681 licensed dental providers on record, refreshed monthly from the federal registry. The Medicaid floors below come from the official state fee-for-service schedule, published without a stated effective date; figures reflect the current edition (view the source document). Practice costs index at 0.990 against the 1.000 national baseline.
| Procedure | Medicaid floor | Insurer typical | Private-pay p50 | Private-pay p90 | |
|---|---|---|---|---|---|
| Diagnostic | |||||
| Routine checkup (existing patient) | $39 | $42 | $59 | $91 | |
| Comprehensive exam (new patient) | $42.66 | $71 | $99 | $153 | |
| Full-mouth X-ray series | $109.69 | $114 | $158 | $229 | |
| Bitewing X-rays (set of 4) | $42.66 | $50 | $69 | $100 | |
| Panoramic X-ray | $73.13 | $100 | $139 | $202 | |
| Emergency | |||||
| Emergency visit for pain relief | $70.69 | $104 | $144 | $223 | |
| Endodontics | |||||
| Root canal, front tooth | $612.55 | $677 | $940 | $1,457 | |
| Root canal, molar | $837.63 | $912 | $1,267 | $1,964 | |
| Implants | |||||
| Dental implant placement | No published floor | $1,462 | $2,030 | $3,146 | |
| Oral surgery | |||||
| Simple tooth extraction | $85.84 | $139 | $193 | $299 | |
| Surgical tooth extraction | $160.88 | $235 | $327 | $507 | |
| Orthodontics | |||||
| Full braces treatment, adolescent | $1,462.50 | $4,063 | $5,643 | $7,618 | |
| Periodontics | |||||
| Deep cleaning below gumline (per quadrant) | $146.25 | $181 | $252 | $391 | |
| Ongoing gum maintenance visit | $79.83 | $114 | $158 | $245 | |
| Preventive | |||||
| Adult teeth cleaning | $60.94 | $75 | $104 | $161 | |
| Child teeth cleaning | $42.66 | $57 | $79 | $122 | |
| Fluoride varnish treatment | $42.66 | $36 | $50 | $78 | |
| Protective tooth sealant | $34.13 | $39 | $54 | $84 | |
| Restorative | |||||
| Metal filling (1 surface) | $95.06 | $110 | $153 | $237 | |
| Tooth-colored filling, front tooth | $99.94 | $139 | $193 | $299 | |
| Tooth-colored filling, back tooth (1 surface) | $95.06 | $150 | $208 | $322 | |
| Tooth-colored filling, back tooth (2 surfaces) | $117 | $179 | $248 | $384 | |
| Ceramic crown | $731.25 | $998 | $1,386 | $2,148 | |
| Porcelain-on-metal crown | $731.25 | $819 | $1,138 | $1,764 | |
| Crown foundation buildup | $157.23 | $214 | $297 | $460 | |
Floor. Official Wyoming Medicaid fee-for-service dental schedule, current edition, no stated effective date. View the source document.
Bands. Modeled: the national median billed charge for each procedure, scaled by the Wyoming geographic cost index (0.990 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.