6,546 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 June 1, 2026 (view the source document). Practice costs index at 0.953 against the 1.000 national baseline.
| Procedure | Medicaid floor | Insurer typical | Private-pay p50 | Private-pay p90 | |
|---|---|---|---|---|---|
| Diagnostic | |||||
| Routine checkup (existing patient) | $18.40 | $41 | $57 | $88 | |
| Comprehensive exam (new patient) | $27.93 | $68 | $95 | $147 | |
| Full-mouth X-ray series | $60.80 | $109 | $152 | $220 | |
| Bitewing X-rays (set of 4) | $23.90 | $48 | $67 | $97 | |
| Panoramic X-ray | $53.34 | $96 | $133 | $193 | |
| Emergency | |||||
| Emergency visit for pain relief | $33.82 | $99 | $138 | $214 | |
| Endodontics | |||||
| Root canal, front tooth | $276.49 | $652 | $905 | $1,403 | |
| Root canal, molar | $436.44 | $878 | $1,220 | $1,891 | |
| Implants | |||||
| Dental implant placement | No published floor | $1,407 | $1,954 | $3,029 | |
| Oral surgery | |||||
| Simple tooth extraction | $55.66 | $134 | $186 | $288 | |
| Surgical tooth extraction | $120.96 | $226 | $314 | $487 | |
| Orthodontics | |||||
| Full braces treatment, adolescent | $1,516.37 | $3,911 | $5,432 | $7,333 | |
| Periodontics | |||||
| Deep cleaning below gumline (per quadrant) | $107.69 | $175 | $243 | $377 | |
| Ongoing gum maintenance visit | $61.43 | $109 | $152 | $236 | |
| Preventive | |||||
| Adult teeth cleaning | $37.69 | $72 | $100 | $155 | |
| Child teeth cleaning | $30.55 | $55 | $76 | $118 | |
| Fluoride varnish treatment | $18.05 | $35 | $48 | $74 | |
| Protective tooth sealant | $23.10 | $37 | $52 | $81 | |
| Restorative | |||||
| Metal filling (1 surface) | $46.06 | $107 | $148 | $229 | |
| Tooth-colored filling, front tooth | $54.50 | $134 | $186 | $288 | |
| Tooth-colored filling, back tooth (1 surface) | $57.83 | $144 | $200 | $310 | |
| Tooth-colored filling, back tooth (2 surfaces) | $74.44 | $171 | $238 | $369 | |
| Ceramic crown | $421.60 | $960 | $1,334 | $2,068 | |
| Porcelain-on-metal crown | No published floor | $789 | $1,096 | $1,699 | |
| Crown foundation buildup | No published floor | $206 | $286 | $443 | |
Floor. Official Wisconsin Medicaid fee-for-service dental schedule, effective June 1, 2026. View the source document.
Bands. Modeled: the national median billed charge for each procedure, scaled by the Wisconsin geographic cost index (0.953 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.