North Dakota Medicaid Dental Coverage Guide
North Dakota Medicaid Dental Coverage Guide: verify the North Dakota authority path, document the current rule or credential, compare written provider terms, and continue through Find a Provider only after the evidence check.
North Dakota Medicaid Dental Coverage Guide: verify the North Dakota authority path, document the current rule or credential, compare written provider terms, and continue through Find a Provider only after the evidence check. North Dakota Medicaid pays a dentist $65.87 for a patient under 21.
What this page recommends
North Dakota Medicaid Dental Coverage Guide: verify the North Dakota 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.
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These are nearby ways people describe the same decision before they move into local comparison, pricing, or urgent next-step mode.
North Dakota Medicaid dental reimbursement rates on this page are taken from North Dakota Medicaid Dental Fee Schedule, published by North Dakota Health and Human Services, 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. North Dakota operates a limited adult dental benefit for adults 21 and over; children's dental care is required federally under EPSDT. Verified 2026-08-26.
North Dakota Medicaid dental reimbursement: what the program pays a dentist, not what a patient pays
| Procedure (CDT code) | Paid to the dentist for a patient under 21 | Paid to the dentist for a patient 21 and over |
|---|---|---|
| Cleaning (prophylaxis), adult (CDT D1110) | North Dakota Medicaid pays a dentist $65.87 for a patient under 21 | $66.64 paid to the dentist for a patient 21 and over |
| Periodic oral exam (CDT D0120) | North Dakota Medicaid pays a dentist $35.64 for a patient under 21 | $33.59 paid to the dentist for a patient 21 and over |
| Crown, porcelain/ceramic (CDT D2740) | North Dakota Medicaid pays a dentist $921.72 for a patient under 21 | $766.65 paid to the dentist for a patient 21 and over |
| Root canal, molar tooth (CDT D3330) | North Dakota Medicaid pays a dentist $778.14 for a patient under 21 | $735.25 paid to the dentist for a patient 21 and over |
| Extraction, erupted tooth (simple) (CDT D7140) | North Dakota Medicaid pays a dentist $99.68 for a patient under 21 | $107.22 paid to the dentist for a patient 21 and over |
| Comprehensive oral exam (CDT D0150) | North Dakota Medicaid pays a dentist $53.20 for a patient under 21 | $55.80 paid to the dentist for a patient 21 and over |
| Cleaning (prophylaxis), child (CDT D1120) | North Dakota Medicaid pays a dentist $45.82 for a patient under 21 | No rate listed for this age group |
| Fluoride varnish (paediatric preventive) (CDT D1206) | North Dakota Medicaid pays a dentist $30.48 for a patient under 21 | $29.00 paid to the dentist for a patient 21 and over |
| Sealant, per tooth (paediatric preventive) (CDT D1351) | North Dakota Medicaid pays a dentist $36.55 for a patient under 21 | $34.43 paid to the dentist for a patient 21 and over |
| Amalgam filling, one surface (CDT D2140) | North Dakota Medicaid pays a dentist $91.46 for a patient under 21 | $89.29 paid to the dentist for a patient 21 and over |
| Composite filling, one surface, posterior (CDT D2391) | North Dakota Medicaid pays a dentist $112.25 for a patient under 21 | $120.68 paid to the dentist for a patient 21 and over |
| Crown, porcelain fused to high noble metal (CDT D2750) | North Dakota Medicaid pays a dentist $865.97 for a patient under 21 | $822.74 paid to the dentist for a patient 21 and over |
| Crown, porcelain fused to predominantly base metal (CDT D2751) | North Dakota Medicaid pays a dentist $763.55 for a patient under 21 | $671.09 paid to the dentist for a patient 21 and over |
| Crown, full cast predominantly base metal (CDT D2791) | North Dakota Medicaid pays a dentist $644.05 for a patient under 21 | $607.01 paid to the dentist for a patient 21 and over |
| Root canal, anterior tooth (CDT D3310) | North Dakota Medicaid pays a dentist $515.60 for a patient under 21 | $487.19 paid to the dentist for a patient 21 and over |
| Root canal, premolar tooth (CDT D3320) | North Dakota Medicaid pays a dentist $666.76 for a patient under 21 | $630.00 paid to the dentist for a patient 21 and over |
| Complete denture, upper (CDT D5110) | North Dakota Medicaid pays a dentist $1,107.20 for a patient under 21 | $1,165.27 paid to the dentist for a patient 21 and over |
| Complete denture, lower (CDT D5120) | North Dakota Medicaid pays a dentist $1,107.20 for a patient under 21 | $1,181.38 paid to the dentist for a patient 21 and over |
| Bridge pontic, porcelain fused to high noble metal (CDT D6240) | North Dakota Medicaid pays a dentist $961.68 for a patient under 21 | No rate listed for this age group |
| Bridge retainer crown, porcelain fused to high noble metal (CDT D6750) | North Dakota Medicaid pays a dentist $961.68 for a patient under 21 | No rate listed for this age group |
| Surgical extraction, erupted tooth (CDT D7210) | North Dakota Medicaid pays a dentist $217.39 for a patient under 21 | $219.18 paid to the dentist for a patient 21 and over |
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
- North Dakota Medicaid Dental Fee Schedule — Official North Dakota Medicaid dental fee schedule: amounts the state pays a dental provider per CDT procedure. Not consumer prices.; reviewed 2026-08-26
- North Dakota Medicaid adult dental benefit scope — North Dakota's own statement of what dental care adult Medicaid members receive; reviewed 2026-08-26
North Dakota publishes its Medicaid dental reimbursement rates in North Dakota Medicaid Dental Fee Schedule. Those rates are what North Dakota 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 North Dakota reimbursement figure cannot answer what a filling or a crown would cost you. It does answer what North Dakota 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 North Dakota issue.
- Select North Dakota 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 North Dakota 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 North Dakota. 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. North Dakota operates a limited adult dental benefit for adults aged 21 and over. In the state's own words: "No payment will be made for single crowns on posterior teeth for individuals twenty-one years of age and older except for stainless steel crowns. Payment for other crowns may be allowed by the department for the anterior portion of the mouth for adults if the crown is necessary and has been previously approved by the department." Confirm your own category before booking, because North Dakota eligibility groups can differ. Verified 2026-08-26.
Quick checklist
- Name the exact North Dakota decision and the date that could change it.
- Select North Dakota 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 North Dakota claim with no source date
- A provider who will not identify the governing authority
- A price, deadline, or eligibility statement presented as universal
For “What should I confirm before booking Medicaid dental care in North Dakota?,” The defensible starting point in North Dakota is Medicaid.gov’s North Dakota profile and the current North Dakota 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
- Name the exact North Dakota decision and the date that could change it.
- Select North Dakota 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 stale screenshot used as the only evidence
- No distinction between federal and North Dakota requirements
- A recommendation based only on advertising position
For “How do prior authorization and managed-care rules affect North Dakota dental access?,” The controlling verification path for North Dakota runs through Medicaid.gov’s North Dakota profile and the current North Dakota 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 North Dakota decision and the date that could change it.
- Select North Dakota 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 North Dakota 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 North Dakota?,” Use Medicaid.gov’s North Dakota profile and the current North Dakota Medicaid dental program materials as the first verification layer for North Dakota, 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
- Write the North Dakota question in one sentence.
- Select North Dakota 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 North Dakota claim with no source date
- A provider who will not identify the governing authority
- A price, deadline, or eligibility statement presented as universal
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