MO HealthNet), and retrieved 2026-08-26. MO HealthNet dental fee schedule generated 2026-07-28; each row carries its own Rate Effective Date and the schedules are updated monthly. 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. Missouri operates a limited adult dental benefit for adults 21 and over; children's dental care is required federally under EPSDT. Verified 2026-08-26.
Missouri Medicaid dental reimbursement: what the program pays a dentist, not what a patient pays
| Procedure (CDT code) | What Missouri Medicaid pays the dentist | Rate basis |
|---|---|---|
| Cleaning (prophylaxis), adult (CDT D1110) | Missouri Medicaid pays a dentist $85.60 | State reimbursement, see the schedule for per-code effective dates |
| Periodic oral exam (CDT D0120) | Missouri Medicaid pays a dentist $48.80 | State reimbursement, see the schedule for per-code effective dates |
| Crown, porcelain/ceramic (CDT D2740) | Missouri Medicaid pays a dentist $1,048.80 | State reimbursement, see the schedule for per-code effective dates |
| Root canal, molar tooth (CDT D3330) | Missouri Medicaid pays a dentist $956.00 | State reimbursement, see the schedule for per-code effective dates |
| Extraction, erupted tooth (simple) (CDT D7140) | Missouri Medicaid pays a dentist $93.56 | State reimbursement, see the schedule for per-code effective dates |
| Surgical placement of implant body (CDT D6010) | Missouri Medicaid pays a dentist $373.11 | State reimbursement, see the schedule for per-code effective dates |
| Comprehensive oral exam (CDT D0150) | Missouri Medicaid pays a dentist $83.20 | State reimbursement, see the schedule for per-code effective dates |
| Cleaning (prophylaxis), child (CDT D1120) | Missouri Medicaid pays a dentist $62.40 | State reimbursement, see the schedule for per-code effective dates |
| Fluoride varnish (paediatric preventive) (CDT D1206) | Missouri Medicaid pays a dentist $36.80 | State reimbursement, see the schedule for per-code effective dates |
| Sealant, per tooth (paediatric preventive) (CDT D1351) | Missouri Medicaid pays a dentist $50.40 | State reimbursement, see the schedule for per-code effective dates |
| Amalgam filling, one surface (CDT D2140) | Missouri Medicaid pays a dentist $132.00 | State reimbursement, see the schedule for per-code effective dates |
| Composite filling, one surface, posterior (CDT D2391) | Missouri Medicaid pays a dentist $169.60 | State reimbursement, see the schedule for per-code effective dates |
| Crown, porcelain fused to high noble metal (CDT D2750) | Missouri Medicaid pays a dentist $1,029.60 | State reimbursement, see the schedule for per-code effective dates |
| Crown, porcelain fused to predominantly base metal (CDT D2751) | Missouri Medicaid pays a dentist $971.20 | State reimbursement, see the schedule for per-code effective dates |
| Crown, full cast predominantly base metal (CDT D2791) | Missouri Medicaid pays a dentist $956.00 | State reimbursement, see the schedule for per-code effective dates |
| Root canal, anterior tooth (CDT D3310) | Missouri Medicaid pays a dentist $695.20 | State reimbursement, see the schedule for per-code effective dates |
| Root canal, premolar tooth (CDT D3320) | Missouri Medicaid pays a dentist $787.20 | State reimbursement, see the schedule for per-code effective dates |
| Complete denture, upper (CDT D5110) | Missouri Medicaid pays a dentist $1,608.00 | State reimbursement, see the schedule for per-code effective dates |
| Complete denture, lower (CDT D5120) | Missouri Medicaid pays a dentist $1,627.20 | State reimbursement, see the schedule for per-code effective dates |
| Bridge pontic, porcelain fused to high noble metal (CDT D6240) | Missouri Medicaid pays a dentist $1,026.40 | State reimbursement, see the schedule for per-code effective dates |
| Bridge retainer crown, porcelain fused to high noble metal (CDT D6750) | Missouri Medicaid pays a dentist $1,028.80 | State reimbursement, see the schedule for per-code effective dates |
| Surgical extraction, erupted tooth (CDT D7210) | Missouri Medicaid pays a dentist $138.22 | State reimbursement, see the schedule for per-code effective dates |
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
- MO HealthNet Dental Fee Schedule — Official Missouri Medicaid dental fee schedule: amounts the state pays a dental provider per CDT procedure. Not consumer prices.; reviewed 2026-08-26
- Missouri Medicaid adult dental benefit scope — Missouri's own statement of what dental care adult Medicaid members receive; reviewed 2026-08-26
Missouri publishes its Medicaid dental reimbursement rates in MO HealthNet Dental Fee Schedule. Those rates are what Missouri 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 Missouri reimbursement figure cannot answer what a filling or a crown would cost you. It does answer what Missouri Medicaid will pay a dentist who accepts it. The figures on this page were retrieved 2026-08-26.
Quick checklist
- Write the Missouri question in one sentence.
- Select Missouri 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 Missouri or the topic
- A summary that hides exceptions
- A provider answer that changes when you ask for documentation
Adult and child dental benefits are set differently in Missouri. 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. Missouri operates a limited adult dental benefit for adults aged 21 and over. In the state's own words: "The MO HealthNet Division currently offers comprehensive dental services for children, pregnant women, the blind, and residents of a nursing facility. Coverage for adults is limited and includes dental services and care related to trauma of the mouth, jaw, teeth, or other contiguous sites." Confirm your own category before booking, because Missouri eligibility groups can differ. Verified 2026-08-26.
Quick checklist
- Record the event date and the decision deadline for the Missouri issue.
- Select Missouri 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 Missouri 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 Missouri?,” Use Medicaid.gov’s Missouri profile and the current Missouri Medicaid dental program materials as the first verification layer for Missouri, 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 Missouri decision and the date that could change it.
- Select Missouri 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 Missouri 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 Missouri dental access?,” The controlling verification path for Missouri runs through Medicaid.gov’s Missouri profile and the current Missouri Medicaid dental program materials; screenshots and blog charts are secondary. Use the source to separate general guidance from child EPSDT obligations, optional adult coverage, covered service categories, prior authorization, managed-care network rules, and current state contacts. Use Find a Provider only after the authority check so the next conversation starts with the right questions.
Quick checklist
- Name the exact Missouri decision and the date that could change it.
- Select Missouri 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 Missouri or the topic
- A summary that hides exceptions
- A provider answer that changes when you ask for documentation
For “When should I use Find a Provider for Medicaid dental care in Missouri?,” Use Medicaid.gov’s Missouri profile and the current Missouri Medicaid dental program materials as the first verification layer for Missouri, 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 Missouri decision and the date that could change it.
- Select Missouri 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 Missouri or the topic
- A summary that hides exceptions
- A provider answer that changes when you ask for documentation
Need help applying this guide?
- Mississippi Medicaid Dental Coverage Guide
- Montana Medicaid Dental Coverage Guide
- Missouri Comparative or Contributory Negligence Rules
- Missouri Dental Insurance Marketplace Guide
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- Telehealth TRT Rules in Missouri
- TRT Legality and Prescribing Rules in Missouri
- USCIS Civil Surgeons in Missouri