Dental procedure costs in Illinois

IL Adult Medicaid coverage: extensive · RPP 100.0

Illinois dental cost overview

Illinois Medicaid covers comprehensive adult dental services as of 2026.

Illinois's state-level cost of living, captured by the Bureau of Economic Analysis Regional Price Parities at 100.0 (US average = 100), drives private-market dental fees up or down from the national baseline. Illinois sits close to the national average — the local private-market price for most procedures lands within a few percent of the ADA HPI national midpoint.

Illinois Medicaid covers 58 of the 62 procedures we track for adults, with an average reimbursement of $240 per procedure across covered services. The full procedure-by-procedure table is below.

Reimbursement rates and coverage tiers are set state-by-state and shift annually as legislatures rebalance Medicaid budgets, so the figures shown here for Illinois reflect the most recent published schedule we have on file — always confirm with the state Medicaid office or your dental provider before scheduling. Adult coverage tiers in our framework correspond to common cost-sharing patterns: emergency-only states pay only for pain relief, extractions, or trauma; limited-coverage states add cleanings and fillings; comprehensive states pay for crowns, bridges, and dentures. Pediatric coverage is more uniform across states because EPSDT (Early and Periodic Screening, Diagnostic, and Treatment) federally mandates a baseline of children's dental services, so family-budget planning for kids in Illinois should be straightforward.

extensive
Adult Medicaid coverage tier
58/62
Procedures covered for adults
$240
Avg. Medicaid reimbursement
$824
Avg. private-market estimate

Illinois dental cost table

All procedures shown below are organized by clinical category. Click any procedure for cross-state comparison.

Cosmetic

Procedure CDT Medicaid fee Private estimate
External Bleaching - Per Arch (Office) D9972 Not covered $451
Internal Bleaching - Per Tooth D9974 Not covered $318

Crowns

Procedure CDT Medicaid fee Private estimate
Crown - Full Cast High Noble Metal D2790 $475 $1,268
Crown - Porcelain Fused to High Noble Metal D2750 $475 $1,268
Crown - Porcelain Fused to Noble Metal D2752 $446 $1,198
Crown - Porcelain/Ceramic D2740 $501 $1,338

Diagnostic

Endodontics

Procedure CDT Medicaid fee Private estimate
Endodontic Therapy - Anterior Tooth D3310 $363 $1,075
Endodontic Therapy - Bicuspid Tooth D3320 $419 $1,252
Endodontic Therapy - Molar Tooth D3330 $501 $1,488
Retreatment of Previous Root Canal - Anterior D3346 $432 $1,287
Retreatment of Previous Root Canal - Molar D3348 $544 $1,611
Therapeutic Pulpotomy D3220 $62 $175

Implants

Procedure CDT Medicaid fee Private estimate
Abutment-Supported Porcelain/Ceramic Crown D6058 $617 $1,638
Custom Fabricated Abutment D6057 $262 $691
Implant-Supported Porcelain/Ceramic Crown D6065 $709 $1,880
Prefabricated Abutment D6056 $188 $506
Surgical Placement of Implant Body D6010 $906 $2,358

Orthodontics

Procedure CDT Medicaid fee Private estimate
Comprehensive Orthodontic Treatment - Adolescent D8080 Not covered $6,063
Comprehensive Orthodontic Treatment - Adult D8090 Not covered $6,500

Periodontics

Procedure CDT Medicaid fee Private estimate
Gingivectomy or Gingivoplasty - Four+ Teeth D4210 $164 $458
Periodontal Maintenance D4910 $62 $168
Periodontal Scaling - 1-3 Teeth Per Quadrant D4342 $74 $197
Periodontal Scaling - Four+ Teeth Per Quadrant D4341 $101 $280

Preventive

Procedure CDT Medicaid fee Private estimate
Prophylaxis - Adult D1110 $48 $123
Prophylaxis - Child D1120 $37 $86
Sealant - Per Tooth D1351 $27 $68
Topical Application of Fluoride D1208 $17 $43
Topical Application of Fluoride Varnish D1206 $19 $46

Prosthodontics

Analysis: paying for dental care in Illinois

Adults on Medicaid in Illinois have access to a comprehensive adult dental benefit. The catch is finding a dentist who takes Medicaid: state Medicaid programs typically reimburse around 30–50% of private-market fees, which means many private practices either don't accept Medicaid or accept a limited number of Medicaid patients. The state Medicaid agency maintains a directory of participating dentists; FQHCs (Federally Qualified Health Centers) and dental school clinics are typically the highest-volume Medicaid-accepting providers in any market.

For uninsured adults, the gap between the cheapest provider category (FQHC, dental school) and a private general dentist is typically 30–50% on routine procedures, much wider on specialty work like crowns and implants. Always ask for a written treatment estimate that itemizes diagnostic codes (X-rays, exams) separately from the procedure fee — bundled estimates can mask significant variation in how providers price the same work.

The state's overall cost-of-living position (BEA RPP 100.0) gives you a quick mental adjustment for the ADA HPI national private-market averages: multiply the national figure by 1.00 for the Illinois state-level estimate. The actual price you'll see at a specific dentist will vary — urban downtowns tend to be 15–25% above the state RPP, rural areas 10–15% below — but the state RPP is a good first-pass estimate.

Related

Compare across all states

Illinois Medicaid dental fee schedule (state Medicaid agency, current 2026 Q1).

Source: MACPAC, Medicaid Coverage of Dental Benefits for Adults (compendium).

Source: BEA Regional Price Parities, by State (most recent annual release).

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

Source: Illinois Medicaid dental fee schedule (current 2026 Q1). Private-market estimates: ADA HPI Survey of Dental Fees (2024) adjusted by BEA Regional Price Parities. Disclaimer: Estimates only — actual fees depend on the specific dentist, geographic submarket, and clinical complexity. State coverage policy can change. This site does not provide medical or dental advice.