COVERAGE · CONNECTICUTSHEET 07 / 51

Connecticut, measured.

5,082 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 May 1, 2026 (view the source document). Practice costs index at 1.053 against the 1.000 national baseline.

EFFECTIVE MAY 1, 2026 · FLOORS 22 OF 25 CODES Official schedule on file
5,082Licensed providers
22Medicaid fee rows
1.053Geo cost index / 1.000
$18.85 to $857.50Floor range
FEE SPECTRUM25 BENCHMARK CDT CODES

The Connecticut fee table

ProcedureMedicaid floorInsurer typicalPrivate-pay p50Private-pay p90
Diagnostic
Routine checkup (existing patient)$34.30$45$63$98
Comprehensive exam (new patient)$49.30$76$105$163
Full-mouth X-ray series$65.65$121$168$244
Bitewing X-rays (set of 4)$31.20$53$74$107
Panoramic X-ray$56.55$106$147$213
Emergency
Emergency visit for pain relief$58.50$110$153$237
Endodontics
Root canal, front tooth$577.22$720$1,000$1,550
Root canal, molar$857.50$971$1,348$2,089
Implants
Dental implant placementNo published floor$1,554$2,159$3,346
Oral surgery
Simple tooth extraction$74.75$148$205$318
Surgical tooth extraction$130$250$347$538
Orthodontics
Full braces treatment, adolescent$584.31$4,321$6,002$8,103
Periodontics
Deep cleaning below gumline (per quadrant)$223$194$269$417
Ongoing gum maintenance visit$138$121$168$260
Preventive
Adult teeth cleaning$62.72$80$111$172
Child teeth cleaning$45.08$60$84$130
Fluoride varnish treatment$18.85$38$53$82
Protective tooth sealant$39.20$42$58$90
Restorative
Metal filling (1 surface)$61.75$117$163$253
Tooth-colored filling, front tooth$65$148$205$318
Tooth-colored filling, back tooth (1 surface)$61.75$159$221$343
Tooth-colored filling, back tooth (2 surfaces)$74.10$189$263$408
Ceramic crownNo published floor$1,061$1,474$2,285
Porcelain-on-metal crownNo published floor$872$1,211$1,877
Crown foundation buildup$80.60$228$316$490

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

Bands. Modeled: the national median billed charge for each procedure, scaled by the Connecticut geographic cost index (1.053 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
Explore any market anywhere in Connecticut. Three free explorations a day, no card. An exploration runs in 60 to 90 seconds: competition, demand, referral network, and every figure against its benchmark.