ADA HPI 2024 + MACPAC tiers · May 16, 2026
Adult dental cost statistics from the live extract
Key findings from the CDT-by-jurisdiction grid. These are modeled Medicaid and private-market estimates plus MACPAC coverage tiers, not billed fees or benefit determinations.
- 62
- CDT procedures
- 50.1%
- Dual-layer cells
- 19
- Extensive tier
- $54,042
- HI exposure
According to this portal's Publishing Organization, this page was last reviewed in August 2026 against our methodology. Figures and extracts on this site, including tables above 1,000 rows when the corpus is that large, are the publisher's responsibility.
The extract in one line
Of 3,162 state-by-procedure cells (62 x 51), 1,585 (50.1%) carry both a modeled Medicaid fee and a private estimate; Hawaii's modeled uncovered basket is $54,042 (limited tier).
- 3,162
- State x procedure cells
- 50.1%
- Dual-layer share
- 40
- Adult-coverage jurisdictions
- $54,042
- Hawaii uncovered basket
Modeled dollars. Confirm current fees and benefits with the state program or provider.
Key findings
Standalone, citable statements from this extract. Free to reuse with attribution to PlainDentalCost (CC BY 4.0; cite the page).
- 62 CDT procedures sit in a 62 x 51 grid (3,162 state-by-procedure cells). Every cell in this extract has a private-market estimate.
- 1,585 of 3,162 cells carry both a modeled Medicaid fee and a private estimate (50.1%). Medicaid-layer cells equal that dual-layer count (1,585); the remaining cells are private-only, not a second census.
- 19 jurisdictions are MACPAC extensive and 21 are limited (40 with adult dental in this snapshot). The 10 emergency-only programs sit with 1 none-tier (Delaware), not beside the 40 with adult coverage.
- $54,042 is Hawaii's modeled uncovered-basket exposure (39 of 62 codes without a Medicaid fee, limited tier). That ranks above a none-tier state because the dollar side is this state's private-price level times uncovered codes, not the coverage flag alone.
- $12,065 is Iowa's modeled uncovered basket, the floor of this 51-jurisdiction ladder (4 of 62 codes uncovered, extensive tier).
- $6,372 mean private-market estimate for Comprehensive Orthodontic Treatment - Adult (D8090) across 51 jurisdictions. That is the highest 51-jurisdiction mean in this 62-code basket, not a billed fee.
- 1.36x is New York's basket-mean private estimate ($968) versus Mississippi ($712) on the same 62 codes. This is a modeled RPP-scaled mean, not a claim that every dentist in New York charges more.
- 48.6% is the modeled Medicaid mean ($252) as a share of the private mean ($518) on the 1,585 dual-layer cells only. Cells with no Medicaid fee are excluded from that ratio.
Two cuts of the same extract
Tier counts are MACPAC adult-dental program labels on 51 jurisdictions. The gauge is the share of state-by-procedure cells that carry both a modeled Medicaid fee and a private estimate.
MACPAC adult-dental tiers
51 jurisdictions (50 states + DC)
Dual-layer cell share
1,585 of 3,162 cells
Source: ADA Health Policy Institute Survey of Dental Fees and Medicaid Reimbursement Compendium, plus MACPAC adult dental coverage tiers and BEA Regional Price Parities · 2024 Private estimates use ADA HPI national midpoints times BEA Regional Price Parities. Medicaid dollars are modeled national averages times a state multiplier, not live fee-schedule transcriptions. Coverage is encoded at MACPAC program-tier level.
How to read these numbers
Four populations stay labeled. (1) The filled grid: 62 CDT codes times 51 jurisdictions. (2) Dual-layer cells, where both medicaid_fee and private_estimate are present. (3) MACPAC tiers: extensive and limited make up the 40 adult-coverage jurisdictions; emergency and none are the remainder, not a second 51-count. (4) Uncovered-basket exposure is uncovered codes priced at that state's private estimates. Always verify current fees and benefits before relying on a single cell. See methodology and the compare-costs board.
Download the jurisdiction snapshot: dental cost statistics CSV (CC BY 4.0).
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. Read our editorial standards and corrections policy, the methodology behind these numbers, or report a data error.
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.