Dental procedure costs in Kentucky

KY Adult Medicaid coverage: limited · RPP 89.0

Kentucky dental cost overview

Kentucky Medicaid covers preventive, basic restorative, and emergency adult dental services.

Kentucky's state-level cost of living, captured by the Bureau of Economic Analysis Regional Price Parities at 89.0 (US average = 100), drives private-market dental fees up or down from the national baseline. Kentucky is below the national average, the same procedure typically costs around 11% less than the ADA HPI national midpoint.

Kentucky Medicaid covers 23 of the 62 procedures we track for adults, with an average reimbursement of $53 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 Kentucky 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 Kentucky should be straightforward.

limited
Adult Medicaid coverage tier
23/62
Procedures covered for adults
$53
Avg. Medicaid reimbursement
$733
Avg. private-market estimate

Kentucky dental cost table

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

Adjunctive

Cosmetic

Procedure CDT Medicaid fee Private estimate
External Bleaching - Per Arch (Office) D9972 Not covered $401
Internal Bleaching - Per Tooth D9974 Not covered $283

Crowns

Procedure CDT Medicaid fee Private estimate
Crown - Full Cast High Noble Metal D2790 Not covered $1,129
Crown - Porcelain Fused to High Noble Metal D2750 Not covered $1,129
Crown - Porcelain Fused to Noble Metal D2752 Not covered $1,066
Crown - Porcelain/Ceramic D2740 Not covered $1,191

Diagnostic

Endodontics

Procedure CDT Medicaid fee Private estimate
Endodontic Therapy - Anterior Tooth D3310 Not covered $957
Endodontic Therapy - Bicuspid Tooth D3320 Not covered $1,114
Endodontic Therapy - Molar Tooth D3330 Not covered $1,324
Retreatment of Previous Root Canal - Anterior D3346 Not covered $1,145
Retreatment of Previous Root Canal - Molar D3348 Not covered $1,434
Therapeutic Pulpotomy D3220 Not covered $156

Implants

Procedure CDT Medicaid fee Private estimate
Abutment-Supported Porcelain/Ceramic Crown D6058 Not covered $1,458
Custom Fabricated Abutment D6057 Not covered $615
Implant-Supported Porcelain/Ceramic Crown D6065 Not covered $1,673
Prefabricated Abutment D6056 Not covered $450
Surgical Placement of Implant Body D6010 Not covered $2,099

Oral Surgery

Procedure CDT Medicaid fee Private estimate
Extraction of Erupted Tooth D7140 $71 $190
Incisional Biopsy of Oral Tissue - Soft D7286 Not covered $302
Removal of Impacted Tooth - Bony with Complication D7241 Not covered $447
Removal of Impacted Tooth - Completely Bony D7240 Not covered $385
Removal of Impacted Tooth - Partially Bony D7230 Not covered $328
Removal of Impacted Tooth - Soft Tissue D7220 Not covered $234
Surgical Removal of Erupted Tooth D7210 Not covered $287
Surgical Removal of Residual Tooth Roots D7250 Not covered $353

Orthodontics

Procedure CDT Medicaid fee Private estimate
Comprehensive Orthodontic Treatment - Adolescent D8080 Not covered $5,396
Comprehensive Orthodontic Treatment - Adult D8090 Not covered $5,785

Periodontics

Procedure CDT Medicaid fee Private estimate
Gingivectomy or Gingivoplasty - Four+ Teeth D4210 Not covered $408
Periodontal Maintenance D4910 Not covered $150
Periodontal Scaling - 1-3 Teeth Per Quadrant D4342 Not covered $175
Periodontal Scaling - Four+ Teeth Per Quadrant D4341 Not covered $249

Preventive

Procedure CDT Medicaid fee Private estimate
Prophylaxis - Adult D1110 $45 $109
Prophylaxis - Child D1120 $35 $77
Sealant - Per Tooth D1351 $25 $61
Topical Application of Fluoride D1208 $16 $38
Topical Application of Fluoride Varnish D1206 $18 $41

Prosthodontics

Procedure CDT Medicaid fee Private estimate
Complete Denture - Mandibular D5120 Not covered $1,743
Complete Denture - Maxillary D5110 Not covered $1,743
Mandibular Partial Denture - Cast Metal Framework D5214 Not covered $1,874
Maxillary Partial Denture - Cast Metal Framework D5213 Not covered $1,874
Pontic - Porcelain Fused to High Noble Metal D6240 Not covered $1,129
Retainer Crown - Porcelain Fused to High Noble Metal D6750 Not covered $1,129

Analysis: paying for dental care in Kentucky

Adults on Medicaid in Kentucky have access to a limited 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 89.0) gives you a quick mental adjustment for the ADA HPI national private-market averages: multiply the national figure by 0.89 for the Kentucky 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

Kentucky 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: Kentucky 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.

Data compiled and verified by the PlainDentalCost team.