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Billing code D1551 · Dental

D1551 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $39.33 for D1551 across 38 states, from $10.70 in Illinois to $92.11 in Delaware.

Data as of Oct 5, 202638 statesEvery rate links to its official source

States publishing
38
National median
$39.33units vary by state
Lowest
$10.70Illinois
Highest
$92.11Delaware
Answer

What does Medicaid pay for D1551?

38 state Medicaid programs publish a fee-for-service rate for D1551. The national median is $39.33 (units differ between states). Delaware pays the most, $92.11, and Illinois the least, $10.70, a 8.6x spread.

State ranking

D1551 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 38 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Delaware Source · since 2026-04-01$92.11——Not classified—
2Missouri Source · since 2022-07-01$77.60——Plans must pay at least this—
3Vermont Source · since 2023-07-01$64.50——Not classified—
19Connecticut Source · since 2022-07-01$39.65——Not classified—
20Wyoming Source · since 2023-04-01$39.00——Not classified—
21Oklahoma Source · since 2024-01-01$36.59——Plans must pay at least this—
37Texas Source · since 2025-09-01$18.38——Plans negotiate; applies out of network—
38Illinois Source · since 2020-01-01$10.70——Plans negotiate; applies out of network—
See all 38 states for D1551 — start free

30 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 D1551 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 D1551?

It depends on the state. Of the 38 states with a published fee-for-service rate, the median is $39.33. Delaware pays the most ($92.11) and Illinois the least ($10.70).

Which state pays the highest Medicaid rate for D1551?

Delaware, at $92.11, effective 2026-04-01.

Do managed-care plans pay the same rate for D1551?

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.