COVERAGE · COLORADOSHEET 06 / 51

Colorado, measured.

9,079 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 1.026 against the 1.000 national baseline.

EFFECTIVE OCTOBER 1, 2025 · FLOORS 24 OF 25 CODES Official schedule on file
9,079Licensed providers
24Medicaid fee rows
1.026Geo cost index / 1.000
$31.20 to $2,716.29Floor range
FEE SPECTRUM25 BENCHMARK CDT CODES

The Colorado fee table

ProcedureMedicaid floorInsurer typicalPrivate-pay p50Private-pay p90
Diagnostic
Routine checkup (existing patient)$32.41$45$62$96
Comprehensive exam (new patient)$51.57$74$103$160
Full-mouth X-ray series$88.31$118$164$238
Bitewing X-rays (set of 4)$31.20$52$72$104
Panoramic X-ray$55.21$104$144$209
Emergency
Emergency visit for pain relief$57.04$107$149$231
Endodontics
Root canal, front tooth$675.80$702$975$1,511
Root canal, molar$937.37$945$1,313$2,035
Implants
Dental implant placementNo published floor$1,514$2,103$3,260
Oral surgery
Simple tooth extraction$109.07$144$200$310
Surgical tooth extraction$174.54$244$339$525
Orthodontics
Full braces treatment, adolescent$2,716.29$4,211$5,848$7,895
Periodontics
Deep cleaning below gumline (per quadrant)$225.20$189$262$406
Ongoing gum maintenance visit$125.91$118$164$254
Preventive
Adult teeth cleaning$82.39$78$108$167
Child teeth cleaning$61.72$59$82$127
Fluoride varnish treatment$35.46$37$51$79
Protective tooth sealant$48.25$40$56$87
Restorative
Metal filling (1 surface)$110.02$114$159$246
Tooth-colored filling, front tooth$106.82$144$200$310
Tooth-colored filling, back tooth (1 surface)$110.02$155$215$333
Tooth-colored filling, back tooth (2 surfaces)$140.59$184$256$397
Ceramic crown$717.54$1,034$1,436$2,226
Porcelain-on-metal crown$710.70$850$1,180$1,829
Crown foundation buildup$135.08$222$308$477

Floor. Official Colorado 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 Colorado geographic cost index (1.026 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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