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Billing code D0180 · Dental

D0180 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $50.35 for D0180 across 21 states, from $15.73 in New Jersey to $97.00 in Connecticut.

Data as of Oct 5, 202621 statesEvery rate links to its official source

States publishing
21
National median
$50.35units vary by state
Lowest
$15.73New Jersey
Highest
$97.00Connecticut
Answer

What does Medicaid pay for D0180?

21 state Medicaid programs publish a fee-for-service rate for D0180. The national median is $50.35 (units differ between states). Connecticut pays the most, $97.00, and New Jersey the least, $15.73, a 6.2x spread.

State ranking

D0180 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 21 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Connecticut Source · since 2024-01-01$97.00——Not classified—
2Delaware Source · since 2026-04-01$96.99——Not classified—
3Wyoming Source · since 2023-04-01$78.61——Not classified—
10Colorado Source · since 2026-07-01$52.54——Plans negotiate; applies out of network—
11Ohio Source · since 2024-01-01$50.35——Plans negotiate; applies out of network—
12Texas Source · since 2025-03-01$50.18——Plans negotiate; applies out of network—
20Rhode Island Source · since 2003-01-01$22.00——Paid by the state, outside plans—
21New Jersey Source · since 2026-07-01$15.73——Not classified—
See all 21 states for D0180 — start free

13 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track D0180 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for D0180?

It depends on the state. Of the 21 states with a published fee-for-service rate, the median is $50.35. Connecticut pays the most ($97.00) and New Jersey the least ($15.73).

Which state pays the highest Medicaid rate for D0180?

Connecticut, at $97.00, effective 2024-01-01.

Do managed-care plans pay the same rate for D0180?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.