1,320 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 1.112 against the 1.000 national baseline.
| Procedure | Medicaid floor | Insurer typical | Private-pay p50 | Private-pay p90 | |
|---|---|---|---|---|---|
| Diagnostic | |||||
| Routine checkup (existing patient) | $33.75 | $48 | $67 | $104 | |
| Comprehensive exam (new patient) | $73.20 | $80 | $111 | $172 | |
| Full-mouth X-ray series | $99.17 | $128 | $178 | $258 | |
| Bitewing X-rays (set of 4) | $40.31 | $56 | $78 | $113 | |
| Panoramic X-ray | $74.46 | $112 | $156 | $226 | |
| Emergency | |||||
| Emergency visit for pain relief | $68 | $116 | $161 | $250 | |
| Endodontics | |||||
| Root canal, front tooth | $398 | $760 | $1,056 | $1,637 | |
| Root canal, molar | $582 | $1,025 | $1,423 | $2,206 | |
| Implants | |||||
| Dental implant placement | $652.45 | $1,642 | $2,280 | $3,534 | |
| Oral surgery | |||||
| Simple tooth extraction | $143.47 | $156 | $217 | $336 | |
| Surgical tooth extraction | $176.53 | $264 | $367 | $569 | |
| Orthodontics | |||||
| Full braces treatment, adolescent | $5,000 | $4,563 | $6,338 | $8,556 | |
| Periodontics | |||||
| Deep cleaning below gumline (per quadrant) | $148.53 | $204 | $284 | $440 | |
| Ongoing gum maintenance visit | $70 | $128 | $178 | $276 | |
| Preventive | |||||
| Adult teeth cleaning | $73.20 | $84 | $117 | $181 | |
| Child teeth cleaning | $51.88 | $64 | $89 | $138 | |
| Fluoride varnish treatment | $30.77 | $40 | $56 | $87 | |
| Protective tooth sealant | $44.52 | $44 | $61 | $95 | |
| Restorative | |||||
| Metal filling (1 surface) | $72 | $124 | $172 | $267 | |
| Tooth-colored filling, front tooth | $102.85 | $156 | $217 | $336 | |
| Tooth-colored filling, back tooth (1 surface) | $113.87 | $168 | $234 | $363 | |
| Tooth-colored filling, back tooth (2 surfaces) | $146.92 | $200 | $278 | $431 | |
| Ceramic crown | $689.59 | $1,121 | $1,557 | $2,413 | |
| Porcelain-on-metal crown | $689.59 | $921 | $1,279 | $1,982 | |
| Crown foundation buildup | $220 | $240 | $334 | $518 | |
Floor. Official District of Columbia 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 District of Columbia geographic cost index (1.112 against a 1.000 national baseline), with the insurer-typical amount modeled at roughly 72 percent of area billed charges. Estimates, not quotes.
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.