New Hampshire Medicaid Dental Coverage Guide
New Hampshire Medicaid Dental Coverage Guide: verify the New Hampshire authority path, document the current rule or credential, compare written provider terms, and continue through Find a Provider only after the evidence check.
New Hampshire Medicaid Dental Coverage Guide: verify the New Hampshire authority path, document the current rule or credential, compare written provider terms, and continue through Find a Provider only after the evidence check. New Hampshire Medicaid pays a dentist $66.93.
What this page recommends
New Hampshire Medicaid Dental Coverage Guide: verify the New Hampshire 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.
New Hampshire Medicaid dental reimbursement rates on this page are taken from New Hampshire Medicaid Dental Procedure Code Fee Schedule, published by New Hampshire Department of Health and Human Services (NHMMIS), 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. New Hampshire operates a limited adult dental benefit for adults 21 and over; children's dental care is required federally under EPSDT. Verified 2026-08-26.
New Hampshire Medicaid dental reimbursement: what the program pays a dentist, not what a patient pays
| Procedure (CDT code) | What New Hampshire Medicaid pays the dentist | Rate basis |
|---|---|---|
| Cleaning (prophylaxis), adult (CDT D1110) | New Hampshire Medicaid pays a dentist $66.93 | State reimbursement, effective 2026-01-01 |
| Periodic oral exam (CDT D0120) | New Hampshire Medicaid pays a dentist $38.52 | State reimbursement, effective 2026-01-01 |
| Crown, porcelain/ceramic (CDT D2740) | New Hampshire Medicaid pays a dentist $600.00 | State reimbursement, effective 2026-01-01 |
| Extraction, erupted tooth (simple) (CDT D7140) | New Hampshire Medicaid pays a dentist $126.28 | State reimbursement, effective 2026-01-01 |
| Comprehensive oral exam (CDT D0150) | New Hampshire Medicaid pays a dentist $71.98 | State reimbursement, effective 2026-01-01 |
| Cleaning (prophylaxis), child (CDT D1120) | New Hampshire Medicaid pays a dentist $41.60 | State reimbursement, effective 2026-01-01 |
| Fluoride varnish (paediatric preventive) (CDT D1206) | New Hampshire Medicaid pays a dentist $22.73 | State reimbursement, effective 2026-01-01 |
| Sealant, per tooth (paediatric preventive) (CDT D1351) | New Hampshire Medicaid pays a dentist $36.68 | State reimbursement, effective 2026-01-01 |
| Amalgam filling, one surface (CDT D2140) | New Hampshire Medicaid pays a dentist $122.50 | State reimbursement, effective 2026-01-01 |
| Composite filling, one surface, posterior (CDT D2391) | New Hampshire Medicaid pays a dentist $122.50 | State reimbursement, effective 2026-01-01 |
| Crown, porcelain fused to high noble metal (CDT D2750) | New Hampshire Medicaid pays a dentist $600.00 | State reimbursement, effective 2026-01-01 |
| Crown, porcelain fused to predominantly base metal (CDT D2751) | New Hampshire Medicaid pays a dentist $600.00 | State reimbursement, effective 2026-01-01 |
| Crown, full cast predominantly base metal (CDT D2791) | New Hampshire Medicaid pays a dentist $600.00 | State reimbursement, effective 2026-01-01 |
| Surgical extraction, erupted tooth (CDT D7210) | New Hampshire Medicaid pays a dentist $157.86 | 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
- New Hampshire Medicaid Dental Procedure Code Fee Schedule — Official New Hampshire Medicaid dental fee schedule: amounts the state pays a dental provider per CDT procedure. Not consumer prices.; reviewed 2026-08-26
- New Hampshire Medicaid adult dental benefit scope — New Hampshire's own statement of what dental care adult Medicaid members receive; reviewed 2026-08-26
New Hampshire publishes its Medicaid dental reimbursement rates in New Hampshire Medicaid Dental Procedure Code Fee Schedule. Those rates are what New Hampshire 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 New Hampshire reimbursement figure cannot answer what a filling or a crown would cost you. It does answer what New Hampshire 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 New Hampshire.
- Select New Hampshire in Medicaid.gov’s state profiles, then confirm adult and child dental benefits in the state program documents.
- Separate federal rules from New Hampshire-specific rules.
- Ask the provider to explain any conflict in writing.
Red flags
- A New Hampshire claim with no source date
- A provider who will not identify the governing authority
- A price, deadline, or eligibility statement presented as universal
Adult and child dental benefits are set differently in New Hampshire. 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. New Hampshire operates a limited adult dental benefit for adults aged 21 and over. In the state's own words: "Benefits Available for Medicaid-Eligible Adults Ages 21 and over. A. Covered services include: X-rays and examinations; Cleanings; Fillings; Limited gum-related treatment; Tooth extractions and other oral surgeries. C. $1500 yearly limit on dental services, with the exception of preventive services." Confirm your own category before booking, because New Hampshire eligibility groups can differ. Verified 2026-08-26.
Quick checklist
- Write the New Hampshire question in one sentence.
- Select New Hampshire 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
- A generic fifty-state chart replacing New Hampshire 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 New Hampshire?,” The controlling verification path for New Hampshire runs through Medicaid.gov’s New Hampshire profile and the current New Hampshire 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 New Hampshire.
- Select New Hampshire in Medicaid.gov’s state profiles, then confirm adult and child dental benefits in the state program documents.
- Separate federal rules from New Hampshire-specific rules.
- Ask the provider to explain any conflict in writing.
Red flags
- A New Hampshire claim with no source date
- A provider who will not identify the governing authority
- A price, deadline, or eligibility statement presented as universal
For “How do prior authorization and managed-care rules affect New Hampshire dental access?,” For New Hampshire, begin with Medicaid.gov’s New Hampshire profile and the current New Hampshire 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 New Hampshire.
- Select New Hampshire in Medicaid.gov’s state profiles, then confirm adult and child dental benefits in the state program documents.
- Separate federal rules from New Hampshire-specific rules.
- Ask the provider to explain any conflict in writing.
Red flags
- A generic fifty-state chart replacing New Hampshire 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 New Hampshire?,” Before relying on a New Hampshire summary, confirm the issue through Medicaid.gov’s New Hampshire profile and the current New Hampshire 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
- Write the New Hampshire question in one sentence.
- Select New Hampshire 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 New Hampshire or the topic
- A summary that hides exceptions
- A provider answer that changes when you ask for documentation
Need help applying this guide?
- Nevada Medicaid Dental Coverage Guide
- New Jersey Medicaid Dental Coverage Guide
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- New Hampshire Comparative or Contributory Negligence Rules
- New Hampshire Dental Insurance Marketplace Guide
- New Hampshire Personal Injury Statute of Limitations
- Telehealth TRT Rules in New Hampshire
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- USCIS Civil Surgeons in New Hampshire