D4265 Medicaid reimbursement rate by state (2026)
Dental services. Medicaid pays a median of $304.99 for D4265 across 9 states, from $101.17 in Nevada to $593.06 in Delaware.
- States publishing
- 9
- National median
- $304.99units vary by state
- Lowest
- $101.17Nevada
- Highest
- $593.06Delaware
What does Medicaid pay for D4265?
9 state Medicaid programs publish a fee-for-service rate for D4265. The national median is $304.99 (units differ between states). Delaware pays the most, $593.06, and Nevada the least, $101.17, a 5.9x spread.
D4265 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 D4265?
It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $304.99. Delaware pays the most ($593.06) and Nevada the least ($101.17).
Which state pays the highest Medicaid rate for D4265?
Delaware, at $593.06, effective 2026-04-01.
Do managed-care plans pay the same rate for D4265?
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.