Nevada Medicaid Dental Coverage Guide
Nevada Medicaid Dental Coverage Guide: verify the Nevada authority path, document the current rule or credential, compare written provider terms, and continue through Find a Provider only after the evidence check.
Nevada Medicaid Dental Coverage Guide: verify the Nevada authority path, document the current rule or credential, compare written provider terms, and continue through Find a Provider only after the evidence check. Nevada Medicaid pays a dentist $52.30. Nevada Medicaid pays a dentist $473.54.
What this page recommends
Nevada Medicaid Dental Coverage Guide: verify the Nevada 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.
Nevada Medicaid dental reimbursement rates on this page are taken from Nevada Medicaid Provider Type 22 (Dentist) Reimbursement Schedule, published by Nevada Department of Health and Human Services (Nevada Medicaid), 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. Nevada operates a limited adult dental benefit for adults 21 and over; children's dental care is required federally under EPSDT. Verified 2026-08-26.
Nevada Medicaid dental reimbursement: what the program pays a dentist, not what a patient pays
| Procedure (CDT code) | What Nevada Medicaid pays the dentist | Rate basis |
|---|---|---|
| Cleaning (prophylaxis), adult (CDT D1110) | Nevada Medicaid pays a dentist $52.30 | State reimbursement, effective 2026-07-01 |
| Crown, porcelain/ceramic (CDT D2740) | Nevada Medicaid pays a dentist $473.54 | State reimbursement, effective 2026-07-01 |
| Root canal, molar tooth (CDT D3330) | Nevada Medicaid pays a dentist $344.39 | State reimbursement, effective 2026-07-01 |
| Extraction, erupted tooth (simple) (CDT D7140) | Nevada Medicaid pays a dentist $47.34 | State reimbursement, effective 2026-07-01 |
| Comprehensive oral exam (CDT D0150) | Nevada Medicaid pays a dentist $34.90 | State reimbursement, effective 2026-07-01 |
| Cleaning (prophylaxis), child (CDT D1120) | Nevada Medicaid pays a dentist $60.14 | State reimbursement, effective 2026-07-01 |
| Fluoride varnish (paediatric preventive) (CDT D1206) | Nevada Medicaid pays a dentist $55.97 | State reimbursement, effective 2026-07-01 |
| Sealant, per tooth (paediatric preventive) (CDT D1351) | Nevada Medicaid pays a dentist $24.75 | State reimbursement, effective 2026-07-01 |
| Amalgam filling, one surface (CDT D2140) | Nevada Medicaid pays a dentist $68.07 | State reimbursement, effective 2026-07-01 |
| Composite filling, one surface, posterior (CDT D2391) | Nevada Medicaid pays a dentist $45.20 | State reimbursement, effective 2026-07-01 |
| Crown, porcelain fused to predominantly base metal (CDT D2751) | Nevada Medicaid pays a dentist $344.39 | State reimbursement, effective 2026-07-01 |
| Crown, full cast predominantly base metal (CDT D2791) | Nevada Medicaid pays a dentist $344.39 | State reimbursement, effective 2026-07-01 |
| Root canal, anterior tooth (CDT D3310) | Nevada Medicaid pays a dentist $215.25 | State reimbursement, effective 2026-07-01 |
| Root canal, premolar tooth (CDT D3320) | Nevada Medicaid pays a dentist $258.30 | State reimbursement, effective 2026-07-01 |
| Complete denture, upper (CDT D5110) | Nevada Medicaid pays a dentist $645.75 | State reimbursement, effective 2026-07-01 |
| Complete denture, lower (CDT D5120) | Nevada Medicaid pays a dentist $645.75 | State reimbursement, effective 2026-07-01 |
| Surgical extraction, erupted tooth (CDT D7210) | Nevada Medicaid pays a dentist $91.48 | 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
- Nevada Medicaid Provider Type 22 (Dentist) Reimbursement Schedule — Official Nevada Medicaid dental fee schedule: amounts the state pays a dental provider per CDT procedure. Not consumer prices.; reviewed 2026-08-26
- Nevada Medicaid adult dental benefit scope — Nevada's own statement of what dental care adult Medicaid members receive; reviewed 2026-08-26
Nevada publishes its Medicaid dental reimbursement rates in Nevada Medicaid Provider Type 22 (Dentist) Reimbursement Schedule. Those rates are what Nevada 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 Nevada reimbursement figure cannot answer what a filling or a crown would cost you. It does answer what Nevada Medicaid will pay a dentist who accepts it. The figures on this page were retrieved 2026-08-26.
Quick checklist
- Write the Nevada question in one sentence.
- Select Nevada 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 Nevada 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 Nevada. 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. Nevada operates a limited adult dental benefit for adults aged 21 and over. In the state's own words: "Dental coverage for Medicaid-eligible adults age 21 and older includes the following dental services subject to a $1,000 annual calendar year expenditure limit: diagnostic; preventative; periodontal; and operative (fillings and crowns). Additional benefits for Medicaid-eligible adults age 21 and older, not subject to the expenditure limit, include emergency, palliative and prosthetic (dentures/partials) care. There i" Confirm your own category before booking, because Nevada eligibility groups can differ. Verified 2026-08-26.
Quick checklist
- Write the Nevada question in one sentence.
- Select Nevada 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 Nevada 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 Nevada?,” The defensible starting point in Nevada is Medicaid.gov’s Nevada profile and the current Nevada 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
- Identify the person, service, and jurisdiction involved in Nevada.
- Select Nevada in Medicaid.gov’s state profiles, then confirm adult and child dental benefits in the state program documents.
- Separate federal rules from Nevada-specific rules.
- Ask the provider to explain any conflict in writing.
Red flags
- A stale screenshot used as the only evidence
- No distinction between federal and Nevada requirements
- A recommendation based only on advertising position
For “How do prior authorization and managed-care rules affect Nevada dental access?,” The controlling verification path for Nevada runs through Medicaid.gov’s Nevada profile and the current Nevada 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
- Identify the person, service, and jurisdiction involved in Nevada.
- Select Nevada in Medicaid.gov’s state profiles, then confirm adult and child dental benefits in the state program documents.
- Separate federal rules from Nevada-specific rules.
- Ask the provider to explain any conflict in writing.
Red flags
- An authority link that does not identify Nevada 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 Nevada?,” For Nevada, begin with Medicaid.gov’s Nevada profile and the current Nevada 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 Nevada issue.
- Select Nevada 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 Nevada 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?
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