D4212 Medicaid reimbursement rate by state (2026)
Dental services. Medicaid pays a median of $144.12 for D4212 across 16 states, from $10.89 in New Jersey to $325.42 in Delaware.
- States publishing
- 16
- National median
- $144.12units vary by state
- Lowest
- $10.89New Jersey
- Highest
- $325.42Delaware
What does Medicaid pay for D4212?
16 state Medicaid programs publish a fee-for-service rate for D4212. The national median is $144.12 (units differ between states). Delaware pays the most, $325.42, and New Jersey the least, $10.89, a 29.9x spread.
D4212 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 16 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for D4212?
It depends on the state. Of the 16 states with a published fee-for-service rate, the median is $144.12. Delaware pays the most ($325.42) and New Jersey the least ($10.89).
Which state pays the highest Medicaid rate for D4212?
Delaware, at $325.42, effective 2026-04-01.
Do managed-care plans pay the same rate for D4212?
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.