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Billing code D3353 · Dental

D3353 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $242.17 for D3353 across 34 states, from $14.10 in Illinois to $560.72 in Delaware.

Data as of Oct 5, 202634 statesEvery rate links to its official source

States publishing
34
National median
$242.17units vary by state
Lowest
$14.10Illinois
Highest
$560.72Delaware
Answer

What does Medicaid pay for D3353?

34 state Medicaid programs publish a fee-for-service rate for D3353. The national median is $242.17 (units differ between states). Delaware pays the most, $560.72, and Illinois the least, $14.10, a 39.8x spread.

State ranking

D3353 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 34 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Delaware Source · since 2026-04-01$560.72——Not classified—
2Missouri Source · since 2022-07-01$489.60——Plans must pay at least this—
3Colorado Source · since 2026-07-01$432.05——Paid by the state, outside plans—
17Hawaii Source · since 2024-03-04$242.22——Paid by the state, outside plans—
18Arizona Source · since 2026-10-01$242.11——Plans negotiate; applies out of network—
19North Carolina Source · since 2025-10-01$221.19——Paid by the state, outside plans—
33New Mexico Source · since 2025-01-01$41.30——Plans must pay at least this—
34Illinois Source · since 2015-07-01$14.10——Plans negotiate; applies out of network—
See all 34 states for D3353 — start free

26 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 D3353 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 D3353?

It depends on the state. Of the 34 states with a published fee-for-service rate, the median is $242.17. Delaware pays the most ($560.72) and Illinois the least ($14.10).

Which state pays the highest Medicaid rate for D3353?

Delaware, at $560.72, effective 2026-04-01.

Do managed-care plans pay the same rate for D3353?

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.