COVERAGE · FLORIDASHEET 10 / 51

Florida, measured.

24,789 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 January 1, 2026 (view the source document). Practice costs index at 1.039 against the 1.000 national baseline.

EFFECTIVE JANUARY 1, 2026 · FLOORS 22 OF 25 CODES Official schedule on file
24,789Licensed providers
22Medicaid fee rows
1.039Geo cost index / 1.000
$19.41 to $567.28Floor range
FEE SPECTRUM25 BENCHMARK CDT CODES

The Florida fee table

ProcedureMedicaid floorInsurer typicalPrivate-pay p50Private-pay p90
Diagnostic
Routine checkup (existing patient)$22.39$45$62$96
Comprehensive exam (new patient)$23.88$75$104$161
Full-mouth X-ray series$47.77$120$166$241
Bitewing X-rays (set of 4)$16.42$53$73$106
Panoramic X-ray$44.79$104$145$210
Emergency
Emergency visit for pain relief$19.41$109$151$234
Endodontics
Root canal, front tooth$220.94$711$987$1,530
Root canal, molar$350.82$958$1,330$2,062
Implants
Dental implant placementNo published floor$1,534$2,130$3,302
Oral surgery
Simple tooth extraction$40.31$146$203$315
Surgical tooth extraction$59.71$247$343$532
Orthodontics
Full braces treatment, adolescent$567.28$4,264$5,922$7,995
Periodontics
Deep cleaning below gumline (per quadrant)$29.86$191$265$411
Ongoing gum maintenance visitNo published floor$120$166$257
Preventive
Adult teeth cleaning$42.70$78$109$169
Child teeth cleaning$33.21$60$83$129
Fluoride varnish treatment$26.09$37$52$81
Protective tooth sealant$30.84$41$57$88
Restorative
Metal filling (1 surface)$46.28$116$161$250
Tooth-colored filling, front tooth$50.75$146$203$315
Tooth-colored filling, back tooth (1 surface)$46.28$157$218$338
Tooth-colored filling, back tooth (2 surfaces)$61.21$187$260$403
Ceramic crown$340.37$1,048$1,455$2,255
Porcelain-on-metal crownNo published floor$860$1,195$1,852
Crown foundation buildup$97.04$225$312$484

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

Bands. Modeled: the national median billed charge for each procedure, scaled by the Florida geographic cost index (1.039 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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