COVERAGE · KENTUCKYSHEET 18 / 51

Kentucky, measured.

4,573 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 0.947 against the 1.000 national baseline.

EFFECTIVE JANUARY 1, 2026 · FLOORS 24 OF 25 CODES Official schedule on file
4,573Licensed providers
24Medicaid fee rows
0.947Geo cost index / 1.000
$18.75 to $2,001.07Floor range
FEE SPECTRUM25 BENCHMARK CDT CODES

The Kentucky fee table

ProcedureMedicaid floorInsurer typicalPrivate-pay p50Private-pay p90
Diagnostic
Routine checkup (existing patient)$27.50$41$57$88
Comprehensive exam (new patient)$32.50$68$95$147
Full-mouth X-ray series$61.25$109$152$220
Bitewing X-rays (set of 4)$28.75$48$66$96
Panoramic X-ray$56.69$96$133$193
Emergency
Emergency visit for pain relief$61.95$99$137$212
Endodontics
Root canal, front tooth$274.30$648$900$1,395
Root canal, molar$481$873$1,212$1,879
Implants
Dental implant placement$2,001.07$1,398$1,941$3,009
Oral surgery
Simple tooth extraction$82.50$133$185$287
Surgical tooth extraction$148.50$225$313$485
Orthodontics
Full braces treatment, adolescentNo published floor$3,887$5,398$7,287
Periodontics
Deep cleaning below gumline (per quadrant)$78$174$241$374
Ongoing gum maintenance visit$96.88$109$152$236
Preventive
Adult teeth cleaning$60.13$71$99$153
Child teeth cleaning$60.13$55$76$118
Fluoride varnish treatment$18.75$34$47$73
Protective tooth sealant$24.38$37$52$81
Restorative
Metal filling (1 surface)$38$106$147$228
Tooth-colored filling, front tooth$44$133$185$287
Tooth-colored filling, back tooth (1 surface)$44$143$199$308
Tooth-colored filling, back tooth (2 surfaces)$55$171$237$367
Ceramic crown$529.95$955$1,326$2,055
Porcelain-on-metal crown$599.25$784$1,089$1,688
Crown foundation buildup$100$204$284$440

Floor. Official Kentucky 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 Kentucky geographic cost index (0.947 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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