2026 data Public-data reference. official source

Endodontic Therapy - Anterior Tooth

Open-data reference.

CDT D3310 Endodontics · typical chair time: 90 min

About endodontic therapy - anterior tooth

What it is: Root canal treatment, front tooth The American Dental Association assigns this procedure CDT code D3310, which is the standardized billing code used by every Medicaid program and dental insurance carrier in the United States.

What it costs: The national private-market average is $1,054 based on the ADA Health Policy Institute Survey of Dental Fees (2024). State variation pushes this between $$929 (lowest cost-of-living states) and $$1,263 (highest). State Medicaid programs that cover endodontic therapy - anterior tooth for adults reimburse an average of $511 (range $363–$684 across covering states).

Why state matters: Two factors drive the spread. First, state Medicaid programs negotiate their own dental fee schedules — high-paying states pay roughly 1.5x what low-paying states pay for the identical CDT code. Second, the private market follows local cost of living, captured by the Bureau of Economic Analysis Regional Price Parities. The full state-by-state table is below.

$1,054
National avg. private cost
$511
Avg. Medicaid reimbursement
(across covering states)
19/51
States covering this procedure
36%
Max state spread (private)

Top 10 states: Endodontic Therapy - Anterior Tooth private cost vs national average

New York$1263District of Columbia$1252California$1220Hawaii$1219New Jersey$1219Massachusetts$1190Maryland$1187Washington$1179Connecticut$1176Alaska$1136
Top 10 states: Endodontic Therapy - Anterior Tooth private cost vs national average

Endodontic Therapy - Anterior Tooth cost by state

State Medicaid fee Private estimate Adult coverage
Alabama Not covered $932 emergency
Alaska $684 $1,136 extensive
Arizona Not covered $1,040 emergency
Arkansas Not covered $946 limited
California $498 $1,220 extensive
Colorado Not covered $1,104 limited
Connecticut $557 $1,176 extensive
Delaware Not covered $1,079 none
District of Columbia $612 $1,252 extensive
Florida Not covered $1,069 emergency
Georgia Not covered $995 emergency
Hawaii Not covered $1,219 limited
Idaho Not covered $1,007 limited
Illinois $363 $1,075 extensive
Indiana Not covered $978 limited
Iowa $456 $973 extensive
Kansas Not covered $975 emergency
Kentucky Not covered $957 limited
Louisiana Not covered $983 limited
Maine Not covered $1,070 limited
Maryland $494 $1,187 extensive
Massachusetts $540 $1,190 extensive
Michigan $397 $1,021 extensive
Minnesota $599 $1,081 extensive
Mississippi Not covered $929 emergency
Missouri Not covered $983 limited
Montana Not covered $1,012 limited
Nebraska Not covered $984 limited
Nevada Not covered $1,070 limited
New Hampshire $430 $1,129 extensive
New Jersey $498 $1,219 extensive
New Mexico Not covered $993 limited
New York $637 $1,263 extensive
North Carolina Not covered $997 limited
North Dakota $557 $989 extensive
Ohio Not covered $983 limited
Oklahoma Not covered $963 emergency
Oregon $494 $1,101 extensive
Pennsylvania Not covered $1,050 limited
Rhode Island $439 $1,081 extensive
South Carolina Not covered $984 limited
South Dakota Not covered $954 emergency
Tennessee Not covered $973 emergency
Texas Not covered $1,037 emergency
Utah Not covered $1,038 limited
Vermont $490 $1,075 extensive
Virginia $456 $1,097 extensive
Washington $511 $1,179 extensive
West Virginia Not covered $946 limited
Wisconsin Not covered $1,030 limited
Wyoming Not covered $1,026 limited

Analysis: how to think about endodontic therapy - anterior tooth costs

The roughly 36% spread between the lowest- and highest-cost states for endodontic therapy - anterior tooth comes almost entirely from cost of living, not from differences in clinical complexity. A dentist's fee for a D3310 procedure in Mississippi (BEA RPP 86.4) versus New York (BEA RPP 117.5) tracks the local rent, wages, and supply costs the practice has to cover. The ADA HPI national average we start from is the population-weighted survey value across all surveyed practices.

The Medicaid coverage column matters more than the Medicaid fee itself for most adults. In the 19 jurisdictions that do reimburse for endodontic therapy - anterior tooth under their adult Medicaid program, the reimbursement averages around $511 — about 48% of the average private fee. Practices that accept Medicaid are absorbing the gap, which is why "Medicaid-accepting dentist" is not always easy to find. For a state-specific look at adult dental coverage scope, see each state page.

When budgeting for this procedure: treat the private estimate as a midpoint, not a ceiling. Specialty providers (oral surgeons, prosthodontists, periodontists) typically charge 15–40% above the general dentist rate for procedures within their specialty. Get a written treatment estimate before treatment, and ask whether the figure is the procedure fee alone or whether it bundles diagnostic codes (X-rays, exams) commonly billed alongside.

Related

Compare across all procedures

Read our methodology — how this data is sourced, computed, and verified.

Source: ADA Health Policy Institute, Survey of Dental Fees (2024) and Medicaid Reimbursement Compendium. State Medicaid rates: each state's published dental fee schedule (current 2026 Q1). Disclaimer: Costs shown are estimates derived from publicly-published averages and a state-level cost-of-living adjustment. Actual fees depend on the specific dentist, the geographic submarket, and clinical complexity. This site does not provide medical or dental advice.

Frequently asked questions

How much does endodontic therapy - anterior tooth cost in the United States?
The national private-market average for endodontic therapy - anterior tooth (CDT D3310) is approximately $1,054 based on the ADA Health Policy Institute Survey of Dental Fees (2024). State variation runs from $929 (lowest cost-of-living states) to $1,263 (highest).
Does Medicaid cover endodontic therapy - anterior tooth?
19 state Medicaid programs cover endodontic therapy - anterior tooth for adults, with average reimbursement of $511 (range $363-$684). Coverage varies by state — see the per-state table on this page.
Why does endodontic therapy - anterior tooth cost so much more in some states?
Three drivers explain the variation: state cost of living (BEA Regional Price Parities, ranging from 86 to 117), state Medicaid policy (which affects provider supply), and dentist density per capita. See our analysis of state cost spread for the full breakdown.