D4249 Medicaid reimbursement rate by state (2026)
Dental services. Medicaid pays a median of $392.03 for D4249 across 16 states, from $75.00 in New York to $854.25 in Vermont.
- States publishing
- 16
- National median
- $392.03units vary by state
- Lowest
- $75.00New York
- Highest
- $854.25Vermont
What does Medicaid pay for D4249?
16 state Medicaid programs publish a fee-for-service rate for D4249. The national median is $392.03 (units differ between states). Vermont pays the most, $854.25, and New York the least, $75.00, a 11.4x spread.
D4249 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 D4249?
It depends on the state. Of the 16 states with a published fee-for-service rate, the median is $392.03. Vermont pays the most ($854.25) and New York the least ($75.00).
Which state pays the highest Medicaid rate for D4249?
Vermont, at $854.25, effective 2023-07-01.
Do managed-care plans pay the same rate for D4249?
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.