CDCP Co-Pay Explained: How Much Will You Pay?

How much is the CDCP co-pay?

Your co-pay is the share of eligible costs the CDCP doesn't pay: 0% if your adjusted family net income is under $70,000, 40% from $70,000–$79,999, and 60% from $80,000–$89,999. On top of the co-pay, you may owe any amount a dentist charges above the CDCP established fee.

Dernière mise à jour 2026-06-24

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Two separate amounts you might pay

1. Your co-pay — a percentage of the eligible cost, set by your income tier (0%, 40%, or 60%).

2. The "above-grid" difference — if your dentist charges more than the CDCP established fee, that gap isn't covered, regardless of your tier.

Example

Say a covered service has a CDCP established fee of $100 and you're in the 100% tier. The CDCP pays $100. But if your dentist charges $130, you owe the $30 difference. In the 60%-covered tier, the CDCP pays $60, you pay $40 co-pay, plus any above-grid difference.

This is exactly why asking "do you bill at the CDCP rate?" matters so much.

How much is the CDCP co-pay?

Two separate amounts you might pay

Example

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