TX · Medicaid tier: emergency
Dental costs in Texas
Modeled Medicaid and private-market estimates for 62 procedures, adjusted by BEA Regional Price Parities (RPP 96.5).
State cost verdict
Texas's modeled uncovered basket is $49,308 (#5 of 51) with coverage breadth #41 (0 of 62 codes). 19 extensive programs sharing 58 covered codes are coverage-breadth #1 of 51 ≠ Hawaii's limited program at $54,042 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.
- $49,308
- Uncovered basket #5
- emergency
- Adult Medicaid tier
- 0/62
- Procedures covered
- $795
- Avg private est.
Few modeled Medicaid rows here, private-market estimates dominate the table below.
Archive split · CDT categories
How 62 tracked procedures in Texas split by CDT category
Exclusive ADA category counts for this state's procedure×cost rows. Orthogonal to the uncovered-basket dollar board and share gauge below. 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 Texas (EMG · HEAVY lane) - not a fixed national top-ten. Archive completeness and price level, not a treatment recommendation.
EMG nearest uncovered-basket peers
Share of basket left uncovered
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 Coverage is encoded at MACPAC program-tier level, so same-tier states share a covered-procedure set here. Dollars are modeled private estimates, not billed claims or live fee schedules.
Texas vs all jurisdictions by uncovered-basket dollars
Where this state's modeled uncovered-basket total sits among every jurisdiction on PlainDentalCost
$49,308 5th of 51 higher than 46 of 51 jurisdictions
States, banded by modeled uncovered-basket dollars
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
Texas dental cost table
All procedures shown below are organized by clinical category. Click any procedure for cross-state comparison.
Adjunctive
| Procedure | CDT | Modeled Medicaid | Private estimate |
|---|---|---|---|
| Deep Sedation/General Anesthesia - First 30 Minutes | D9220 | Not covered | $404 |
| Inhalation of Nitrous Oxide / Anxiolysis | D9230 | Not covered | $83 |
| Non-Intravenous Conscious Sedation | D9248 | Not covered | $389 |
| Palliative (Emergency) Treatment of Dental Pain | D9110 | Not covered | $95 |
| Therapeutic Parenteral Drug - Single Administration | D9610 | Not covered | $74 |
Cosmetic
| Procedure | CDT | Modeled Medicaid | Private estimate |
|---|---|---|---|
| External Bleaching - Per Arch (Office) | D9972 | Not covered | $435 |
| Internal Bleaching - Per Tooth | D9974 | Not covered | $307 |
Crowns
| Procedure | CDT | Modeled Medicaid | Private estimate |
|---|---|---|---|
| Crown - Full Cast High Noble Metal | D2790 | Not covered | $1,224 |
| Crown - Porcelain Fused to High Noble Metal | D2750 | Not covered | $1,224 |
| Crown - Porcelain Fused to Noble Metal | D2752 | Not covered | $1,156 |
| Crown - Porcelain/Ceramic | D2740 | Not covered | $1,291 |
Diagnostic
| Procedure | CDT | Modeled Medicaid | Private estimate |
|---|---|---|---|
| Bitewing Radiographs - Four Films | D0274 | Not covered | $73 |
| Comprehensive Oral Evaluation | D0150 | Not covered | $109 |
| Intraoral Complete Series of Radiographs | D0210 | Not covered | $151 |
| Intraoral Periapical First Radiograph | D0220 | Not covered | $34 |
| Limited Oral Evaluation (Problem Focused) | D0140 | Not covered | $81 |
| Panoramic Radiographic Image | D0330 | Not covered | $133 |
| Periodic Oral Evaluation | D0120 | Not covered | $60 |
Endodontics
| Procedure | CDT | Modeled Medicaid | Private estimate |
|---|---|---|---|
| Endodontic Therapy - Anterior Tooth | D3310 | Not covered | $1,037 |
| Endodontic Therapy - Bicuspid Tooth | D3320 | Not covered | $1,208 |
| Endodontic Therapy - Molar Tooth | D3330 | Not covered | $1,436 |
| Retreatment of Previous Root Canal - Anterior | D3346 | Not covered | $1,242 |
| Retreatment of Previous Root Canal - Molar | D3348 | Not covered | $1,555 |
| Therapeutic Pulpotomy | D3220 | Not covered | $169 |
Implants
| Procedure | CDT | Modeled Medicaid | Private estimate |
|---|---|---|---|
| Abutment-Supported Porcelain/Ceramic Crown | D6058 | Not covered | $1,581 |
| Custom Fabricated Abutment | D6057 | Not covered | $667 |
| Implant-Supported Porcelain/Ceramic Crown | D6065 | Not covered | $1,814 |
| Prefabricated Abutment | D6056 | Not covered | $488 |
| Surgical Placement of Implant Body | D6010 | Not covered | $2,275 |
Oral Surgery
| Procedure | CDT | Modeled Medicaid | Private estimate |
|---|---|---|---|
| Extraction of Erupted Tooth | D7140 | Not covered | $206 |
| Incisional Biopsy of Oral Tissue - Soft | D7286 | Not covered | $327 |
| Removal of Impacted Tooth - Bony with Complication | D7241 | Not covered | $484 |
| Removal of Impacted Tooth - Completely Bony | D7240 | Not covered | $418 |
| Removal of Impacted Tooth - Partially Bony | D7230 | Not covered | $356 |
| Removal of Impacted Tooth - Soft Tissue | D7220 | Not covered | $254 |
| Surgical Removal of Erupted Tooth | D7210 | Not covered | $311 |
| Surgical Removal of Residual Tooth Roots | D7250 | Not covered | $383 |
Orthodontics
| Procedure | CDT | Modeled Medicaid | Private estimate |
|---|---|---|---|
| Comprehensive Orthodontic Treatment - Adolescent | D8080 | Not covered | $5,851 |
| Comprehensive Orthodontic Treatment - Adult | D8090 | Not covered | $6,273 |
Periodontics
| Procedure | CDT | Modeled Medicaid | Private estimate |
|---|---|---|---|
| Gingivectomy or Gingivoplasty - Four+ Teeth | D4210 | Not covered | $442 |
| Periodontal Maintenance | D4910 | Not covered | $162 |
| Periodontal Scaling - 1-3 Teeth Per Quadrant | D4342 | Not covered | $190 |
| Periodontal Scaling - Four+ Teeth Per Quadrant | D4341 | Not covered | $270 |
Preventive
| Procedure | CDT | Modeled Medicaid | Private estimate |
|---|---|---|---|
| Prophylaxis - Adult | D1110 | Not covered | $119 |
| Prophylaxis - Child | D1120 | Not covered | $83 |
| Sealant - Per Tooth | D1351 | Not covered | $66 |
| Topical Application of Fluoride | D1208 | Not covered | $42 |
| Topical Application of Fluoride Varnish | D1206 | Not covered | $44 |
Prosthodontics
| Procedure | CDT | Modeled Medicaid | Private estimate |
|---|---|---|---|
| Complete Denture - Mandibular | D5120 | Not covered | $1,889 |
| Complete Denture - Maxillary | D5110 | Not covered | $1,889 |
| Mandibular Partial Denture - Cast Metal Framework | D5214 | Not covered | $2,032 |
| Maxillary Partial Denture - Cast Metal Framework | D5213 | Not covered | $2,032 |
| Pontic - Porcelain Fused to High Noble Metal | D6240 | Not covered | $1,224 |
| Retainer Crown - Porcelain Fused to High Noble Metal | D6750 | Not covered | $1,224 |
Restorative
| Procedure | CDT | Modeled Medicaid | Private estimate |
|---|---|---|---|
| Amalgam - One Surface (Permanent) | D2140 | Not covered | $169 |
| Amalgam - Three Surfaces (Permanent) | D2160 | Not covered | $263 |
| Amalgam - Two Surfaces (Permanent) | D2150 | Not covered | $218 |
| Resin-Based Composite - One Surface, Anterior | D2330 | Not covered | $191 |
| Resin-Based Composite - One Surface, Posterior | D2391 | Not covered | $231 |
| Resin-Based Composite - Three Surfaces, Posterior | D2393 | Not covered | $347 |
| Resin-Based Composite - Two Surfaces, Anterior | D2331 | Not covered | $238 |
| Resin-Based Composite - Two Surfaces, Posterior | D2392 | Not covered | $285 |
Analysis: paying for dental care in Texas
Texas Medicaid covers only emergency dental services for most adults. Texas has few or no modeled Medicaid estimates in this dataset, so the table below emphasizes private-market estimates. Confirm benefits with the state program before scheduling.
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. Texas's modeled uncovered basket sits at $49,308 (#5 of 51, HEAVY lane).
The state's overall cost-of-living position (BEA RPP 96.5) gives you a quick mental adjustment for the ADA HPI national private-market averages: multiply the national figure by 0.96 for the Texas 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.
Texas modeled Medicaid estimate (ADA HPI national × state multiplier), not a live fee-schedule pull.
Source: MACPAC, Medicaid Coverage of Dental Benefits for Adults (compendium).
Source: BEA Regional Price Parities, by State (most recent annual release).
Medicaid reimbursement estimate: ADA HPI Medicaid Reimbursement Compendium (2024). 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.
Every dollar figure on PlainDentalCost is rendered directly from our procedure-cost database (ADA Health Policy Institute Survey of Dental Fees 2024 averages and state adult-Medicaid coverage records), and no number is typed in by an editor. Medicaid dollar values are modeled estimates, not published state fee schedules. Each procedure row on this page is one database record for that CDT code in Texas: the private estimate is the national ADA HPI survey average adjusted by the state's BEA Regional Price Parity, and the Medicaid figure is a modeled estimate rather than a live fee-schedule pull. Read our editorial standards and corrections policy, the methodology behind these numbers, or report a data error. Our database was last rebuilt on 16 May 2026.
PlainDentalCost publishes cost reference data for informational purposes only. It is not dental, medical, insurance, or financial advice, it does not describe what any particular practice will charge you, and coverage rules change, so confirm fees with the provider and benefits with the state Medicaid program before you rely on a number. Appropriate use.