Bulletin 261001 — Dental Services Agreement updates

To: Dentists
Category: Dentist services
Written by: Claims Services Branch, Health Programs and Delivery Division
Date issued: October 1, 2026
Bulletin Number: 261001

Overview

The Ministry of Health has been working with the Ontario Dental Association (ODA) to implement the 2025-2028 Agreement for insured dental services under the Ontario Health Insurance Plan (OHIP) by making the agreed upon changes to the fee codes for services listed in the Schedule of Benefits for Dental Services (the Dental Schedule) under Regulation 552 of the Health Insurance Act.

Effective October 1, 2026, payment rate increases have been applied to all fee codes listed in the Dental Schedule. Additionally, two new fee codes have been added, and eight fee codes have been removed from the Dental Schedule. Please see below for additional details.

The updated Fee Schedule Master file is expected to be available on the Ministry of Health's website at OHIP Schedule of Benefits and Fees under the Fee Schedule Master section by Wednesday October 7, 2026. Please see below for further details.

Fee code increases effective October 1, 2026

Effective October 1, 2026, all fee codes listed in the Dental Schedule have received an across-the-board payment rate increase of 3.83% (reflecting a cumulative compounded adjustment based on a 2.8% increase effective April 1, 2025, and a further 1.0% increase effective April 1, 2026). Please note that the two new fee codes introduced on October 1, 2026, set out below, are not eligible for this increase.

New fee codes effective October 1, 2026

Effective October 1, 2026, two new fee codes have been added to the Dental Schedule, as set out in the table below.

The new complex consultation fee code (T050) is a consultation payable when the dentist devotes at least 50 minutes exclusively to the patient who has had or is planning to have one of the listed eligible medical procedures or treatments.

A new complex follow-up assessment fee code (T051) is an assessment payable when the dentist devotes at least 30 minutes exclusively to the patient who has had or is planning to have one of the listed eligible medical procedures or treatments.

The eligible medical procedures or treatments for the complex services (T050, T051) are:

• Organ transplant
• Hematopoietic stem cell or bone marrow transplant
• Cardiac valve replacement or valvuloplasty procedure
• Chemotherapy (intended for high-dose chemotherapy)
• Chimeric antigen receptor (CAR) T-cell therapy
• High-dose bone modifying agents (anti resorptive therapy) when used to treat cancer
• Treatment of head and neck cancer
• Major reconstructive and ablative surgery of the head and neck.

Discontinued fee codes effective October 1, 2026

Effective October 1, 2026, eight fee codes have been removed from the Dental Schedule, as set out in the table below. These fee codes will no longer be eligible for payment for services rendered on or after October 1, 2026.

Retroactive bulk payments

To reflect the across-the-board payment rate increase of 2.8% that came into effect on April 1, 2025, a one-time retroactive bulk payment has been processed for eligible claims for services rendered during the period from April 1, 2025 to March 31, 2026.

The payment will appear on the solo October 2026 Remittance Advice under the accounting transaction DENTAL SPECIAL PMT 25-28 AGR PART 1. No payments will be issued to groups under this process.

The payment will be made to the individual dentist’s bank account, or by cheque when banking information has not been registered with the ministry.

To reflect the across-the-board payment rate increase of 1.0% that came into effect on April 1, 2026, an additional one-time retroactive bulk payment will occur at a future date for eligible claims for services rendered during the period from April 1, 2026 to September 30, 2026. Details will be announced in a future INFOBulletin.

Keywords/Tags

Dentist; Dental fee codes; T050; T051; retroactive payment.

Contact information

Do you have questions about this INFOBulletin? Email the Service Support Contact Centre or call 1-800-262-6524. Hours of operation: 8:00 a.m. to 5:00 p.m. Eastern Monday to Friday, except holidays.