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Billing code D0391 · Dental

D0391 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $125.02 for D0391 across 6 states, from $6.05 in New Jersey to $201.86 in Iowa.

Data as of Oct 5, 20266 statesEvery rate links to its official source

States publishing
6
National median
$125.02units vary by state
Lowest
$6.05New Jersey
Highest
$201.86Iowa
Answer

What does Medicaid pay for D0391?

6 state Medicaid programs publish a fee-for-service rate for D0391. The national median is $125.02 (units differ between states). Iowa pays the most, $201.86, and New Jersey the least, $6.05, a 33.4x spread.

State ranking

D0391 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Iowa Source · since 2019-01-01$201.86——Plans must pay at least this—
2Colorado Source · since 2026-07-01$164.31——Paid by the state, outside plans—
3North Dakota Source · since 2026-07-01$144.28——Not classified—
6New Jersey Source · since 2026-07-01$6.05——Not classified—
See all 6 states for D0391 — 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 D0391 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 D0391?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $125.02. Iowa pays the most ($201.86) and New Jersey the least ($6.05).

Which state pays the highest Medicaid rate for D0391?

Iowa, at $201.86, effective 2019-01-01.

Do managed-care plans pay the same rate for D0391?

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.