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Billing code D4275 · Dental

D4275 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $501.04 for D4275 across 10 states, from $214.99 in Texas to $1,168.22 in Delaware.

Data as of Oct 5, 202610 statesEvery rate links to its official source

States publishing
10
National median
$501.04units vary by state
Lowest
$214.99Texas
Highest
$1,168.22Delaware
Answer

What does Medicaid pay for D4275?

10 state Medicaid programs publish a fee-for-service rate for D4275. The national median is $501.04 (units differ between states). Delaware pays the most, $1,168.22, and Texas the least, $214.99, a 5.4x spread.

State ranking

D4275 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 10 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Delaware Source · since 2026-04-01$1,168.22——Not classified—
2Missouri Source · since 2022-07-01$979.20——Plans must pay at least this—
3Colorado Source · since 2026-07-01$892.84——Paid by the state, outside plans—
5Montana Source · since 2025-07-01$561.18——Not classified—
6Arizona Source · since 2026-10-01$440.89——Plans negotiate; applies out of network—
9Iowa Source · since 2013-07-01$378.96——Plans must pay at least this—
10Texas Source · since 2025-09-01$214.99——Plans negotiate; applies out of network—
See all 10 states for D4275 — 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 D4275 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 D4275?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $501.04. Delaware pays the most ($1,168.22) and Texas the least ($214.99).

Which state pays the highest Medicaid rate for D4275?

Delaware, at $1,168.22, effective 2026-04-01.

Do managed-care plans pay the same rate for D4275?

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.