793 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, 2023 (view the source document). Practice costs index at 0.976 against the 1.000 national baseline.
| Procedure | Medicaid floor | Insurer typical | Private-pay p50 | Private-pay p90 | |
|---|---|---|---|---|---|
| Diagnostic | |||||
| Routine checkup (existing patient) | $39.75 | $42 | $59 | $91 | |
| Comprehensive exam (new patient) | $97.50 | $71 | $98 | $152 | |
| Full-mouth X-ray series | $105.75 | $112 | $156 | $226 | |
| Bitewing X-rays (set of 4) | $51 | $49 | $68 | $99 | |
| Panoramic X-ray | $94.50 | $99 | $137 | $199 | |
| Emergency | |||||
| Emergency visit for pain relief | $96 | $102 | $142 | $220 | |
| Endodontics | |||||
| Root canal, front tooth | $618 | $667 | $927 | $1,437 | |
| Root canal, molar | $845.25 | $899 | $1,249 | $1,936 | |
| Implants | |||||
| Dental implant placement | No published floor | $1,441 | $2,001 | $3,102 | |
| Oral surgery | |||||
| Simple tooth extraction | $130.50 | $137 | $190 | $294 | |
| Surgical tooth extraction | $216.75 | $232 | $322 | $499 | |
| Orthodontics | |||||
| Full braces treatment, adolescent | $1,296.94 | $4,005 | $5,563 | $7,510 | |
| Periodontics | |||||
| Deep cleaning below gumline (per quadrant) | $192.75 | $179 | $249 | $386 | |
| Ongoing gum maintenance visit | $108.75 | $112 | $156 | $242 | |
| Preventive | |||||
| Adult teeth cleaning | $75.75 | $73 | $102 | $158 | |
| Child teeth cleaning | $60.75 | $56 | $78 | $121 | |
| Fluoride varnish treatment | $33.75 | $35 | $49 | $76 | |
| Protective tooth sealant | $43.50 | $39 | $54 | $84 | |
| Restorative | |||||
| Metal filling (1 surface) | $101.25 | $109 | $151 | $234 | |
| Tooth-colored filling, front tooth | $112.50 | $137 | $190 | $294 | |
| Tooth-colored filling, back tooth (1 surface) | $125.25 | $148 | $205 | $318 | |
| Tooth-colored filling, back tooth (2 surfaces) | $174.75 | $176 | $244 | $378 | |
| Ceramic crown | $891.75 | $984 | $1,366 | $2,117 | |
| Porcelain-on-metal crown | $945 | $808 | $1,122 | $1,739 | |
| Crown foundation buildup | $213.75 | $211 | $293 | $454 | |
Floor. Official Vermont Medicaid fee-for-service dental schedule, effective July 1, 2023. View the source document.
Bands. Modeled: the national median billed charge for each procedure, scaled by the Vermont geographic cost index (0.976 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.