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Billing code D0273 · Dental

D0273 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $29.72 for D0273 across 32 states, from $8.47 in New Jersey to $52.46 in Delaware.

Data as of Oct 5, 202632 statesEvery rate links to its official source

States publishing
32
National median
$29.72units vary by state
Lowest
$8.47New Jersey
Highest
$52.46Delaware
Answer

What does Medicaid pay for D0273?

32 state Medicaid programs publish a fee-for-service rate for D0273. The national median is $29.72 (units differ between states). Delaware pays the most, $52.46, and New Jersey the least, $8.47, a 6.2x spread.

State ranking

D0273 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 32 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Delaware Source · since 2026-04-01$52.46——Not classified—
2Missouri Source · since 2022-07-01$50.40——Plans must pay at least this—
3Alaska Source · since 2025-07-01$44.89——Not classified—
16Kentucky Source · since 2023-01-01$30.00——Plans negotiate; applies out of network—
17Arizona Source · since 2026-10-01$29.44——Plans negotiate; applies out of network—
18Texas Source · since 2025-09-01$29.01——Plans negotiate; applies out of network—
31Washington Source · since 2025-07-01$11.04——Paid by the state, outside plans—
32New Jersey Source · since 2026-07-01$8.47——Not classified—
See all 32 states for D0273 — start free

24 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 D0273 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 D0273?

It depends on the state. Of the 32 states with a published fee-for-service rate, the median is $29.72. Delaware pays the most ($52.46) and New Jersey the least ($8.47).

Which state pays the highest Medicaid rate for D0273?

Delaware, at $52.46, effective 2026-04-01.

Do managed-care plans pay the same rate for D0273?

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.