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Billing code D0373 · Dental

D0373 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $26.06 for D0373 across 10 states, from $9.10 in Connecticut to $74.00 in Rhode Island.

Data as of Oct 5, 202610 statesEvery rate links to its official source

States publishing
10
National median
$26.06units vary by state
Lowest
$9.10Connecticut
Highest
$74.00Rhode Island
Answer

What does Medicaid pay for D0373?

10 state Medicaid programs publish a fee-for-service rate for D0373. The national median is $26.06 (units differ between states). Rhode Island pays the most, $74.00, and Connecticut the least, $9.10, a 8.1x spread.

State ranking

D0373 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 10 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Rhode Island Source · since 2023-01-01$74.00——Paid by the state, outside plans—
2Wisconsin Source · since 2023-01-01$71.70——Paid by the state, outside plans—
3Kansas Source · since 2023-01-01$63.60——Plans must pay at least this—
5Colorado Source · since 2026-07-01$30.58——Paid by the state, outside plans—
6Nevada Source · since 2024-01-01$21.53——Plans must pay at least this—
9South Carolina Source · since 2023-01-01$12.22——Paid by the state, outside plans—
10Connecticut Source · since 2023-01-01$9.10——Not classified—
See all 10 states for D0373 — start free

3 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 D0373 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 D0373?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $26.06. Rhode Island pays the most ($74.00) and Connecticut the least ($9.10).

Which state pays the highest Medicaid rate for D0373?

Rhode Island, at $74.00, effective 2023-01-01.

Do managed-care plans pay the same rate for D0373?

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.