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Billing code D0321 · Dental

D0321 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $79.23 for D0321 across 14 states, from $25.93 in Iowa to $343.00 in Connecticut.

Data as of Oct 5, 202614 statesEvery rate links to its official source

States publishing
14
National median
$79.23units vary by state
Lowest
$25.93Iowa
Highest
$343.00Connecticut
Answer

What does Medicaid pay for D0321?

14 state Medicaid programs publish a fee-for-service rate for D0321. The national median is $79.23 (units differ between states). Connecticut pays the most, $343.00, and Iowa the least, $25.93, a 13.2x spread.

State ranking

D0321 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 14 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Connecticut Source · since 2016-09-01$343.00——Not classified—
2Maine Source · since 2025-07-01$106.82——Not classified—
3Colorado Source · since 2026-07-01$103.92——Paid by the state, outside plans—
7West Virginia Source · since 2026-04-01$82.14——Plans negotiate; applies out of network—
8Kansas Source · since 2025-07-01$76.32——Plans must pay at least this—
9Arizona Source · since 2026-10-01$56.84——Plans negotiate; applies out of network—
13Maryland Source · since 2023-08-01$30.00——Paid by the state, outside plans—
14Iowa Source · since 2013-07-01$25.93——Plans must pay at least this—
See all 14 states for D0321 — start free

6 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 D0321 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 D0321?

It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $79.23. Connecticut pays the most ($343.00) and Iowa the least ($25.93).

Which state pays the highest Medicaid rate for D0321?

Connecticut, at $343.00, effective 2016-09-01.

Do managed-care plans pay the same rate for D0321?

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.