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Billing code D4266 · Dental

D4266 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $500.00 for D4266 across 9 states, from $262.76 in Texas to $751.30 in Delaware.

Data as of Oct 5, 20269 statesEvery rate links to its official source

States publishing
9
National median
$500.00units vary by state
Lowest
$262.76Texas
Highest
$751.30Delaware
Answer

What does Medicaid pay for D4266?

9 state Medicaid programs publish a fee-for-service rate for D4266. The national median is $500.00 (units differ between states). Delaware pays the most, $751.30, and Texas the least, $262.76, a 2.9x spread.

State ranking

D4266 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Delaware Source · since 2026-04-01$751.30——Not classified—
2Kentucky Source · since 2023-01-01$645.39——Plans negotiate; applies out of network—
3Missouri Source · since 2022-07-01$629.60——Plans must pay at least this—
5District of Columbia Source · since 2023-01-01$500.00——Not classified—
8Arizona Source · since 2026-10-01$297.13——Plans negotiate; applies out of network—
9Texas Source · since 2025-09-01$262.76——Plans negotiate; applies out of network—
See all 9 states for D4266 — start free

3 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 D4266 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 D4266?

It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $500.00. Delaware pays the most ($751.30) and Texas the least ($262.76).

Which state pays the highest Medicaid rate for D4266?

Delaware, at $751.30, effective 2026-04-01.

Do managed-care plans pay the same rate for D4266?

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.