Medicaid reimbursements for adult vs. child dental services in all 50 states

The average Medicaid fee-for-service reimbursements as a percentage of average dentist charges is nearly 10% higher for child dental services than adult services, according to data from the American Dental Association.

The average reimbursement percentage in 2024 for child dental services was 39.2%, compared to 29.9% for adult dental services.

While every state offers at least some reimbursement for child dental services, nine states did not offer any adult dental benefits or were emergency care only. 

The organization created a weighted average index across 14 different procedures and compared the Medicaid fee-for-service reimbursement amount to the average dentist charges. 

Here is the Medicaid fee-for-service reimbursement as a percentage of dentist charges for child and adult dental services in every state and Washington, D.C.:

Alabama

Child services: 46.4%

Adult services: No benefit or emergency only

Alaska

Child services: 51.9%

Adult services: 44.5%

Arizona

Child services: 40.8%

Adult services: No benefit or emergency only

Arkansas

Child services: 36.1%

Adult services: 31.2%

California

Child services: 36.9%

Adult services: 41.4%

Colorado

Child services: 45%

Adult services: 42.8%

Connecticut

Child services: 47%

Adult services: 29.9%

Delaware

Child services: 80.1%

Adult services: 78%

District of Columbia

Child services: 47.8%

Adult services: 39.3%

Florida

Child services: 22.2%

Adult services: No benefit or emergency only

Georgia

Child services: 39.8%

Adult services: No benefit or emergency only

Hawaii

Child services: 49.7%

Adult services: 44.1%

Idaho

Child services: 34.7%

Adult services: 33.9%

Illinois 

Child services: 23.9%

Adult services: 26.6%

Indiana 

Child services: 49.7%

Adult services: 49.6%

Iowa

Child services: 31.1%

Adult services: 29.9%

Kansas

Child services: 35.3%

Adult services: 38.4%

Kentucky

Child services: 43.3%

Adult services: 41.4%

Louisiana

Child services: 59.1%

Adult services: 56.5%

Maine

Child services: 47%

Adult services: 49.4%

Maryland

Child services: 47.2%

Adult services: 45.5%

Massachusetts

Child services: 44.6%

Adult services: 33.9%

Michigan

Child services: 52%

Adult services: 51.7%

Minnesota

Child services: 32.3%

Adult services: 33.1%

Mississippi

Child services: 50.9%

Adult services: No benefit or emergency only

Missouri

Child services: 59.3%

Adult services: No benefit or emergency only

Montana

Child services: 51.3%

Adult services: 52.3%

Nebraska

Child services: 37.7%

Adult services: 35.8%

Nevada

Child services: 34.2%

Adult services: No benefit or emergency only

New Hampshire

Child services: 42%

Adult services: 11.6%

New Jersey

Child services: 50%

Adult services: 12.2%

New Mexico

Child services: 34.7%

Adult services: 36%

New York 

Child services: 34%

Adult services: 26.1%

North Carolina

Child services: 34.3%

Adult services: 36.3%

North Dakota 

Child services: 55.3%

Adult services: 53.7%

Ohio

Child services: 53.3%

Adult services: 50%

Oklahoma

Child services: 38%

Adult services: 45.2%

Oregon

Child services: 26.9%

Adult services: 25.5%

Pennsylvania

Child services: 30.9%

Adult services: 28.2%

Rhode Island

Child services: 40.2%

Adult services: 38.2%

South Carolina

Child services: 47.2%

Adult services: 37.6%

South Dakota

Child services: 64.6%

Adult services: 63.4%

Tennessee 

Child services: 41.8%

Adult services: 39.6%

Texas

Child services: 42.1%

Adult services: No benefit or emergency only

Utah 

Child services: 42.8%

Adult services: No benefit or emergency only

Vermont

Child services: 57.6%

Adult services: 59%

Virginia

Child services: 46.2%

Adult services: 45.4%

Washington 

Child services: 30.7%

Adult services: 39.4%

West Virginia 

Child services: 56.8%

Adult services: 49%

Wisconsin 

Child services: 30.7%

Adult services: 29.1%

Wyoming

Child services: 52%

Adult services: 37.1%

Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.