10,890 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 July 1, 2024 (view the source document). Practice costs index at 0.981 against the 1.000 national baseline.
| Procedure | Medicaid floor | Insurer typical | Private-pay p50 | Private-pay p90 | |
|---|---|---|---|---|---|
| Diagnostic | |||||
| Routine checkup (existing patient) | $26.99 | $42 | $59 | $91 | |
| Comprehensive exam (new patient) | $41.92 | $71 | $98 | $152 | |
| Full-mouth X-ray series | $96.28 | $113 | $157 | $228 | |
| Bitewing X-rays (set of 4) | $36.96 | $50 | $69 | $100 | |
| Panoramic X-ray | $72.30 | $99 | $137 | $199 | |
| Emergency | |||||
| Emergency visit for pain relief | $64.85 | $102 | $142 | $220 | |
| Endodontics | |||||
| Root canal, front tooth | $502.13 | $671 | $932 | $1,445 | |
| Root canal, molar | $909.18 | $904 | $1,256 | $1,947 | |
| Implants | |||||
| Dental implant placement | No published floor | $1,448 | $2,011 | $3,117 | |
| Oral surgery | |||||
| Simple tooth extraction | $92.39 | $138 | $191 | $296 | |
| Surgical tooth extraction | $171.39 | $233 | $324 | $502 | |
| Orthodontics | |||||
| Full braces treatment, adolescent | $1,408.63 | $4,026 | $5,592 | $7,549 | |
| Periodontics | |||||
| Deep cleaning below gumline (per quadrant) | $124.71 | $180 | $250 | $388 | |
| Ongoing gum maintenance visit | $83.14 | $113 | $157 | $243 | |
| Preventive | |||||
| Adult teeth cleaning | $63.19 | $74 | $103 | $160 | |
| Child teeth cleaning | $44.89 | $56 | $78 | $121 | |
| Fluoride varnish treatment | $27.84 | $35 | $49 | $76 | |
| Protective tooth sealant | $43.22 | $39 | $54 | $84 | |
| Restorative | |||||
| Metal filling (1 surface) | $79.51 | $109 | $152 | $236 | |
| Tooth-colored filling, front tooth | $99.46 | $138 | $191 | $296 | |
| Tooth-colored filling, back tooth (1 surface) | $99.46 | $148 | $206 | $319 | |
| Tooth-colored filling, back tooth (2 surfaces) | $119.41 | $176 | $245 | $380 | |
| Ceramic crown | $669.50 | $989 | $1,373 | $2,128 | |
| Porcelain-on-metal crown | $669.50 | $812 | $1,128 | $1,748 | |
| Crown foundation buildup | $147.65 | $212 | $294 | $456 | |
Floor. Official Virginia Medicaid fee-for-service dental schedule, effective July 1, 2024. View the source document.
Bands. Modeled: the national median billed charge for each procedure, scaled by the Virginia geographic cost index (0.981 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.