D4231 Medicaid reimbursement rate by state (2026)
Dental services. Medicaid pays a median of $174.35 for D4231 across 7 states, from $25.00 in Maryland to $564.00 in Missouri.
- States publishing
- 7
- National median
- $174.35units vary by state
- Lowest
- $25.00Maryland
- Highest
- $564.00Missouri
What does Medicaid pay for D4231?
7 state Medicaid programs publish a fee-for-service rate for D4231. The national median is $174.35 (units differ between states). Missouri pays the most, $564.00, and Maryland the least, $25.00, a 22.6x spread.
D4231 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for D4231?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $174.35. Missouri pays the most ($564.00) and Maryland the least ($25.00).
Which state pays the highest Medicaid rate for D4231?
Missouri, at $564.00, effective 2022-07-01.
Do managed-care plans pay the same rate for D4231?
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.