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Billing code D0251 · Dental

D0251 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $35.27 for D0251 across 17 states, from $9.91 in Wisconsin to $64.00 in Missouri.

Data as of Oct 5, 202617 statesEvery rate links to its official source

States publishing
17
National median
$35.27units vary by state
Lowest
$9.91Wisconsin
Highest
$64.00Missouri
Answer

What does Medicaid pay for D0251?

17 state Medicaid programs publish a fee-for-service rate for D0251. The national median is $35.27 (units differ between states). Missouri pays the most, $64.00, and Wisconsin the least, $9.91, a 6.5x spread.

State ranking

D0251 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 17 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Missouri Source · since 2022-07-01$64.00——Plans must pay at least this—
2Vermont Source · since 2023-07-01$48.75——Not classified—
3Virginia Source · since 2016-02-15$47.19——Paid by the state, outside plans—
8Maine Source · since 2025-07-01$35.70——Not classified—
9Florida Source · since 2026-07-01$35.27——Plans negotiate; applies out of network—
10Arizona Source · since 2026-10-01$35.00——Plans negotiate; applies out of network—
16New Jersey Source · since 2026-07-01$12.10——Not classified—
17Wisconsin Source · since 2022-01-01$9.91——Paid by the state, outside plans—
See all 17 states for D0251 — start free

9 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 D0251 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 D0251?

It depends on the state. Of the 17 states with a published fee-for-service rate, the median is $35.27. Missouri pays the most ($64.00) and Wisconsin the least ($9.91).

Which state pays the highest Medicaid rate for D0251?

Missouri, at $64.00, effective 2022-07-01.

Do managed-care plans pay the same rate for D0251?

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.