1,594 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 April 1, 2026 (view the source document). Practice costs index at 0.958 against the 1.000 national baseline.
| Procedure | Medicaid floor | Insurer typical | Private-pay p50 | Private-pay p90 | |
|---|---|---|---|---|---|
| Diagnostic | |||||
| Routine checkup (existing patient) | $29.33 | $41 | $57 | $88 | |
| Comprehensive exam (new patient) | $41.07 | $69 | $96 | $149 | |
| Full-mouth X-ray series | $88 | $110 | $153 | $222 | |
| Bitewing X-rays (set of 4) | $43.41 | $48 | $67 | $97 | |
| Panoramic X-ray | $78.62 | $96 | $134 | $194 | |
| Emergency | |||||
| Emergency visit for pain relief | No published floor | $100 | $139 | $215 | |
| Endodontics | |||||
| Root canal, front tooth | $475.21 | $655 | $910 | $1,410 | |
| Root canal, molar | $739.22 | $883 | $1,226 | $1,900 | |
| Implants | |||||
| Dental implant placement | No published floor | $1,414 | $1,964 | $3,044 | |
| Oral surgery | |||||
| Simple tooth extraction | $93.87 | $135 | $187 | $290 | |
| Surgical tooth extraction | $152.54 | $228 | $316 | $490 | |
| Orthodontics | |||||
| Full braces treatment, adolescent | $2,874.76 | $3,932 | $5,461 | $7,372 | |
| Periodontics | |||||
| Deep cleaning below gumline (per quadrant) | $173.66 | $176 | $244 | $378 | |
| Ongoing gum maintenance visit | $64 | $110 | $153 | $237 | |
| Preventive | |||||
| Adult teeth cleaning | $64.54 | $73 | $101 | $157 | |
| Child teeth cleaning | $46.93 | $55 | $77 | $119 | |
| Fluoride varnish treatment | $23.47 | $35 | $48 | $74 | |
| Protective tooth sealant | $35.20 | $38 | $53 | $82 | |
| Restorative | |||||
| Metal filling (1 surface) | $85.66 | $107 | $148 | $229 | |
| Tooth-colored filling, front tooth | $99.74 | $135 | $187 | $290 | |
| Tooth-colored filling, back tooth (1 surface) | $109.12 | $145 | $201 | $312 | |
| Tooth-colored filling, back tooth (2 surfaces) | $133.76 | $173 | $240 | $372 | |
| Ceramic crown | $745.09 | $966 | $1,341 | $2,079 | |
| Porcelain-on-metal crown | $745.09 | $793 | $1,102 | $1,708 | |
| Crown foundation buildup | $164.27 | $207 | $287 | $445 | |
Floor. Official West Virginia Medicaid fee-for-service dental schedule, effective April 1, 2026. View the source document.
Bands. Modeled: the national median billed charge for each procedure, scaled by the West Virginia geographic cost index (0.958 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.