WVDHHR > Bureau for Medical Services > Fee Schedule

Dental Fee Schedule

Excel Format	PDF Format
2024 Dental Fee Schedule	2024 Dental Fee Schedule Effective 4/1/24 - 3/31/25
	2024 Adults Over 21 Emergent Schedule Effective 4/1/24 - 3/31/25
	2024 Adults Over 21 Expanded Schedule Effective 4/1/24 - 3/31/25
	2024 Children 21 and Under Dental Schedule Effective 4/1/24 - 3/31/25
2024 Dental Fee Schedule	2024 Dental Fee Schedule Effective 1/1/24 - 3/31/24
2023 Dental Fee Schedule	2023 Dental Fee Schedule Effective 4/1/23 - 3/31/24
2023 Dental Fee Schedule	2023 Dental Fee Schedule Effective 1/1/23 - 3/31/23
2022 Dental Fee Schedule	2022 Dental Fee Schedule Effective 4/1/22 - 3/31/23
2021 Dental Fee Schedule	2021 Dental Fee Schedule
2021 Dental Fee Schedule	2021 Dental Fee Schedule *Post Covid - Effective 01/01/21 - 3/31/21*
2020 Dental Fee Schedule	2020 Dental Fee Schedule *Covid Phase II Rates - Effective 7/01/20 - 12/31/20*
Dental New Codes	Dental New Codes Effective 1//1/20 - 3/31/20
2020 Dental Fee Schedule	2020 Dental Fee Schedule Effective 4//1/20 - 3/31/21
2019 Dental Fee Schedule	2019 Dental Fee Schedule
2018 Dental Fee Schedule	2018 Dental Fee Schedule
2017 Dental Fee Schedule	2017 Dental Fee Schedule
2016 Dental Fee Schedule	2016 Dental Fee Schedule

Disclaimer: Note that the absence or presence of a reimbursement code and its associated allowance on these pages does not guarantee Medicaid coverage of the item or procedure. Please refer to the appropriate West Virginia Medicaid provider manual for coverage determination.