Dental procedure costs in New Jersey

NJ Adult Medicaid coverage: extensive · RPP 113.4

New Jersey dental cost overview

NJ FamilyCare covers comprehensive adult dental services.

New Jersey's state-level cost of living, captured by the Bureau of Economic Analysis Regional Price Parities at 113.4 (US average = 100), drives private-market dental fees up or down from the national baseline. New Jersey sits well above the national average, expect to pay roughly 13% more than the ADA HPI national private-market average for the same procedure.

New Jersey Medicaid covers 58 of the 62 procedures we track for adults, with an average reimbursement of $329 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 New Jersey 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 New Jersey should be straightforward.

extensive
Adult Medicaid coverage tier
58/62
Procedures covered for adults
$329
Avg. Medicaid reimbursement
$935
Avg. private-market estimate

New Jersey 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 $511
Internal Bleaching - Per Tooth D9974 Not covered $361

Crowns

Procedure CDT Medicaid fee Private estimate
Crown - Full Cast High Noble Metal D2790 $651 $1,438
Crown - Porcelain Fused to High Noble Metal D2750 $651 $1,438
Crown - Porcelain Fused to Noble Metal D2752 $612 $1,359
Crown - Porcelain/Ceramic D2740 $688 $1,517

Diagnostic

Endodontics

Procedure CDT Medicaid fee Private estimate
Endodontic Therapy - Anterior Tooth D3310 $498 $1,219
Endodontic Therapy - Bicuspid Tooth D3320 $575 $1,420
Endodontic Therapy - Molar Tooth D3330 $688 $1,687
Retreatment of Previous Root Canal - Anterior D3346 $592 $1,459
Retreatment of Previous Root Canal - Molar D3348 $746 $1,827
Therapeutic Pulpotomy D3220 $85 $198

Implants

Procedure CDT Medicaid fee Private estimate
Abutment-Supported Porcelain/Ceramic Crown D6058 $847 $1,857
Custom Fabricated Abutment D6057 $360 $784
Implant-Supported Porcelain/Ceramic Crown D6065 $972 $2,132
Prefabricated Abutment D6056 $258 $574
Surgical Placement of Implant Body D6010 $1,244 $2,674

Orthodontics

Procedure CDT Medicaid fee Private estimate
Comprehensive Orthodontic Treatment - Adolescent D8080 Not covered $6,875
Comprehensive Orthodontic Treatment - Adult D8090 Not covered $7,371

Periodontics

Procedure CDT Medicaid fee Private estimate
Gingivectomy or Gingivoplasty - Four+ Teeth D4210 $225 $519
Periodontal Maintenance D4910 $85 $191
Periodontal Scaling - 1-3 Teeth Per Quadrant D4342 $101 $223
Periodontal Scaling - Four+ Teeth Per Quadrant D4341 $138 $318

Preventive

Procedure CDT Medicaid fee Private estimate
Prophylaxis - Adult D1110 $66 $139
Prophylaxis - Child D1120 $51 $98
Sealant - Per Tooth D1351 $37 $77
Topical Application of Fluoride D1208 $24 $49
Topical Application of Fluoride Varnish D1206 $26 $52

Prosthodontics

Procedure CDT Medicaid fee Private estimate
Complete Denture - Mandibular D5120 $1,010 $2,220
Complete Denture - Maxillary D5110 $1,010 $2,220
Mandibular Partial Denture - Cast Metal Framework D5214 $1,088 $2,388
Maxillary Partial Denture - Cast Metal Framework D5213 $1,088 $2,388
Pontic - Porcelain Fused to High Noble Metal D6240 $651 $1,438
Retainer Crown - Porcelain Fused to High Noble Metal D6750 $651 $1,438

Analysis: paying for dental care in New Jersey

Adults on Medicaid in New Jersey 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 113.4) gives you a quick mental adjustment for the ADA HPI national private-market averages: multiply the national figure by 1.13 for the New Jersey 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

New Jersey 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: New Jersey 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.