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Billing code D0270 · Dental

D0270 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $13.86 for D0270 across 44 states, from $3.63 in New Jersey to $29.28 in Delaware.

Data as of Oct 5, 202644 statesEvery rate links to its official source

States publishing
44
National median
$13.86units vary by state
Lowest
$3.63New Jersey
Highest
$29.28Delaware
Answer

What does Medicaid pay for D0270?

44 state Medicaid programs publish a fee-for-service rate for D0270. The national median is $13.86 (units differ between states). Delaware pays the most, $29.28, and New Jersey the least, $3.63, a 8.1x spread.

State ranking

D0270 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 44 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Delaware Source · since 2026-04-01$29.28——Not classified—
2Missouri Source · since 2022-07-01$27.20——Plans must pay at least this—
3Vermont Source · since 2023-07-01$24.75——Not classified—
22Rhode Island Source · since 2022-07-01$14.00——Paid by the state, outside plans—
23Connecticut Source · since 2016-09-01$13.72——Not classified—
24Utah Source · since 2019-07-01$12.43——Plans must pay at least this—
43Texas Source · since 2025-09-01$4.90——Plans negotiate; applies out of network—
44New Jersey Source · since 2026-07-01$3.63——Not classified—
See all 44 states for D0270 — start free

36 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 D0270 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 D0270?

It depends on the state. Of the 44 states with a published fee-for-service rate, the median is $13.86. Delaware pays the most ($29.28) and New Jersey the least ($3.63).

Which state pays the highest Medicaid rate for D0270?

Delaware, at $29.28, effective 2026-04-01.

Do managed-care plans pay the same rate for D0270?

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.