Therapeutic Pulpotomy
Open-data reference.
About therapeutic pulpotomy
What it is: Removal of inflamed pulp tissue (often pediatric)
What it costs: The national private-market average is $172 based on the ADA Health Policy Institute Survey of Dental Fees (2024). State variation pushes this between $151 (lowest cost-of-living states) and $206 (highest). State Medicaid programs that cover therapeutic pulpotomy for adults reimburse an average of $87 (range $62–$117 across the 19 covering states). The highest-paying Medicaid programs are Alaska ($117), New York ($109), District of Columbia ($104), worth checking if you're comparing states for Medicaid access to this procedure.
(across covering states)
Therapeutic Pulpotomy cost by state
| State | Medicaid fee | Private estimate |
|---|---|---|
| Alaska | $117 | $185 |
| New York | $109 | $206 |
| District of Columbia | $104 | $204 |
| Minnesota | $102 | $176 |
| Connecticut | $95 | $191 |
| North Dakota | $95 | $161 |
| Massachusetts | $92 | $194 |
| Washington | $87 | $192 |
| California | $85 | $199 |
| New Jersey | $85 | $198 |
| Maryland | $84 | $193 |
| Oregon | $84 | $179 |
| Vermont | $84 | $175 |
| Iowa | $78 | $158 |
| Virginia | $78 | $179 |
| Rhode Island | $75 | $176 |
| New Hampshire | $73 | $184 |
| Michigan | $68 | $166 |
| Illinois | $62 | $175 |
| Hawaii | – | $198 |
| Colorado | – | $180 |
| Delaware | – | $176 |
| Maine | – | $174 |
| Nevada | – | $174 |
| Florida | – | $174 |
| Pennsylvania | – | $171 |
| Arizona | – | $169 |
| Utah | – | $169 |
| Texas | – | $169 |
| Wisconsin | – | $168 |
| Wyoming | – | $167 |
| Montana | – | $165 |
| Idaho | – | $164 |
| North Carolina | – | $162 |
| Georgia | – | $162 |
| New Mexico | – | $162 |
| Nebraska | – | $160 |
| South Carolina | – | $160 |
| Louisiana | – | $160 |
| Missouri | – | $160 |
| Ohio | – | $160 |
| Indiana | – | $159 |
| Kansas | – | $159 |
| Tennessee | – | $158 |
| Oklahoma | – | $157 |
| Kentucky | – | $156 |
| South Dakota | – | $155 |
| Arkansas | – | $154 |
| West Virginia | – | $154 |
| Alabama | – | $152 |
| Mississippi | – | $151 |
Analysis: how to think about therapeutic pulpotomy costs
The endodontics category spread for therapeutic pulpotomy (CDT D3220) runs 36% between the cheapest and priciest states in our 2024 dataset, and cost of living explains most of that gap, not procedure difficulty.
19 of 50 states reimburse adult Medicaid patients for this code, averaging $87 (about 51% of the private rate). Practices in the other 31 states have no Medicaid fee schedule entry for D3220, which is part of why Medicaid-accepting providers can be scarce for this procedure. Related: finding affordable dental care.
Related
Source: ADA HPI Survey of Dental Fees (2024). State Medicaid fee schedules (2026 Q1). Estimates, not quotes, see our disclaimer.