{
  "meta": {
    "api_version": "v1",
    "edition": "2026.1",
    "generated_at": "2026-07-30T16:57:22.144Z",
    "license": "CC-BY-4.0",
    "license_url": "https://creativecommons.org/licenses/by/4.0/",
    "attribution_required": true,
    "attribution": "Real Dental Costs — https://realdentalcosts.com",
    "doi": "https://doi.org/10.5281/zenodo.20531728",
    "methodology": "https://realdentalcosts.com/en/methodology/",
    "docs": "https://realdentalcosts.com/en/api/",
    "disclaimer": "Independent pricing and market research. NOT medical, dental or insurance advice."
  },
  "state": "California",
  "code": "CA",
  "restorative_cost_index": {
    "value": 127,
    "note": "Restorative Cost Index (implant-based, 100 = national observed implant average). Valid ONLY for the restorative regime (implant / crown / denture, mutually correlated 0.93-0.96). It does NOT predict orthodontic (braces) or cosmetic (veneer) prices — never rank those with it. See /en/data-corrections/."
  },
  "affordability_score": 10,
  "medicaid": {
    "pct_dentists_accepting": 32.6,
    "adult_dental_coverage_level": "extensive",
    "source": "https://realdentalcosts.com/data/us-dental-insurance-acceptance-by-state-2026.csv",
    "doi": "https://doi.org/10.5281/zenodo.20666358"
  },
  "observed_state_averages_usd": {
    "note": "Measured state averages. implant = Real Dental Costs' own observed series; veneer/crown/braces/denture = ASQ360/CareCredit Average Procedural Cost Study (2023-2024). Attribute the source when displayed.",
    "implant": 5733,
    "crown": 2331,
    "veneer": 1663,
    "braces": 6087,
    "denture_full_both_arches": 2488
  },
  "procedures": [
    {
      "id": "exam",
      "slug": "exam-cleaning-xrays",
      "label": "Exam, cleaning & X-rays",
      "category": "preventive",
      "basis": "estimated",
      "basis_note": "No per-state source exists. The national figure is scaled by the state's Restorative Cost Index. Defensible only inside the restorative regime (procedures mutually correlated 0.93-0.96). Treat as an estimate.",
      "low_usd": 65,
      "avg_usd": 260,
      "high_usd": 445,
      "url": "https://realdentalcosts.com/api/v1/procedure/exam-cleaning-xrays.json"
    },
    {
      "id": "filling",
      "slug": "composite-filling",
      "label": "Composite filling (1 tooth)",
      "category": "basic",
      "basis": "estimated",
      "basis_note": "No per-state source exists. The national figure is scaled by the state's Restorative Cost Index. Defensible only inside the restorative regime (procedures mutually correlated 0.93-0.96). Treat as an estimate.",
      "low_usd": 115,
      "avg_usd": 285,
      "high_usd": 570,
      "url": "https://realdentalcosts.com/api/v1/procedure/composite-filling.json"
    },
    {
      "id": "deepclean",
      "slug": "deep-cleaning-srp",
      "label": "Deep cleaning (SRP, per quadrant)",
      "category": "basic",
      "basis": "estimated",
      "basis_note": "No per-state source exists. The national figure is scaled by the state's Restorative Cost Index. Defensible only inside the restorative regime (procedures mutually correlated 0.93-0.96). Treat as an estimate.",
      "low_usd": 215,
      "avg_usd": 305,
      "high_usd": 445,
      "url": "https://realdentalcosts.com/api/v1/procedure/deep-cleaning-srp.json"
    },
    {
      "id": "extraction",
      "slug": "tooth-extraction",
      "label": "Tooth extraction",
      "category": "basic",
      "basis": "estimated",
      "basis_note": "No per-state source exists. The national figure is scaled by the state's Restorative Cost Index. Defensible only inside the restorative regime (procedures mutually correlated 0.93-0.96). Treat as an estimate.",
      "low_usd": 95,
      "avg_usd": 380,
      "high_usd": 1015,
      "url": "https://realdentalcosts.com/api/v1/procedure/tooth-extraction.json"
    },
    {
      "id": "rootcanal",
      "slug": "root-canal",
      "label": "Root canal",
      "category": "major",
      "basis": "estimated",
      "basis_note": "No per-state source exists. The national figure is scaled by the state's Restorative Cost Index. Defensible only inside the restorative regime (procedures mutually correlated 0.93-0.96). Treat as an estimate.",
      "low_usd": 635,
      "avg_usd": 1395,
      "high_usd": 1905,
      "url": "https://realdentalcosts.com/api/v1/procedure/root-canal.json"
    },
    {
      "id": "allon4",
      "slug": "all-on-4",
      "label": "All-on-4 (per arch)",
      "category": "excluded",
      "basis": "estimated",
      "basis_note": "No per-state source exists. The national figure is scaled by the state's Restorative Cost Index. Defensible only inside the restorative regime (procedures mutually correlated 0.93-0.96). Treat as an estimate.",
      "low_usd": 14785,
      "avg_usd": 19275,
      "high_usd": 34925,
      "url": "https://realdentalcosts.com/api/v1/procedure/all-on-4.json"
    },
    {
      "id": "whitening",
      "slug": "teeth-whitening",
      "label": "Professional teeth whitening",
      "category": "cosmetic",
      "basis": "national",
      "basis_note": "Cosmetic procedure with no per-state source. Cosmetic pricing does not follow restorative geography, so no state variation is invented: every state carries the national range.",
      "low_usd": 300,
      "avg_usd": 650,
      "high_usd": 1000,
      "url": "https://realdentalcosts.com/api/v1/procedure/teeth-whitening.json"
    },
    {
      "id": "crown",
      "slug": "dental-crown",
      "label": "Dental crown",
      "category": "major",
      "basis": "observed",
      "basis_note": "The state AVERAGE is a measured price (implant = Real Dental Costs' own observed series, DOI 10.5281/zenodo.20531728, validated against ASQ360 at Spearman 0.945; crown/veneer/braces/dentures = ASQ360/CareCredit Average Procedural Cost Study 2023-2024). The [low, high] band around the state average is MODELLED from published national ratios, not an observed percentile.",
      "low_usd": 1780,
      "avg_usd": 2331,
      "high_usd": 3970,
      "url": "https://realdentalcosts.com/api/v1/procedure/dental-crown.json"
    },
    {
      "id": "veneer",
      "slug": "porcelain-veneer",
      "label": "Porcelain veneer (per tooth)",
      "category": "cosmetic",
      "basis": "observed",
      "basis_note": "The state AVERAGE is a measured price (implant = Real Dental Costs' own observed series, DOI 10.5281/zenodo.20531728, validated against ASQ360 at Spearman 0.945; crown/veneer/braces/dentures = ASQ360/CareCredit Average Procedural Cost Study 2023-2024). The [low, high] band around the state average is MODELLED from published national ratios, not an observed percentile.",
      "low_usd": 470,
      "avg_usd": 1663,
      "high_usd": 2730,
      "url": "https://realdentalcosts.com/api/v1/procedure/porcelain-veneer.json"
    },
    {
      "id": "braces",
      "slug": "braces",
      "label": "Braces (traditional, full case)",
      "category": "ortho",
      "basis": "observed",
      "basis_note": "The state AVERAGE is a measured price (implant = Real Dental Costs' own observed series, DOI 10.5281/zenodo.20531728, validated against ASQ360 at Spearman 0.945; crown/veneer/braces/dentures = ASQ360/CareCredit Average Procedural Cost Study 2023-2024). The [low, high] band around the state average is MODELLED from published national ratios, not an observed percentile.",
      "low_usd": 2400,
      "avg_usd": 6087,
      "high_usd": 9595,
      "url": "https://realdentalcosts.com/api/v1/procedure/braces.json"
    },
    {
      "id": "implant",
      "slug": "dental-implant",
      "label": "Single dental implant (complete)",
      "category": "excluded",
      "basis": "observed",
      "basis_note": "The state AVERAGE is a measured price (implant = Real Dental Costs' own observed series, DOI 10.5281/zenodo.20531728, validated against ASQ360 at Spearman 0.945; crown/veneer/braces/dentures = ASQ360/CareCredit Average Procedural Cost Study 2023-2024). The [low, high] band around the state average is MODELLED from published national ratios, not an observed percentile.",
      "low_usd": 4780,
      "avg_usd": 5733,
      "high_usd": 7290,
      "url": "https://realdentalcosts.com/api/v1/procedure/dental-implant.json"
    },
    {
      "id": "dentures",
      "slug": "dentures",
      "label": "Full set of dentures (both arches)",
      "category": "major",
      "basis": "observed",
      "basis_note": "The state AVERAGE is a measured price (implant = Real Dental Costs' own observed series, DOI 10.5281/zenodo.20531728, validated against ASQ360 at Spearman 0.945; crown/veneer/braces/dentures = ASQ360/CareCredit Average Procedural Cost Study 2023-2024). The [low, high] band around the state average is MODELLED from published national ratios, not an observed percentile.",
      "low_usd": 1920,
      "avg_usd": 2488,
      "high_usd": 4610,
      "url": "https://realdentalcosts.com/api/v1/procedure/dentures.json"
    }
  ]
}
