1,063 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 0.973 against the 1.000 national baseline.
| Procedure | Medicaid floor | Insurer typical | Private-pay p50 | Private-pay p90 | |
|---|---|---|---|---|---|
| Diagnostic | |||||
| Routine checkup (existing patient) | $43.86 | $42 | $58 | $90 | |
| Comprehensive exam (new patient) | $66.78 | $70 | $97 | $150 | |
| Full-mouth X-ray series | $142.81 | $112 | $156 | $226 | |
| Bitewing X-rays (set of 4) | $51.44 | $49 | $68 | $99 | |
| Panoramic X-ray | $94.57 | $98 | $136 | $197 | |
| Emergency | |||||
| Emergency visit for pain relief | $90.66 | $102 | $141 | $219 | |
| Endodontics | |||||
| Root canal, front tooth | $784.08 | $665 | $924 | $1,432 | |
| Root canal, molar | $1,007.64 | $896 | $1,245 | $1,930 | |
| Implants | |||||
| Dental implant placement | No published floor | $1,436 | $1,995 | $3,092 | |
| Oral surgery | |||||
| Simple tooth extraction | $139.55 | $137 | $190 | $294 | |
| Surgical tooth extraction | $241.08 | $231 | $321 | $498 | |
| Orthodontics | |||||
| Full braces treatment, adolescent | $5,133.34 | $3,993 | $5,546 | $7,487 | |
| Periodontics | |||||
| Deep cleaning below gumline (per quadrant) | $198.12 | $179 | $248 | $384 | |
| Ongoing gum maintenance visit | $110.81 | $112 | $156 | $242 | |
| Preventive | |||||
| Adult teeth cleaning | $72.85 | $73 | $102 | $158 | |
| Child teeth cleaning | $54.18 | $56 | $78 | $121 | |
| Fluoride varnish treatment | $33.03 | $35 | $49 | $76 | |
| Protective tooth sealant | $43.45 | $39 | $54 | $84 | |
| Restorative | |||||
| Metal filling (1 surface) | $113.06 | $109 | $151 | $234 | |
| Tooth-colored filling, front tooth | $126.83 | $137 | $190 | $294 | |
| Tooth-colored filling, back tooth (1 surface) | $137.37 | $147 | $204 | $316 | |
| Tooth-colored filling, back tooth (2 surfaces) | $171.44 | $175 | $243 | $377 | |
| Ceramic crown | $826.79 | $981 | $1,362 | $2,111 | |
| Porcelain-on-metal crown | $801.23 | $806 | $1,119 | $1,734 | |
| Crown foundation buildup | $206.52 | $210 | $292 | $453 | |
Floor. Official South Dakota 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 South Dakota geographic cost index (0.973 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.