COVERAGE · MISSISSIPPISHEET 25 / 51

Mississippi, measured.

2,522 licensed dental providers on record, refreshed monthly from the federal registry. The Medicaid floors below come from the official state fee-for-service schedule, published without a stated effective date; figures reflect the current edition (view the source document). Practice costs index at 0.927 against the 1.000 national baseline.

EFFECTIVE NOT STATED · FLOORS 23 OF 25 CODES Official schedule on file
2,522Licensed providers
23Medicaid fee rows
0.927Geo cost index / 1.000
$29 to $1,320Floor range
FEE SPECTRUM25 BENCHMARK CDT CODES

The Mississippi fee table

ProcedureMedicaid floorInsurer typicalPrivate-pay p50Private-pay p90
Diagnostic
Routine checkup (existing patient)$31.42$40$56$87
Comprehensive exam (new patient)$49.62$67$93$144
Full-mouth X-ray series$76.78$107$148$215
Bitewing X-rays (set of 4)$34.79$47$65$94
Panoramic X-ray$63.12$94$130$188
Emergency
Emergency visit for pain relief$35.29$96$134$208
Endodontics
Root canal, front tooth$372.43$634$881$1,366
Root canal, molar$565.95$855$1,187$1,840
Implants
Dental implant placementNo published floor$1,368$1,900$2,945
Oral surgery
Simple tooth extraction$82.91$130$181$281
Surgical tooth extraction$125.40$220$306$474
Orthodontics
Full braces treatment, adolescent$1,320$3,804$5,284$7,133
Periodontics
Deep cleaning below gumline (per quadrant)$110.54$170$236$366
Ongoing gum maintenance visitNo published floor$107$148$229
Preventive
Adult teeth cleaning$99.56$70$97$150
Child teeth cleaning$34.86$53$74$115
Fluoride varnish treatment$29$33$46$71
Protective tooth sealant$32.87$37$51$79
Restorative
Metal filling (1 surface)$80.55$104$144$223
Tooth-colored filling, front tooth$84.38$130$181$281
Tooth-colored filling, back tooth (1 surface)$98.85$140$195$302
Tooth-colored filling, back tooth (2 surfaces)$129.39$167$232$360
Ceramic crown$1,242.13$935$1,298$2,012
Porcelain-on-metal crown$636.39$768$1,066$1,652
Crown foundation buildup$294.04$200$278$431

Floor. Official Mississippi Medicaid fee-for-service dental schedule, current edition, no stated effective date. View the source document.

Bands. Modeled: the national median billed charge for each procedure, scaled by the Mississippi geographic cost index (0.927 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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