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Billing code D3351 · Dental

D3351 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $143.62 for D3351 across 40 states, from $28.20 in Illinois to $393.54 in Delaware.

Data as of Oct 5, 202640 statesEvery rate links to its official source

States publishing
40
National median
$143.62units vary by state
Lowest
$28.20Illinois
Highest
$393.54Delaware
Answer

What does Medicaid pay for D3351?

40 state Medicaid programs publish a fee-for-service rate for D3351. The national median is $143.62 (units differ between states). Delaware pays the most, $393.54, and Illinois the least, $28.20, a 14.0x spread.

State ranking

D3351 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 40 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Delaware Source · since 2026-04-01$393.54——Not classified—
2Missouri Source · since 2022-07-01$337.60——Plans must pay at least this—
3New Jersey Source · since 2026-07-01$324.28——Not classified—
20Kentucky Source · since 2023-01-01$149.60——Plans negotiate; applies out of network—
21Maine Source · since 2025-07-01$137.64——Not classified—
22Minnesota Source · since 2000-01-01$131.63——Plans negotiate; applies out of network—
39California Source · since 2018-07-01$40.00percent of SMA—Paid by the state, outside plans—
40Illinois Source · since 2015-07-01$28.20——Plans negotiate; applies out of network—
See all 40 states for D3351 — start free

32 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 D3351 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 D3351?

It depends on the state. Of the 40 states with a published fee-for-service rate, the median is $143.62. Delaware pays the most ($393.54) and Illinois the least ($28.20).

Which state pays the highest Medicaid rate for D3351?

Delaware, at $393.54, effective 2026-04-01.

Do managed-care plans pay the same rate for D3351?

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.