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Billing code D0272 · Dental

D0272 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $24.08 for D0272 across 47 states, from $6.05 in New Jersey to $43.31 in Delaware.

Data as of Oct 5, 202647 statesEvery rate links to its official source

States publishing
47
National median
$24.08units vary by state
Lowest
$6.05New Jersey
Highest
$43.31Delaware
Answer

What does Medicaid pay for D0272?

47 state Medicaid programs publish a fee-for-service rate for D0272. The national median is $24.08 (units differ between states). Delaware pays the most, $43.31, and New Jersey the least, $6.05, a 7.2x spread.

State ranking

D0272 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 47 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Delaware Source · since 2025-04-01$43.31——Not classified—
2Missouri Source · since 2022-07-01$41.60——Plans must pay at least this—
3South Dakota Source · since 2026-07-01$40.95——Not classified—
23Mississippi Source · since 2023-07-01$24.74——Plans must pay at least this—
24Utah Source · since 2019-07-01$24.08——Plans must pay at least this—
25Rhode Island Source · since 2022-07-01$24.00——Paid by the state, outside plans—
46Washington Source · since 2025-07-01$9.66——Paid by the state, outside plans—
47New Jersey Source · since 2026-07-01$6.05——Not classified—
See all 47 states for D0272 — start free

39 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 D0272 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 D0272?

It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $24.08. Delaware pays the most ($43.31) and New Jersey the least ($6.05).

Which state pays the highest Medicaid rate for D0272?

Delaware, at $43.31, effective 2025-04-01.

Do managed-care plans pay the same rate for D0272?

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.