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California Medi-Cal Dental Fee Lookup

Look up selected California Medi-Cal Dental maximum allowances from a dated DHCS schedule and review what the published amount does and does not mean.

Enter your numbers

The lookup contains selected, independently labeled procedures from the current California schedule.

Estimated result

D2740

Porcelain or ceramic crown

Medi-Cal maximum allowance

$340

Effective 2026-09-01. Coverage criteria and authorization requirements may apply. Medi-Cal pays the lesser of the billed amount or applicable maximum, subject to program criteria.

Historical California Medicaid paid average

$474

2023-2024, across 184,307 claim lines. This is not the current allowance or a patient price.

Open the official DHCS schedule

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Using the estimate

What this tool can tell you

This lookup shows selected maximum allowances from California's current Medi-Cal Dental schedule. An allowance is a program payment limit, not a retail price, guaranteed payment, or amount a patient necessarily owes.

Step-by-step guide

Use the allowance with the current DHCS materials

Step 1

Match the procedure identifier

Search the selected identifiers and confirm that the procedure matches the service documented by the treating office. The independent short labels on this page are orientation aids, not official coding instructions.

Step 2

Check the schedule date

The page identifies the DHCS schedule version used for the displayed amount. Review the current provider publication when preparing or checking a claim because allowances and requirements can change.

Step 3

Review rules outside the dollar amount

A maximum allowance does not establish eligibility, coverage, authorization, documentation, or final payment. Use the applicable DHCS manual, bulletins, and claim guidance for those requirements.

Common questions

Questions about this tool

Is the Medi-Cal maximum allowance the patient's price?
No. It is a program payment limit for a covered service. Patient responsibility and provider billing are governed by Medi-Cal rules and the circumstances of the claim.
Why is the historical Medicaid paid average different?
The paid average is calculated from historical claim lines, while the DHCS figure is the current published maximum allowance. Managed-care reporting, bundled services, claim adjustments, and the time period can produce different values.
Does this lookup include every dental procedure?
No. It contains selected procedures with independently written labels. Dental offices should use the current DHCS manual and schedule for complete submission and coverage requirements.