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Billing code D0365 · Dental

D0365 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $233.25 for D0365 across 13 states, from $125.00 in Connecticut to $776.10 in North Dakota.

Data as of Oct 5, 202613 statesEvery rate links to its official source

States publishing
13
National median
$233.25units vary by state
Lowest
$125.00Connecticut
Highest
$776.10North Dakota
Answer

What does Medicaid pay for D0365?

13 state Medicaid programs publish a fee-for-service rate for D0365. The national median is $233.25 (units differ between states). North Dakota pays the most, $776.10, and Connecticut the least, $125.00, a 6.2x spread.

State ranking

D0365 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 13 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$776.10——Not classified—
2Colorado Source · since 2026-07-01$464.75——Paid by the state, outside plans—
3District of Columbia Source · since 2025-10-01$312.97——Not classified—
6Oregon Source · since 2025-01-01$242.75——Plans negotiate; applies out of network—
7Vermont Source · since 2023-07-01$233.25——Not classified—
8Iowa Source · since 2019-01-01$189.07——Plans must pay at least this—
12New Jersey Source · since 2026-07-01$151.25——Not classified—
13Connecticut Source · since 2019-07-01$125.00——Not classified—
See all 13 states for D0365 — start free

5 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 D0365 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 D0365?

It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $233.25. North Dakota pays the most ($776.10) and Connecticut the least ($125.00).

Which state pays the highest Medicaid rate for D0365?

North Dakota, at $776.10, effective 2026-07-01.

Do managed-care plans pay the same rate for D0365?

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.