AHCCCS Fee-for-Service Rates
Dental Procedure Codes and Rates for Dates of Service on or After 01/01/2007 to 09/30/2007

For facility and non-facility Place of Service (POS) codes see the the following document:  Place of Service (POS) Code Set [PDF]

The AHCCCS Dental Procedure Codes and Rates are available in two formats:

  • Dental Procedure Codes and Rates - Excel [Zip, 18 Kb]
  • Dental Procedure Codes and Rates - PDF [12 Kb]
  • Dental Hygienist Rates - Excel [Zip, 6Kb]
  • Dental Hygienist Rates - PDF [11 Kb]
  • The appearance on this website of a code and rate is not an indication of coverage, nor a guarantee of payment. AHCCCS covered procedures can be viewed in the AHCCCS Medical Policy Manual (AMPM). AHCCCS covered services can differ based upon enrollment.


    Questions...

    How often and when do you update your fee schedule each year?

    Have a question about our "Dental Procedure Codes and Rates" fee schedule section of the AHCCCS Web site? Email us at DentalRates@azahcccs.gov.

    Have a question about our "annual update" of the fee schedule section of the AHCCCS Web site? Email us at FFSRates@azahcccs.gov.

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