Dental Fee Schedules Archive
Effective Nov. 3, 2022, NC Medicaid Dental Fee Schedules are located in the Fee Schedule and Covered Code site.
Ambulatory Surgical Center Dental, Federally Qualified Health Center Dental, General Dental, and Rural Health Center Dental fee schedules prior to Nov. 3, including archives, are available at the links below.
Dental Fee Schedules Archive
Tab/Accordion Items
Ambulatory Surgery Center Dental Fee Schedules
- Ambulatory Surgery Center Dental Fee Schedule - Feb. 21, 2022 - EXCEL
- Ambulatory Surgery Center Dental Fee Schedule - Feb. 21, 2022 - PDF
Federally Qualified Health Center Dental Fee Schedules
- Federally Qualified Health Centers Dental Fee Schedule - Feb. 18, 2022 - EXCEL
- Federally Qualified Health Centers Dental Fee Schedule - Feb. 18, 2022 - PDF
General Dental Fee Schedules
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist & Orthodontist Fee Schedule - Feb. 17, 2022 - PDF
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist & Orthodontist Fee Schedule - Feb. 17, 2022 - EXCEL
Rural Health Center Dental Fee Schedules
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist Fee schedule - Dec. 22, 2021 - EXCEL
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist Fee schedule - Dec. 22, 2021 - PDF
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist Fee schedule - April 19, 2021 - EXCEL
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist Fee schedule - April 19, 2021 - PDF
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist Fee schedule - Jan. 14, 2021 - EXCEL
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist Fee schedule - Jan. 14, 2021 - PDF
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist Fee schedule - Sept. 21, 2020 - EXCEL
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist Fee schedule - Sept. 21, 2020 - PDF
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist Fee schedule - July 7, 2020 - EXCEL
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist Fee schedule - July 7, 2020 - PDF
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist Fee schedule - April 17, 2020 - EXCEL
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist Fee schedule - April 17, 2020 - PDF
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist Fee schedule - Jan. 1, 2019 - EXCEL
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist Fee schedule - Jan. 1, 2019 - PDF
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist fee schedule - Jan. 1, 2019 - Revised - EXCEL
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist fee schedule - Jan. 1, 2019 - Revised - PDF
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist fee schedule - Jan. 1, 2018 - EXCEL
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist fee schedule - Jan. 1, 2018 - PDF
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist fee schedule - Jan. 1, 2017 - Excel
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist fee schedule - Jan. 1, 2017 - PDF
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist fee schedule - Jan. 1, 2016 - Excel
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist fee schedule - Jan. 1, 2016 - PDF
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist fee schedule - Jan. 1, 2014 - Excel
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist fee schedule - Jan. 1, 2014 - PDF
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist fee schedule - Jan. 1, 2013 - EXCEL
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist fee schedule - Jan. 1, 2013 - PDF
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist fee schedule - Jan. 1, 2012 - EXCEL
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist fee schedule - Jan. 1, 2012 - PDF
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist fee schedule - Jan. 1, 2011 - EXCEL
- General Dentist, Oral Surgeon, Pediatric Dentist, Periodontist, & Orthodontist fee schedule - Jan. 1, 2011 - PDF
- Federally Qualified Health Center Dentist Fee schedule - Dec. 22, 2021 - EXCEL
- Federally Qualified Health Center Dentist Fee schedule - Dec. 22, 2021 - PDF
- Federally Qualified Health Center Dentist Fee schedule - Jan. 14, 2021 - EXCEL
- Federally Qualified Health Center Dentist Fee schedule - Jan. 14, 2021 - PDF
- Federally Qualified Health Center Dentist Fee schedule - June 15, 2020 - EXCEL
- Federally Qualified Health Center Dentist Fee schedule - June 15, 2020 - PDF
- Federally Qualified Health Center Dentist Fee schedule - April 16, 2020 - EXCEL
- Federally Qualified Health Center Dentist Fee schedule - April 16, 2020 - PDF
- Federally Qualified Health Center Dentist Fee schedule - Jan. 1, 2019 - EXCEL
- Federally Qualified Health Center Dentist Fee schedule - Jan. 1, 2019 - PDF
- Ambulatory Surgical Center Dentist Fee Schedule - Dec. 22, 2021 - EXCEL
- Ambulatory Surgical Center Dentist Fee Schedule - Dec. 22, 2021 - PDF
- Ambulatory Surgical Center Dentist Fee Schedule - May 20, 2021 - EXCEL
- Ambulatory Surgical Center Dentist Fee Schedule - May 20, 2021 - PDF
- Ambulatory Surgical Center Dentist Fee Schedule - June 15, 2020 - EXCEL
- Ambulatory Surgical Center Dentist Fee Schedule - June 15, 2020 - PDF
Ambulatory Surgical Center Dentist Fee Schedule - Jan. 1, 2019 - EXCEL
Ambulatory Surgical Center Dentist Fee Schedule - Jan. 1, 2019 - PDF
- Rural Health Center Fee schedule - Dec. 22, 2021 - EXCEL
- Rural Health Center Fee schedule - Dec. 22, 2021 - PDF
- Rural Health Center Fee schedule - Jan. 14, 2021 - EXCEL
- Rural Health Center Fee schedule - Jan. 14, 2021 - PDF
- Rural Health Center Fee schedule - July 7, 2020 - EXCEL
- Rural Health Center Fee schedule - July 7, 2020 - PDF
- Rural Health Center Fee schedule - April 17, 2020 - EXCEL
- Rural Health Center Fee schedule - April 17, 2020 - PDF
- Rural Health Center Fee schedule - Jan. 1, 2019 - EXCEL
- Rural Health Center Fee schedule - Jan. 1, 2019 - PDF