Utah Medicaid Dental Coverage Guide
Utah Medicaid Dental Coverage Guide: verify the Utah authority path, document the current rule or credential, compare written provider terms, and continue through Find a Provider only after the evidence check.
Utah Medicaid Dental Coverage Guide: verify the Utah authority path, document the current rule or credential, compare written provider terms, and continue through Find a Provider only after the evidence check. Utah Medicaid pays a dentist $49.67. Utah Medicaid pays a dentist $24.08.
What this page recommends
Utah Medicaid Dental Coverage Guide: verify the Utah 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.
Utah Medicaid dental reimbursement rates on this page are taken from Utah Medicaid Dental Fee Schedule (PAC 028, Traditional), published by Utah Department of Health and Human Services (Utah Medicaid), and retrieved 2026-08-26. Generated by the state's fee schedule tool for date of service 8/26/2026; each row carries its own EffectiveStartDate. 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. Utah operates a comprehensive adult dental benefit for adults 21 and over; children's dental care is required federally under EPSDT. Verified 2026-08-26.
Utah Medicaid dental reimbursement: what the program pays a dentist, not what a patient pays
| Procedure (CDT code) | What Utah Medicaid pays the dentist | Rate basis |
|---|---|---|
| Cleaning (prophylaxis), adult (CDT D1110) | Utah Medicaid pays a dentist $49.67 | State reimbursement, see the schedule for per-code effective dates |
| Periodic oral exam (CDT D0120) | Utah Medicaid pays a dentist $24.08 | State reimbursement, see the schedule for per-code effective dates |
| Crown, porcelain/ceramic (CDT D2740) | Utah Medicaid pays a dentist $501.12 | State reimbursement, see the schedule for per-code effective dates |
| Root canal, molar tooth (CDT D3330) | Utah Medicaid pays a dentist $487.00 | State reimbursement, see the schedule for per-code effective dates |
| Extraction, erupted tooth (simple) (CDT D7140) | Utah Medicaid pays a dentist $71.40 | State reimbursement, see the schedule for per-code effective dates |
| Comprehensive oral exam (CDT D0150) | Utah Medicaid pays a dentist $35.71 | State reimbursement, see the schedule for per-code effective dates |
| Cleaning (prophylaxis), child (CDT D1120) | Utah Medicaid pays a dentist $38.80 | State reimbursement, see the schedule for per-code effective dates |
| Fluoride varnish (paediatric preventive) (CDT D1206) | Utah Medicaid pays a dentist $17.87 | State reimbursement, see the schedule for per-code effective dates |
| Sealant, per tooth (paediatric preventive) (CDT D1351) | Utah Medicaid pays a dentist $29.50 | State reimbursement, see the schedule for per-code effective dates |
| Amalgam filling, one surface (CDT D2140) | Utah Medicaid pays a dentist $55.88 | State reimbursement, see the schedule for per-code effective dates |
| Composite filling, one surface, posterior (CDT D2391) | Utah Medicaid pays a dentist $67.06 | State reimbursement, see the schedule for per-code effective dates |
| Crown, porcelain fused to high noble metal (CDT D2750) | Utah Medicaid pays a dentist $501.12 | State reimbursement, see the schedule for per-code effective dates |
| Crown, porcelain fused to predominantly base metal (CDT D2751) | Utah Medicaid pays a dentist $501.12 | State reimbursement, see the schedule for per-code effective dates |
| Root canal, anterior tooth (CDT D3310) | Utah Medicaid pays a dentist $330.00 | State reimbursement, see the schedule for per-code effective dates |
| Root canal, premolar tooth (CDT D3320) | Utah Medicaid pays a dentist $394.00 | State reimbursement, see the schedule for per-code effective dates |
| Complete denture, upper (CDT D5110) | Utah Medicaid pays a dentist $731.48 | State reimbursement, see the schedule for per-code effective dates |
| Complete denture, lower (CDT D5120) | Utah Medicaid pays a dentist $731.48 | State reimbursement, see the schedule for per-code effective dates |
| Surgical extraction, erupted tooth (CDT D7210) | Utah Medicaid pays a dentist $94.71 | 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
- Utah Medicaid Dental Fee Schedule (PAC 028, Traditional) — Official Utah Medicaid dental fee schedule: amounts the state pays a dental provider per CDT procedure. Not consumer prices.; reviewed 2026-08-26
- Utah Medicaid adult dental benefit scope — Utah's own statement of what dental care adult Medicaid members receive; reviewed 2026-08-26
Utah publishes its Medicaid dental reimbursement rates in Utah Medicaid Dental Fee Schedule (PAC 028, Traditional). Those rates are what Utah 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 Utah reimbursement figure cannot answer what a filling or a crown would cost you. It does answer what Utah Medicaid will pay a dentist who accepts it. The figures on this page were retrieved 2026-08-26.
Quick checklist
- Write the Utah question in one sentence.
- Select Utah 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 Utah 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 Utah. 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. Utah operates a comprehensive adult dental benefit for adults aged 21 and over. In the state's own words: "Dental care is a covered service for all Medicaid members." Confirm your own category before booking, because Utah eligibility groups can differ. Verified 2026-08-26.
Quick checklist
- Name the exact Utah decision and the date that could change it.
- Select Utah 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 Utah 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 Utah?,” Before relying on a Utah summary, confirm the issue through Medicaid.gov’s Utah profile and the current Utah 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 Utah question in one sentence.
- Select Utah 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 Utah 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 Utah dental access?,” In Utah, verify the rule or credential through Medicaid.gov’s Utah profile and the current Utah Medicaid dental program materials before comparing providers or acting. A provider-facing checklist should test child EPSDT obligations, optional adult coverage, covered service categories, prior authorization, managed-care network rules, and current state contacts. The provider CTA is the next step, not a substitute for verifying the governing source.
Quick checklist
- Record the event date and the decision deadline for the Utah issue.
- Select Utah 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 stale screenshot used as the only evidence
- No distinction between federal and Utah requirements
- A recommendation based only on advertising position
For “When should I use Find a Provider for Medicaid dental care in Utah?,” For Utah, begin with Medicaid.gov’s Utah profile and the current Utah 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 Utah.
- Select Utah in Medicaid.gov’s state profiles, then confirm adult and child dental benefits in the state program documents.
- Separate federal rules from Utah-specific rules.
- Ask the provider to explain any conflict in writing.
Red flags
- A Utah 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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