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Billing code D4910 · Dental

D4910 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $67.00 for D4910 across 43 states, from $27.00 in Rhode Island to $155.49 in Delaware.

Data as of Oct 5, 202643 statesEvery rate links to its official source

States publishing
43
National median
$67.00units vary by state
Lowest
$27.00Rhode Island
Highest
$155.49Delaware
Answer

What does Medicaid pay for D4910?

43 state Medicaid programs publish a fee-for-service rate for D4910. The national median is $67.00 (units differ between states). Delaware pays the most, $155.49, and Rhode Island the least, $27.00, a 5.8x spread.

State ranking

D4910 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 43 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Delaware Source · since 2026-04-01$155.49——Not classified—
2Connecticut Source · since 2024-01-01$138.00——Not classified—
3Colorado Source · since 2026-07-01$129.33——Paid by the state, outside plans—
21Ohio Source · since 2024-01-01$67.07——Plans negotiate; applies out of network—
22Illinois Source · since 2015-07-01$67.00——Plans negotiate; applies out of network—
23Alabama Source · since 2025-10-01$66.40——Not classified—
42Minnesota Source · since 2000-08-01$35.69——Plans negotiate; applies out of network—
43Rhode Island Source · since 1993-04-01$27.00——Paid by the state, outside plans—
See all 43 states for D4910 — start free

35 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 D4910 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 D4910?

It depends on the state. Of the 43 states with a published fee-for-service rate, the median is $67.00. Delaware pays the most ($155.49) and Rhode Island the least ($27.00).

Which state pays the highest Medicaid rate for D4910?

Delaware, at $155.49, effective 2026-04-01.

Do managed-care plans pay the same rate for D4910?

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.