COVERAGE · ALABAMASHEET 01 / 51

Alabama, measured.

4,462 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 October 1, 2025 (view the source document). Practice costs index at 0.926 against the 1.000 national baseline.

EFFECTIVE OCTOBER 1, 2025 · FLOORS 24 OF 25 CODES Official schedule on file
4,462Licensed providers
24Medicaid fee rows
0.926Geo cost index / 1.000
$20 to $1,000Floor range
FEE SPECTRUM25 BENCHMARK CDT CODES

The Alabama fee table

ProcedureMedicaid floorInsurer typicalPrivate-pay p50Private-pay p90
Diagnostic
Routine checkup (existing patient)$20$40$56$87
Comprehensive exam (new patient)$32.80$67$93$144
Full-mouth X-ray series$63$107$148$215
Bitewing X-rays (set of 4)$25.20$47$65$94
Panoramic X-ray$52.80$94$130$188
Emergency
Emergency visit for pain relief$42$96$134$208
Endodontics
Root canal, front tooth$477.60$634$880$1,364
Root canal, molar$660$853$1,185$1,837
Implants
Dental implant placementNo published floor$1,367$1,898$2,942
Oral surgery
Simple tooth extraction$64$130$181$281
Surgical tooth extraction$109.60$220$306$474
Orthodontics
Full braces treatment, adolescent$1,000$3,800$5,278$7,125
Periodontics
Deep cleaning below gumline (per quadrant)$129.15$170$236$366
Ongoing gum maintenance visit$66.40$107$148$229
Preventive
Adult teeth cleaning$40$70$97$150
Child teeth cleaning$29.40$53$74$115
Fluoride varnish treatment$26.10$33$46$71
Protective tooth sealant$26$37$51$79
Restorative
Metal filling (1 surface)$53.60$104$144$223
Tooth-colored filling, front tooth$64.90$130$181$281
Tooth-colored filling, back tooth (1 surface)$76$140$194$301
Tooth-colored filling, back tooth (2 surfaces)$91.20$167$232$360
Ceramic crown$537.60$933$1,296$2,009
Porcelain-on-metal crown$511.20$767$1,065$1,651
Crown foundation buildup$108.90$200$278$431

Floor. Official Alabama Medicaid fee-for-service dental schedule, effective October 1, 2025. View the source document.

Bands. Modeled: the national median billed charge for each procedure, scaled by the Alabama geographic cost index (0.926 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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