MT · Medicaid tier: limited

Dental costs in Montana

Modeled Medicaid and private-market estimates for 62 procedures, adjusted by BEA Regional Price Parities (RPP 94.1).

Dental Affordability & Access Score

How affordable and Medicaid-accessible dental care is in Montana, from 2 of 2 tracked dimensions.

58 F
  • Private-market affordability $776 avg estimate 76/100 · C
  • Medicaid procedure coverage 23 of 62 procedures 40/100 · F

Benchmarked against the 51-state tracked corpus (p10-p90 range per dimension); a higher score means cheaper private-market care and broader adult Medicaid coverage. See how we place states.

State cost verdict

Montana's modeled uncovered basket is $44,844 (#18 of 51) with coverage breadth #20 (23 of 62 codes). 19 extensive programs sharing 58 covered codes are coverage-breadth #1 of 51, while Hawaii's limited program at $54,042 is uncovered-basket #1 (39 of 62 codes without a Medicaid fee), above Delaware none-tier at $51,300. Iowa extensive is the basket floor at $12,065.

$44,844
Uncovered basket #18
limited
Adult Medicaid tier
23/62
Procedures covered
$776
Avg private est.

Modeled Medicaid figures are ADA HPI-based estimates; confirm benefits with the state program.

Archive split · CDT categories

How 62 tracked procedures in Montana split by CDT category

Montana's heaviest tracked CDT bucket is Oral Surgery (8 of 62). Source: procedures.category × procedure_costs.

Uncovered basket vs nearest peers

Modeled cost of procedures without an adult Medicaid estimate in this archive, priced at each state's own private-market level, plus the share of the tracked basket left uncovered against the 51-jurisdiction mean. Bars are the seven closest ABS uncovered-basket peers plus Montana (LIM · HIGH lane) - not a fixed national top-ten. Archive completeness and price level, not a treatment recommendation.

LIM nearest uncovered-basket peers

1. Wyoming$454642. South Dakota$453223. Montana$448444. Idaho$446545. Alabama$443006. North Carolina$441777. Mississippi$441478. New Mexico$44034
Seven closest ABS(exposure) jurisdictions to Montana's modeled uncovered basket, plus this state. Sorted by dollars for the bar board; peer set is state-specific.

Montana: heavy uncovered share vs corpus

0%100%Corpus mean50%62.9%
Montana 62.9% · corpus 49.9%
39 of 62 tracked procedures lack a modeled adult Medicaid estimate in Montana (62.9%). Corpus mean across 51 jurisdictions is 49.9% · delta +13.0 pp.

Source: ADA Health Policy Institute Survey of Dental Fees and Medicaid Reimbursement Compendium; MACPAC adult dental coverage tiers procedure_costs × states coverage_tier join · 2026-05-16 Montana coverage is MACPAC tier (limited); dollars are modeled private estimates, not billed claims.

Montana uncovered-basket dollars vs 51 jurisdictions

HIGH lane · #18 by modeled uncovered basket ($44,844)

$44,844 18th of 51 higher than 33 of 51 jurisdictions

Montana marked among 51 states

Each bar is a $0.001K-wide band; taller bars hold more jurisdictions. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source ADA HPI × MACPAC coverage join · 2026-05-16

Montana dental cost table

Montana mixes modeled Medicaid (23/62) with private estimates. Categories ordered by this state's tracked mix, Oral Surgery heaviest.

Oral Surgery

Procedure CDT Modeled Medicaid Private estimate
Extraction of Erupted Tooth D7140 $85 $200
Incisional Biopsy of Oral Tissue - Soft D7286 Not covered $319
Removal of Impacted Tooth - Bony with Complication D7241 Not covered $472
Removal of Impacted Tooth - Completely Bony D7240 Not covered $407
Removal of Impacted Tooth - Partially Bony D7230 Not covered $347
Removal of Impacted Tooth - Soft Tissue D7220 Not covered $247
Surgical Removal of Erupted Tooth D7210 Not covered $303
Surgical Removal of Residual Tooth Roots D7250 Not covered $374

Diagnostic

Procedure CDT Modeled Medicaid Private estimate
Bitewing Radiographs - Four Films D0274 $34 $72
Comprehensive Oral Evaluation D0150 $45 $106
Intraoral Complete Series of Radiographs D0210 $62 $147
Intraoral Periapical First Radiograph D0220 $16 $33
Limited Oral Evaluation (Problem Focused) D0140 $33 $79
Panoramic Radiographic Image D0330 $60 $130
Periodic Oral Evaluation D0120 $28 $58

Endodontics

Procedure CDT Modeled Medicaid Private estimate
Endodontic Therapy - Anterior Tooth D3310 Not covered $1,012
Endodontic Therapy - Bicuspid Tooth D3320 Not covered $1,178
Endodontic Therapy - Molar Tooth D3330 Not covered $1,400
Retreatment of Previous Root Canal - Anterior D3346 Not covered $1,211
Retreatment of Previous Root Canal - Molar D3348 Not covered $1,516
Therapeutic Pulpotomy D3220 Not covered $165

Prosthodontics

Procedure CDT Modeled Medicaid Private estimate
Complete Denture - Mandibular D5120 Not covered $1,842
Complete Denture - Maxillary D5110 Not covered $1,842
Mandibular Partial Denture - Cast Metal Framework D5214 Not covered $1,982
Maxillary Partial Denture - Cast Metal Framework D5213 Not covered $1,982
Pontic - Porcelain Fused to High Noble Metal D6240 Not covered $1,193
Retainer Crown - Porcelain Fused to High Noble Metal D6750 Not covered $1,193

Adjunctive

Procedure CDT Modeled Medicaid Private estimate
Deep Sedation/General Anesthesia - First 30 Minutes D9220 Not covered $394
Inhalation of Nitrous Oxide / Anxiolysis D9230 $36 $81
Non-Intravenous Conscious Sedation D9248 Not covered $379
Palliative (Emergency) Treatment of Dental Pain D9110 $42 $92
Therapeutic Parenteral Drug - Single Administration D9610 Not covered $72

Implants

Procedure CDT Modeled Medicaid Private estimate
Abutment-Supported Porcelain/Ceramic Crown D6058 Not covered $1,541
Custom Fabricated Abutment D6057 Not covered $650
Implant-Supported Porcelain/Ceramic Crown D6065 Not covered $1,769
Prefabricated Abutment D6056 Not covered $476
Surgical Placement of Implant Body D6010 Not covered $2,219

Preventive

Procedure CDT Modeled Medicaid Private estimate
Prophylaxis - Adult D1110 $54 $116
Prophylaxis - Child D1120 $42 $81
Sealant - Per Tooth D1351 $30 $64
Topical Application of Fluoride D1208 $19 $40
Topical Application of Fluoride Varnish D1206 $21 $43

Crowns

Procedure CDT Modeled Medicaid Private estimate
Crown - Full Cast High Noble Metal D2790 Not covered $1,193
Crown - Porcelain Fused to High Noble Metal D2750 Not covered $1,193
Crown - Porcelain Fused to Noble Metal D2752 Not covered $1,127
Crown - Porcelain/Ceramic D2740 Not covered $1,259

Periodontics

Procedure CDT Modeled Medicaid Private estimate
Gingivectomy or Gingivoplasty - Four+ Teeth D4210 Not covered $431
Periodontal Maintenance D4910 Not covered $158
Periodontal Scaling - 1-3 Teeth Per Quadrant D4342 Not covered $185
Periodontal Scaling - Four+ Teeth Per Quadrant D4341 Not covered $263

Cosmetic

Procedure CDT Modeled Medicaid Private estimate
External Bleaching - Per Arch (Office) D9972 Not covered $424
Internal Bleaching - Per Tooth D9974 Not covered $299

Orthodontics

Procedure CDT Modeled Medicaid Private estimate
Comprehensive Orthodontic Treatment - Adolescent D8080 Not covered $5,705
Comprehensive Orthodontic Treatment - Adult D8090 Not covered $6,117

Montana uncovered-basket registry (HIGH)

Modeled uncovered basket $44,844 ranks #18 of 51 (HIGH lane). Montana Medicaid covers limited adult dental services up to a $1,125 annual cap (2026). Montana has a modeled Medicaid estimate for 23 of 62 tracked procedures (avg $63, ADA HPI models).

BEA RPP 94.1 places Montana below the national cost-of-living midpoint; private estimates on this page already apply that state multiplier to ADA HPI national averages (factor 0.94). Heaviest tracked CDT bucket: Oral Surgery.

Sources for Montana: methodology · MACPAC adult dental · BEA RPP · all states · all procedures. Estimates only; not dental advice. As of 2026-05-16.