COVERAGE · KANSASSHEET 17 / 51

Kansas, measured.

3,043 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 June 1, 2026 (view the source document). Practice costs index at 0.937 against the 1.000 national baseline.

EFFECTIVE JUNE 1, 2026 · FLOORS 21 OF 25 CODES Official schedule on file
3,043Licensed providers
21Medicaid fee rows
0.937Geo cost index / 1.000
$21.60 to $1,900.80Floor range
FEE SPECTRUM25 BENCHMARK CDT CODES

The Kansas fee table

ProcedureMedicaid floorInsurer typicalPrivate-pay p50Private-pay p90
Diagnostic
Routine checkup (existing patient)$36.39$40$56$87
Comprehensive exam (new patient)$49.80$68$94$146
Full-mouth X-ray series$76.32$108$150$218
Bitewing X-rays (set of 4)$40.21$48$66$96
Panoramic X-ray$72.50$94$131$190
Emergency
Emergency visit for pain reliefNo published floor$98$136$211
Endodontics
Root canal, front tooth$297$641$890$1,380
Root canal, molar$415.80$863$1,199$1,858
Implants
Dental implant placementNo published floor$1,383$1,921$2,978
Oral surgery
Simple tooth extraction$104.94$132$183$284
Surgical tooth extraction$142.64$222$309$479
Orthodontics
Full braces treatment, adolescent$1,900.80$3,846$5,341$7,210
Periodontics
Deep cleaning below gumline (per quadrant)$85.46$172$239$370
Ongoing gum maintenance visit$52.11$108$150$232
Preventive
Adult teeth cleaning$63.95$71$98$152
Child teeth cleaning$46.79$54$75$116
Fluoride varnish treatment$21.60$34$47$73
Protective tooth sealant$31.38$37$52$81
Restorative
Metal filling (1 surface)$53.50$104$145$225
Tooth-colored filling, front tooth$90.67$132$183$284
Tooth-colored filling, back tooth (1 surface)$96.17$142$197$305
Tooth-colored filling, back tooth (2 surfaces)$103.03$168$234$363
Ceramic crown$356.40$945$1,312$2,034
Porcelain-on-metal crownNo published floor$776$1,078$1,671
Crown foundation buildupNo published floor$202$281$436

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

Bands. Modeled: the national median billed charge for each procedure, scaled by the Kansas geographic cost index (0.937 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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