Dental procedure costs in Massachusetts

MA Adult Medicaid coverage: extensive · RPP 110.7

Massachusetts dental cost overview

MassHealth covers comprehensive adult dental services with restored coverage as of 2022.

Massachusetts's state-level cost of living, captured by the Bureau of Economic Analysis Regional Price Parities at 110.7 (US average = 100), drives private-market dental fees up or down from the national baseline. Massachusetts sits well above the national average — expect to pay roughly 11% more than the ADA HPI national private-market average for the same procedure.

Massachusetts Medicaid covers 58 of the 62 procedures we track for adults, with an average reimbursement of $357 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 Massachusetts 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 Massachusetts should be straightforward.

extensive
Adult Medicaid coverage tier
58/62
Procedures covered for adults
$357
Avg. Medicaid reimbursement
$912
Avg. private-market estimate

Massachusetts 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 $499
Internal Bleaching - Per Tooth D9974 Not covered $352

Crowns

Procedure CDT Medicaid fee Private estimate
Crown - Full Cast High Noble Metal D2790 $707 $1,404
Crown - Porcelain Fused to High Noble Metal D2750 $707 $1,404
Crown - Porcelain Fused to Noble Metal D2752 $664 $1,326
Crown - Porcelain/Ceramic D2740 $746 $1,481

Diagnostic

Endodontics

Procedure CDT Medicaid fee Private estimate
Endodontic Therapy - Anterior Tooth D3310 $540 $1,190
Endodontic Therapy - Bicuspid Tooth D3320 $623 $1,386
Endodontic Therapy - Molar Tooth D3330 $746 $1,647
Retreatment of Previous Root Canal - Anterior D3346 $643 $1,425
Retreatment of Previous Root Canal - Molar D3348 $809 $1,783
Therapeutic Pulpotomy D3220 $92 $194

Implants

Procedure CDT Medicaid fee Private estimate
Abutment-Supported Porcelain/Ceramic Crown D6058 $919 $1,813
Custom Fabricated Abutment D6057 $390 $765
Implant-Supported Porcelain/Ceramic Crown D6065 $1,055 $2,081
Prefabricated Abutment D6056 $280 $560
Surgical Placement of Implant Body D6010 $1,349 $2,610

Orthodontics

Procedure CDT Medicaid fee Private estimate
Comprehensive Orthodontic Treatment - Adolescent D8080 Not covered $6,712
Comprehensive Orthodontic Treatment - Adult D8090 Not covered $7,196

Periodontics

Procedure CDT Medicaid fee Private estimate
Gingivectomy or Gingivoplasty - Four+ Teeth D4210 $244 $507
Periodontal Maintenance D4910 $92 $186
Periodontal Scaling - 1-3 Teeth Per Quadrant D4342 $110 $218
Periodontal Scaling - Four+ Teeth Per Quadrant D4341 $150 $310

Preventive

Procedure CDT Medicaid fee Private estimate
Prophylaxis - Adult D1110 $72 $136
Prophylaxis - Child D1120 $55 $95
Sealant - Per Tooth D1351 $40 $75
Topical Application of Fluoride D1208 $26 $48
Topical Application of Fluoride Varnish D1206 $28 $51

Prosthodontics

Procedure CDT Medicaid fee Private estimate
Complete Denture - Mandibular D5120 $1,096 $2,168
Complete Denture - Maxillary D5110 $1,096 $2,168
Mandibular Partial Denture - Cast Metal Framework D5214 $1,180 $2,331
Maxillary Partial Denture - Cast Metal Framework D5213 $1,180 $2,331
Pontic - Porcelain Fused to High Noble Metal D6240 $707 $1,404
Retainer Crown - Porcelain Fused to High Noble Metal D6750 $707 $1,404

Analysis: paying for dental care in Massachusetts

Adults on Medicaid in Massachusetts 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 110.7) gives you a quick mental adjustment for the ADA HPI national private-market averages: multiply the national figure by 1.11 for the Massachusetts 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

Massachusetts 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: Massachusetts 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.