17,083 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 1.023 against the 1.000 national baseline.
| Procedure | Medicaid floor | Insurer typical | Private-pay p50 | Private-pay p90 | |
|---|---|---|---|---|---|
| Diagnostic | |||||
| Routine checkup (existing patient) | $28 | $44 | $61 | $95 | |
| Comprehensive exam (new patient) | $26.08 | $73 | $102 | $158 | |
| Full-mouth X-ray series | $35.52 | $118 | $164 | $238 | |
| Bitewing X-rays (set of 4) | $19.94 | $52 | $72 | $104 | |
| Panoramic X-ray | $28 | $103 | $143 | $207 | |
| Emergency | |||||
| Emergency visit for pain relief | $55 | $107 | $148 | $229 | |
| Endodontics | |||||
| Root canal, front tooth | $158.22 | $700 | $972 | $1,507 | |
| Root canal, molar | $234.67 | $942 | $1,309 | $2,029 | |
| Implants | |||||
| Dental implant placement | No published floor | $1,510 | $2,097 | $3,250 | |
| Oral surgery | |||||
| Simple tooth extraction | $53.55 | $143 | $199 | $308 | |
| Surgical tooth extraction | $78.57 | $243 | $338 | $524 | |
| Orthodontics | |||||
| Full braces treatment, adolescent | $900 | $4,198 | $5,831 | $7,872 | |
| Periodontics | |||||
| Deep cleaning below gumline (per quadrant) | $122 | $188 | $261 | $405 | |
| Ongoing gum maintenance visit | $67 | $118 | $164 | $254 | |
| Preventive | |||||
| Adult teeth cleaning | $48.38 | $77 | $107 | $166 | |
| Child teeth cleaning | $43.05 | $59 | $82 | $127 | |
| Fluoride varnish treatment | $27.30 | $37 | $51 | $79 | |
| Protective tooth sealant | $37.80 | $40 | $56 | $87 | |
| Restorative | |||||
| Metal filling (1 surface) | $36.40 | $114 | $159 | $246 | |
| Tooth-colored filling, front tooth | $52.18 | $143 | $199 | $308 | |
| Tooth-colored filling, back tooth (1 surface) | $36.40 | $155 | $215 | $333 | |
| Tooth-colored filling, back tooth (2 surfaces) | $56.82 | $184 | $256 | $397 | |
| Ceramic crown | $272.83 | $1,031 | $1,432 | $2,220 | |
| Porcelain-on-metal crown | $272.83 | $847 | $1,176 | $1,823 | |
| Crown foundation buildup | $67.34 | $221 | $307 | $476 | |
Floor. Official Illinois 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 Illinois geographic cost index (1.023 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.