COVERAGE · ALASKASHEET 02 / 51

Alaska, measured.

1,245 licensed dental providers on record, refreshed monthly from the federal registry. The Medicaid floors below come from the official state fee-for-service schedule, effective January 1, 2026 (view the source document). Practice costs index at 1.266 against the 1.000 national baseline.

EFFECTIVE JANUARY 1, 2026 · FLOORS 23 OF 25 CODES Official schedule on file
1,245Licensed providers
23Medicaid fee rows
1.266Geo cost index / 1.000
$28.50 to $1,500Floor range
FEE SPECTRUM25 BENCHMARK CDT CODES

The Alaska fee table

ProcedureMedicaid floorInsurer typicalPrivate-pay p50Private-pay p90
Diagnostic
Routine checkup (existing patient)$48.86$55$76$118
Comprehensive exam (new patient)$66.98$91$127$197
Full-mouth X-ray series$89.08$146$203$294
Bitewing X-rays (set of 4)$60.27$64$89$129
Panoramic X-ray$99.36$127$177$257
Emergency
Emergency visit for pain relief$110.45$132$184$285
Endodontics
Root canal, front tooth$521.62$866$1,203$1,865
Root canal, molar$711.89$1,166$1,620$2,511
Implants
Dental implant placementNo published floor$1,868$2,595$4,022
Oral surgery
Simple tooth extraction$141.71$178$247$383
Surgical tooth extraction$250.02$301$418$648
Orthodontics
Full braces treatment, adolescent$1,500$5,196$7,216$9,742
Periodontics
Deep cleaning below gumline (per quadrant)$161.05$233$323$501
Ongoing gum maintenance visit$106.89$146$203$315
Preventive
Adult teeth cleaning$89.18$96$133$206
Child teeth cleaning$64.95$73$101$157
Fluoride varnish treatment$28.50$45$63$98
Protective tooth sealant$49.68$50$70$108
Restorative
Metal filling (1 surface)$106.89$141$196$304
Tooth-colored filling, front tooth$127.56$178$247$383
Tooth-colored filling, back tooth (1 surface)$141.81$192$266$412
Tooth-colored filling, back tooth (2 surfaces)$181.71$228$316$490
Ceramic crown$826.62$1,276$1,772$2,747
Porcelain-on-metal crownNo published floor$1,048$1,456$2,257
Crown foundation buildup$209.50$274$380$589

Floor. Official Alaska Medicaid fee-for-service dental schedule, effective January 1, 2026. View the source document.

Bands. Modeled: the national median billed charge for each procedure, scaled by the Alaska geographic cost index (1.266 against a 1.000 national baseline), with the insurer-typical amount modeled at roughly 72 percent of area billed charges. Estimates, not quotes.

HOW TO READ IT

Reading this table

The Medicaid floor is the exact fee on the state schedule: the lowest rate a practice accepts for that procedure, and the anchor of the revenue spectrum. Insurer typical models what a commercial plan tends to allow, about 72 percent of area billed charges. Private-pay p50 and p90 are modeled billed-charge bands: the national median scaled by the state cost index, and the top of the usual range. Where a practice actually lands depends on its payer mix. The floor is owned data; the bands are estimates.

CROSS REFERENCE
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