12,203 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 October 1, 2025 (view the source document). Practice costs index at 0.955 against the 1.000 national baseline.
| Procedure | Medicaid floor | Insurer typical | Private-pay p50 | Private-pay p90 | |
|---|---|---|---|---|---|
| Diagnostic | |||||
| Routine checkup (existing patient) | $26.96 | $41 | $57 | $88 | |
| Comprehensive exam (new patient) | $46.65 | $69 | $96 | $149 | |
| Full-mouth X-ray series | $75.08 | $110 | $153 | $222 | |
| Bitewing X-rays (set of 4) | $33.55 | $48 | $67 | $97 | |
| Panoramic X-ray | $61.95 | $96 | $134 | $194 | |
| Emergency | |||||
| Emergency visit for pain relief | $44.52 | $99 | $138 | $214 | |
| Endodontics | |||||
| Root canal, front tooth | $296.52 | $653 | $907 | $1,406 | |
| Root canal, molar | $428.62 | $880 | $1,222 | $1,894 | |
| Implants | |||||
| Dental implant placement | No published floor | $1,410 | $1,958 | $3,035 | |
| Oral surgery | |||||
| Simple tooth extraction | $66.44 | $134 | $186 | $288 | |
| Surgical tooth extraction | $114.21 | $227 | $315 | $488 | |
| Orthodontics | |||||
| Full braces treatment, adolescent | $856.10 | $3,920 | $5,444 | $7,349 | |
| Periodontics | |||||
| Deep cleaning below gumline (per quadrant) | $105.13 | $176 | $244 | $378 | |
| Ongoing gum maintenance visit | $51.85 | $110 | $153 | $237 | |
| Preventive | |||||
| Adult teeth cleaning | $39.83 | $72 | $100 | $155 | |
| Child teeth cleaning | $28.46 | $55 | $76 | $118 | |
| Fluoride varnish treatment | $16.78 | $35 | $48 | $74 | |
| Protective tooth sealant | $29.89 | $38 | $53 | $82 | |
| Restorative | |||||
| Metal filling (1 surface) | $78.12 | $107 | $148 | $229 | |
| Tooth-colored filling, front tooth | $68.90 | $134 | $186 | $288 | |
| Tooth-colored filling, back tooth (1 surface) | $83.60 | $145 | $201 | $312 | |
| Tooth-colored filling, back tooth (2 surfaces) | $110.92 | $172 | $239 | $370 | |
| Ceramic crown | No published floor | $963 | $1,337 | $2,072 | |
| Porcelain-on-metal crown | No published floor | $791 | $1,098 | $1,702 | |
| Crown foundation buildup | $102.73 | $206 | $286 | $443 | |
Floor. Official North Carolina Medicaid fee-for-service dental schedule, effective October 1, 2025. View the source document.
Bands. Modeled: the national median billed charge for each procedure, scaled by the North Carolina geographic cost index (0.955 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.