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Billing code D4263 · Dental

D4263 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $319.01 for D4263 across 15 states, from $25.00 in Kansas to $707.26 in Delaware.

Data as of Oct 5, 202615 statesEvery rate links to its official source

States publishing
15
National median
$319.01units vary by state
Lowest
$25.00Kansas
Highest
$707.26Delaware
Answer

What does Medicaid pay for D4263?

15 state Medicaid programs publish a fee-for-service rate for D4263. The national median is $319.01 (units differ between states). Delaware pays the most, $707.26, and Kansas the least, $25.00, a 28.3x spread.

State ranking

D4263 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 15 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Delaware Source · since 2026-04-01$707.26——Not classified—
2Missouri Source · since 2022-07-01$600.00——Plans must pay at least this—
3Colorado Source · since 2026-07-01$520.47——Paid by the state, outside plans—
7District of Columbia Source · since 2006-01-07$361.00——Not classified—
8Wyoming Source · since 2023-04-01$319.01——Not classified—
9New Jersey Source · since 2026-07-01$315.81——Not classified—
14Illinois Source · since 2015-07-01$141.15——Plans negotiate; applies out of network—
15Kansas Source · since 1996-01-01$25.00——Not classified—
See all 15 states for D4263 — start free

7 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 D4263 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 D4263?

It depends on the state. Of the 15 states with a published fee-for-service rate, the median is $319.01. Delaware pays the most ($707.26) and Kansas the least ($25.00).

Which state pays the highest Medicaid rate for D4263?

Delaware, at $707.26, effective 2026-04-01.

Do managed-care plans pay the same rate for D4263?

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.