Dental procedure costs in Washington
Washington dental cost overview
Apple Health (Washington Medicaid) covers comprehensive adult dental services.
Washington's state-level cost of living, captured by the Bureau of Economic Analysis Regional Price Parities at 109.7 (US average = 100), drives private-market dental fees up or down from the national baseline. Washington sits well above the national average — expect to pay roughly 10% more than the ADA HPI national private-market average for the same procedure.
Washington Medicaid covers 58 of the 62 procedures we track for adults, with an average reimbursement of $337 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 Washington 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 Washington should be straightforward.
Washington dental cost table
All procedures shown below are organized by clinical category. Click any procedure for cross-state comparison.
Adjunctive
| Procedure | CDT | Medicaid fee | Private estimate |
|---|---|---|---|
| Deep Sedation/General Anesthesia - First 30 Minutes | D9220 | $215 | $460 |
| Inhalation of Nitrous Oxide / Anxiolysis | D9230 | $45 | $94 |
| Non-Intravenous Conscious Sedation | D9248 | $209 | $442 |
| Palliative (Emergency) Treatment of Dental Pain | D9110 | $52 | $108 |
| Therapeutic Parenteral Drug - Single Administration | D9610 | $41 | $84 |
Cosmetic
| Procedure | CDT | Medicaid fee | Private estimate |
|---|---|---|---|
| External Bleaching - Per Arch (Office) | D9972 | Not covered | $495 |
| Internal Bleaching - Per Tooth | D9974 | Not covered | $349 |
Crowns
| Procedure | CDT | Medicaid fee | Private estimate |
|---|---|---|---|
| Crown - Full Cast High Noble Metal | D2790 | $668 | $1,391 |
| Crown - Porcelain Fused to High Noble Metal | D2750 | $668 | $1,391 |
| Crown - Porcelain Fused to Noble Metal | D2752 | $628 | $1,314 |
| Crown - Porcelain/Ceramic | D2740 | $705 | $1,468 |
Diagnostic
| Procedure | CDT | Medicaid fee | Private estimate |
|---|---|---|---|
| Bitewing Radiographs - Four Films | D0274 | $42 | $83 |
| Comprehensive Oral Evaluation | D0150 | $56 | $124 |
| Intraoral Complete Series of Radiographs | D0210 | $77 | $171 |
| Intraoral Periapical First Radiograph | D0220 | $21 | $38 |
| Limited Oral Evaluation (Problem Focused) | D0140 | $41 | $92 |
| Panoramic Radiographic Image | D0330 | $75 | $151 |
| Periodic Oral Evaluation | D0120 | $35 | $68 |
Endodontics
| Procedure | CDT | Medicaid fee | Private estimate |
|---|---|---|---|
| Endodontic Therapy - Anterior Tooth | D3310 | $511 | $1,179 |
| Endodontic Therapy - Bicuspid Tooth | D3320 | $589 | $1,373 |
| Endodontic Therapy - Molar Tooth | D3330 | $705 | $1,632 |
| Retreatment of Previous Root Canal - Anterior | D3346 | $607 | $1,412 |
| Retreatment of Previous Root Canal - Molar | D3348 | $765 | $1,767 |
| Therapeutic Pulpotomy | D3220 | $87 | $192 |
Implants
| Procedure | CDT | Medicaid fee | Private estimate |
|---|---|---|---|
| Abutment-Supported Porcelain/Ceramic Crown | D6058 | $869 | $1,797 |
| Custom Fabricated Abutment | D6057 | $369 | $758 |
| Implant-Supported Porcelain/Ceramic Crown | D6065 | $997 | $2,062 |
| Prefabricated Abutment | D6056 | $265 | $555 |
| Surgical Placement of Implant Body | D6010 | $1,275 | $2,587 |
Oral Surgery
| Procedure | CDT | Medicaid fee | Private estimate |
|---|---|---|---|
| Extraction of Erupted Tooth | D7140 | $106 | $234 |
| Incisional Biopsy of Oral Tissue - Soft | D7286 | $174 | $372 |
| Removal of Impacted Tooth - Bony with Complication | D7241 | $265 | $551 |
| Removal of Impacted Tooth - Completely Bony | D7240 | $227 | $475 |
| Removal of Impacted Tooth - Partially Bony | D7230 | $192 | $405 |
| Removal of Impacted Tooth - Soft Tissue | D7220 | $137 | $289 |
| Surgical Removal of Erupted Tooth | D7210 | $167 | $353 |
| Surgical Removal of Residual Tooth Roots | D7250 | $209 | $436 |
Orthodontics
| Procedure | CDT | Medicaid fee | Private estimate |
|---|---|---|---|
| Comprehensive Orthodontic Treatment - Adolescent | D8080 | Not covered | $6,651 |
| Comprehensive Orthodontic Treatment - Adult | D8090 | Not covered | $7,131 |
Periodontics
| Procedure | CDT | Medicaid fee | Private estimate |
|---|---|---|---|
| Gingivectomy or Gingivoplasty - Four+ Teeth | D4210 | $231 | $502 |
| Periodontal Maintenance | D4910 | $87 | $184 |
| Periodontal Scaling - 1-3 Teeth Per Quadrant | D4342 | $104 | $216 |
| Periodontal Scaling - Four+ Teeth Per Quadrant | D4341 | $142 | $307 |
Preventive
| Procedure | CDT | Medicaid fee | Private estimate |
|---|---|---|---|
| Prophylaxis - Adult | D1110 | $68 | $135 |
| Prophylaxis - Child | D1120 | $52 | $94 |
| Sealant - Per Tooth | D1351 | $38 | $75 |
| Topical Application of Fluoride | D1208 | $24 | $47 |
| Topical Application of Fluoride Varnish | D1206 | $27 | $50 |
Prosthodontics
| Procedure | CDT | Medicaid fee | Private estimate |
|---|---|---|---|
| Complete Denture - Mandibular | D5120 | $1,036 | $2,148 |
| Complete Denture - Maxillary | D5110 | $1,036 | $2,148 |
| Mandibular Partial Denture - Cast Metal Framework | D5214 | $1,116 | $2,310 |
| Maxillary Partial Denture - Cast Metal Framework | D5213 | $1,116 | $2,310 |
| Pontic - Porcelain Fused to High Noble Metal | D6240 | $668 | $1,391 |
| Retainer Crown - Porcelain Fused to High Noble Metal | D6750 | $668 | $1,391 |
Restorative
| Procedure | CDT | Medicaid fee | Private estimate |
|---|---|---|---|
| Amalgam - One Surface (Permanent) | D2140 | $88 | $192 |
| Amalgam - Three Surfaces (Permanent) | D2160 | $140 | $299 |
| Amalgam - Two Surfaces (Permanent) | D2150 | $111 | $248 |
| Resin-Based Composite - One Surface, Anterior | D2330 | $103 | $217 |
| Resin-Based Composite - One Surface, Posterior | D2391 | $127 | $262 |
| Resin-Based Composite - Three Surfaces, Posterior | D2393 | $194 | $395 |
| Resin-Based Composite - Two Surfaces, Anterior | D2331 | $133 | $271 |
| Resin-Based Composite - Two Surfaces, Posterior | D2392 | $160 | $324 |
Analysis: paying for dental care in Washington
Adults on Medicaid in Washington 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 109.7) gives you a quick mental adjustment for the ADA HPI national private-market averages: multiply the national figure by 1.10 for the Washington 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
Washington 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).
Source: Washington 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.