D4278 Medicaid reimbursement rate by state (2026)
Dental services. Medicaid pays a median of $284.85 for D4278 across 16 states, from $29.65 in New Jersey to $672.80 in Missouri.
- States publishing
- 16
- National median
- $284.85units vary by state
- Lowest
- $29.65New Jersey
- Highest
- $672.80Missouri
What does Medicaid pay for D4278?
16 state Medicaid programs publish a fee-for-service rate for D4278. The national median is $284.85 (units differ between states). Missouri pays the most, $672.80, and New Jersey the least, $29.65, a 22.7x spread.
D4278 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 D4278?
It depends on the state. Of the 16 states with a published fee-for-service rate, the median is $284.85. Missouri pays the most ($672.80) and New Jersey the least ($29.65).
Which state pays the highest Medicaid rate for D4278?
Missouri, at $672.80, effective 2022-07-01.
Do managed-care plans pay the same rate for D4278?
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.