2,096 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 April 1, 2026 (view the source document). Practice costs index at 1.045 against the 1.000 national baseline.
| Procedure | Medicaid floor | Insurer typical | Private-pay p50 | Private-pay p90 | |
|---|---|---|---|---|---|
| Diagnostic | |||||
| Routine checkup (existing patient) | $29.12 | $45 | $63 | $98 | |
| Comprehensive exam (new patient) | $40.92 | $75 | $104 | $161 | |
| Full-mouth X-ray series | $60.54 | $120 | $167 | $242 | |
| Bitewing X-rays (set of 4) | $31.38 | $53 | $73 | $106 | |
| Panoramic X-ray | $56.34 | $105 | $146 | $212 | |
| Emergency | |||||
| Emergency visit for pain relief | $59.28 | $109 | $152 | $236 | |
| Endodontics | |||||
| Root canal, front tooth | $308.76 | $715 | $993 | $1,539 | |
| Root canal, molar | $469.20 | $963 | $1,338 | $2,074 | |
| Implants | |||||
| Dental implant placement | No published floor | $1,542 | $2,142 | $3,320 | |
| Oral surgery | |||||
| Simple tooth extraction | $67.60 | $147 | $204 | $316 | |
| Surgical tooth extraction | $145.60 | $248 | $345 | $535 | |
| Orthodontics | |||||
| Full braces treatment, adolescent | $5,044 | $4,288 | $5,956 | $8,041 | |
| Periodontics | |||||
| Deep cleaning below gumline (per quadrant) | $102.77 | $192 | $266 | $412 | |
| Ongoing gum maintenance visit | $84.87 | $120 | $167 | $259 | |
| Preventive | |||||
| Adult teeth cleaning | $43.53 | $79 | $110 | $170 | |
| Child teeth cleaning | $29.46 | $60 | $84 | $130 | |
| Fluoride varnish treatment | $24.66 | $37 | $52 | $81 | |
| Protective tooth sealant | $28.25 | $41 | $57 | $88 | |
| Restorative | |||||
| Metal filling (1 surface) | $51.48 | $117 | $162 | $251 | |
| Tooth-colored filling, front tooth | $63.60 | $147 | $204 | $316 | |
| Tooth-colored filling, back tooth (1 surface) | $98.96 | $158 | $219 | $339 | |
| Tooth-colored filling, back tooth (2 surfaces) | $129.89 | $188 | $261 | $405 | |
| Ceramic crown | $543.72 | $1,053 | $1,463 | $2,268 | |
| Porcelain-on-metal crown | $536.52 | $865 | $1,202 | $1,863 | |
| Crown foundation buildup | $112 | $226 | $314 | $487 | |
Floor. Official Hawaii Medicaid fee-for-service dental schedule, effective April 1, 2026. View the source document.
Bands. Modeled: the national median billed charge for each procedure, scaled by the Hawaii geographic cost index (1.045 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.