NY · Medicaid tier: extensive

Dental costs in New York

Modeled Medicaid and private-market estimates for 62 procedures, adjusted by BEA Regional Price Parities (RPP 117.5).

Dental Affordability & Access Score

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

50 F
  • Private-market affordability $968 avg estimate 0/100 · F
  • Medicaid procedure coverage 58 of 62 procedures 100/100 · A

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

New York's modeled uncovered basket is $15,665 (#33 of 51) with coverage breadth #1 (58 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.

$15,665
Uncovered basket #33
extensive
Adult Medicaid tier
58/62
Procedures covered
$968
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 New York split by CDT category

New York'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 New York (EXT · THIN lane) - not a fixed national top-ten. Archive completeness and price level, not a treatment recommendation.

EXT nearest uncovered-basket peers

1. New York$156652. District of Columbia$155323. California$151324. New Jersey$151185. Massachusetts$147596. Maryland$147197. Washington$146258. Connecticut$14585
Seven closest ABS(exposure) jurisdictions to New York's modeled uncovered basket, plus this state. Sorted by dollars for the bar board; peer set is state-specific.

New York: thin uncovered share vs corpus

0%100%Corpus mean50%6.5%
New York 6.5% · corpus 49.9%
4 of 62 tracked procedures lack a modeled adult Medicaid estimate in New York (6.5%). Corpus mean across 51 jurisdictions is 49.9% · delta -43.4 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 New York coverage is MACPAC tier (extensive); dollars are modeled private estimates, not billed claims.

New York uncovered-basket dollars vs 51 jurisdictions

THIN lane · #33 by modeled uncovered basket ($15,665)

$15,665 33rd of 51 higher than 18 of 51 jurisdictions

New York 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

New York dental cost table

New York carries modeled Medicaid on 58 of 62 tracked codes. Categories ordered by this state's mix (Oral Surgery first).

Diagnostic

Procedure CDT Modeled Medicaid Private estimate
Bitewing Radiographs - Four Films D0274 $53 $89
Comprehensive Oral Evaluation D0150 $69 $133
Intraoral Complete Series of Radiographs D0210 $97 $183
Intraoral Periapical First Radiograph D0220 $26 $41
Limited Oral Evaluation (Problem Focused) D0140 $51 $99
Panoramic Radiographic Image D0330 $94 $162
Periodic Oral Evaluation D0120 $44 $73

Endodontics

Procedure CDT Modeled Medicaid Private estimate
Endodontic Therapy - Anterior Tooth D3310 $637 $1,263
Endodontic Therapy - Bicuspid Tooth D3320 $735 $1,471
Endodontic Therapy - Molar Tooth D3330 $880 $1,748
Retreatment of Previous Root Canal - Anterior D3346 $758 $1,512
Retreatment of Previous Root Canal - Molar D3348 $954 $1,893
Therapeutic Pulpotomy D3220 $109 $206

Prosthodontics

Procedure CDT Modeled Medicaid Private estimate
Complete Denture - Mandibular D5120 $1,293 $2,301
Complete Denture - Maxillary D5110 $1,293 $2,301
Mandibular Partial Denture - Cast Metal Framework D5214 $1,392 $2,475
Maxillary Partial Denture - Cast Metal Framework D5213 $1,392 $2,475
Pontic - Porcelain Fused to High Noble Metal D6240 $834 $1,490
Retainer Crown - Porcelain Fused to High Noble Metal D6750 $834 $1,490

Implants

Procedure CDT Modeled Medicaid Private estimate
Abutment-Supported Porcelain/Ceramic Crown D6058 $1,084 $1,925
Custom Fabricated Abutment D6057 $461 $812
Implant-Supported Porcelain/Ceramic Crown D6065 $1,244 $2,209
Prefabricated Abutment D6056 $331 $595
Surgical Placement of Implant Body D6010 $1,592 $2,771

Preventive

Procedure CDT Modeled Medicaid Private estimate
Prophylaxis - Adult D1110 $85 $145
Prophylaxis - Child D1120 $65 $101
Sealant - Per Tooth D1351 $47 $80
Topical Application of Fluoride D1208 $30 $51
Topical Application of Fluoride Varnish D1206 $33 $54

Crowns

Procedure CDT Modeled Medicaid Private estimate
Crown - Full Cast High Noble Metal D2790 $834 $1,490
Crown - Porcelain Fused to High Noble Metal D2750 $834 $1,490
Crown - Porcelain Fused to Noble Metal D2752 $784 $1,408
Crown - Porcelain/Ceramic D2740 $880 $1,572

Periodontics

Procedure CDT Modeled Medicaid Private estimate
Gingivectomy or Gingivoplasty - Four+ Teeth D4210 $288 $538
Periodontal Maintenance D4910 $109 $197
Periodontal Scaling - 1-3 Teeth Per Quadrant D4342 $130 $231
Periodontal Scaling - Four+ Teeth Per Quadrant D4341 $177 $329

Cosmetic

Procedure CDT Modeled Medicaid Private estimate
External Bleaching - Per Arch (Office) D9972 Not covered $530
Internal Bleaching - Per Tooth D9974 Not covered $374

Orthodontics

Procedure CDT Modeled Medicaid Private estimate
Comprehensive Orthodontic Treatment - Adolescent D8080 Not covered $7,124
Comprehensive Orthodontic Treatment - Adult D8090 Not covered $7,638

New York thin uncovered-basket registry

New York Medicaid covers comprehensive adult dental services including dentures, root canals, and crowns (expanded 2023). New York has a modeled Medicaid estimate for 58 of 62 tracked procedures (avg $421, ADA HPI models). Uncovered basket $15,665 (#33/51, THIN).

BEA RPP 117.5 places New York well above the national cost-of-living midpoint; private estimates on this page already apply that state multiplier to ADA HPI national averages (factor 1.18). Heaviest tracked CDT bucket: Oral Surgery.

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