Dental procedure costs in New York

NY Adult Medicaid coverage: extensive · RPP 117.5

New York dental cost overview

New York Medicaid covers comprehensive adult dental services including dentures, root canals, and crowns (expanded 2023).

New York's state-level cost of living, captured by the Bureau of Economic Analysis Regional Price Parities at 117.5 (US average = 100), drives private-market dental fees up or down from the national baseline. New York sits well above the national average — expect to pay roughly 18% more than the ADA HPI national private-market average for the same procedure.

New York Medicaid covers 58 of the 62 procedures we track for adults, with an average reimbursement of $421 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 York 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 York should be straightforward.

extensive
Adult Medicaid coverage tier
58/62
Procedures covered for adults
$421
Avg. Medicaid reimbursement
$968
Avg. private-market estimate

New York 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 $530
Internal Bleaching - Per Tooth D9974 Not covered $374

Crowns

Procedure CDT Medicaid fee 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

Diagnostic

Endodontics

Procedure CDT Medicaid fee 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

Implants

Procedure CDT Medicaid fee 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

Orthodontics

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

Periodontics

Procedure CDT Medicaid fee 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

Preventive

Procedure CDT Medicaid fee 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

Prosthodontics

Procedure CDT Medicaid fee 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

Analysis: paying for dental care in New York

Adults on Medicaid in New York 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. In New York's larger metro markets, the spread between the cheapest and most expensive private provider can be 2-3x for the identical CDT code — shopping by procedure code is a meaningful cost-saving strategy.

The state's overall cost-of-living position (BEA RPP 117.5) gives you a quick mental adjustment for the ADA HPI national private-market averages: multiply the national figure by 1.18 for the New York 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 York 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 York 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.