COVERAGE · ARKANSASSHEET 04 / 51

Arkansas, measured.

2,870 licensed dental providers on record, refreshed monthly from the federal registry. The Medicaid floors below come from the official state fee-for-service schedule, published without a stated effective date; figures reflect the current edition (view the source document). Practice costs index at 0.917 against the 1.000 national baseline.

EFFECTIVE NOT STATED · FLOORS 20 OF 25 CODES Official schedule on file
2,870Licensed providers
20Medicaid fee rows
0.917Geo cost index / 1.000
$19.95 to $3,924.45Floor range
FEE SPECTRUM25 BENCHMARK CDT CODES

The Arkansas fee table

ProcedureMedicaid floorInsurer typicalPrivate-pay p50Private-pay p90
Diagnostic
Routine checkup (existing patient)$26.60$40$55$85
Comprehensive exam (new patient)$34.20$66$92$143
Full-mouth X-ray series$86.45$106$147$213
Bitewing X-rays (set of 4)No published floor$46$64$93
Panoramic X-ray$62.70$92$128$186
Emergency
Emergency visit for pain relief$43.70$96$133$206
Endodontics
Root canal, front tooth$404.70$627$871$1,350
Root canal, molar$599.45$845$1,174$1,820
Implants
Dental implant placementNo published floor$1,354$1,880$2,914
Oral surgery
Simple tooth extraction$72.20$129$179$277
Surgical tooth extraction$138.70$218$303$470
Orthodontics
Full braces treatment, adolescent$3,924.45$3,763$5,227$7,056
Periodontics
Deep cleaning below gumline (per quadrant)$142.50$168$234$363
Ongoing gum maintenance visit$66.50$106$147$228
Preventive
Adult teeth cleaning$48.45$69$96$149
Child teeth cleaning$36.10$53$73$113
Fluoride varnish treatment$19.95$33$46$71
Protective tooth sealant$28.50$36$50$78
Restorative
Metal filling (1 surface)$65.55$102$142$220
Tooth-colored filling, front tooth$76.95$129$179$277
Tooth-colored filling, back tooth (1 surface)$65.55$139$193$299
Tooth-colored filling, back tooth (2 surfaces)$80.75$165$229$355
Ceramic crownNo published floor$924$1,284$1,990
Porcelain-on-metal crownNo published floor$760$1,055$1,635
Crown foundation buildupNo published floor$198$275$426

Floor. Official Arkansas Medicaid fee-for-service dental schedule, current edition, no stated effective date. View the source document.

Bands. Modeled: the national median billed charge for each procedure, scaled by the Arkansas geographic cost index (0.917 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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