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Billing code D0380 · Dental

D0380 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $189.07 for D0380 across 5 states, from $143.20 in Nevada to $219.74 in New Hampshire.

Data as of Oct 5, 20265 statesEvery rate links to its official source

States publishing
5
National median
$189.07units vary by state
Lowest
$143.20Nevada
Highest
$219.74New Hampshire
Answer

What does Medicaid pay for D0380?

5 state Medicaid programs publish a fee-for-service rate for D0380. The national median is $189.07 (units differ between states). New Hampshire pays the most, $219.74, and Nevada the least, $143.20, a 1.5x spread.

State ranking

D0380 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Hampshire Source · since 2023-10-01$219.74——Paid by the state, outside plans—
2Colorado Source · since 2026-07-01$210.62——Paid by the state, outside plans—
3Iowa Source · since 2019-01-01$189.07——Plans must pay at least this—
See all 5 states for D0380 — start free

2 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 D0380 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 D0380?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $189.07. New Hampshire pays the most ($219.74) and Nevada the least ($143.20).

Which state pays the highest Medicaid rate for D0380?

New Hampshire, at $219.74, effective 2023-10-01.

Do managed-care plans pay the same rate for D0380?

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.