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Billing code D1556 · Dental

D1556 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $38.90 for D1556 across 30 states, from $16.62 in Minnesota to $88.45 in Delaware.

Data as of Oct 5, 202630 statesEvery rate links to its official source

States publishing
30
National median
$38.90units vary by state
Lowest
$16.62Minnesota
Highest
$88.45Delaware
Answer

What does Medicaid pay for D1556?

30 state Medicaid programs publish a fee-for-service rate for D1556. The national median is $38.90 (units differ between states). Delaware pays the most, $88.45, and Minnesota the least, $16.62, a 5.3x spread.

State ranking

D1556 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 30 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Delaware Source · since 2025-04-01$88.45——Not classified—
2Missouri Source · since 2022-07-01$76.80——Plans must pay at least this—
3New Jersey Source · since 2026-07-01$67.76——Not classified—
15Hawaii Source · since 2024-03-04$41.04——Paid by the state, outside plans—
16Texas Source · since 2025-09-01$36.75——Plans negotiate; applies out of network—
17Wisconsin Source · since 2022-01-01$35.35——Paid by the state, outside plans—
29Florida Source · since 2026-07-01$20.16——Plans negotiate; applies out of network—
30Minnesota Source · since 2024-06-01$16.62——Plans must pay at least this—
See all 30 states for D1556 — start free

22 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 D1556 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 D1556?

It depends on the state. Of the 30 states with a published fee-for-service rate, the median is $38.90. Delaware pays the most ($88.45) and Minnesota the least ($16.62).

Which state pays the highest Medicaid rate for D1556?

Delaware, at $88.45, effective 2025-04-01.

Do managed-care plans pay the same rate for D1556?

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.