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Billing code D1321 · Dental

D1321 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $15.00 for D1321 across 5 states, from $14.08 in Arizona to $19.53 in Oregon.

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

States publishing
5
National median
$15.00units vary by state
Lowest
$14.08Arizona
Highest
$19.53Oregon
Answer

What does Medicaid pay for D1321?

5 state Medicaid programs publish a fee-for-service rate for D1321. The national median is $15.00 (units differ between states). Oregon pays the most, $19.53, and Arizona the least, $14.08, a 1.4x spread.

State ranking

D1321 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
1Oregon Source · since 2025-01-01$19.53——Plans negotiate; applies out of network—
2Maine Source · since 2025-07-01$15.31——Not classified—
3Ohio Source · since 2021-01-01$15.00——Plans negotiate; applies out of network—
See all 5 states for D1321 — 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 D1321 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 D1321?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $15.00. Oregon pays the most ($19.53) and Arizona the least ($14.08).

Which state pays the highest Medicaid rate for D1321?

Oregon, at $19.53, effective 2025-01-01.

Do managed-care plans pay the same rate for D1321?

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.