D4245 Medicaid reimbursement rate by state (2026)
Dental services. Medicaid pays a median of $344.69 for D4245 across 9 states, from $38.12 in New Jersey to $756.80 in Missouri.
- States publishing
- 9
- National median
- $344.69units vary by state
- Lowest
- $38.12New Jersey
- Highest
- $756.80Missouri
What does Medicaid pay for D4245?
9 state Medicaid programs publish a fee-for-service rate for D4245. The national median is $344.69 (units differ between states). Missouri pays the most, $756.80, and New Jersey the least, $38.12, a 19.9x spread.
D4245 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 9 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for D4245?
It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $344.69. Missouri pays the most ($756.80) and New Jersey the least ($38.12).
Which state pays the highest Medicaid rate for D4245?
Missouri, at $756.80, effective 2022-07-01.
Do managed-care plans pay the same rate for D4245?
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.