D5120 Medicaid reimbursement rate by state (2026)
Dental services. Medicaid pays a median of $731.48 for D5120 across 47 states, from $40.00 in California to $2,077.07 in Delaware.
- States publishing
- 47
- National median
- $731.48units vary by state
- Lowest
- $40.00California
- Highest
- $2,077.07Delaware
What does Medicaid pay for D5120?
47 state Medicaid programs publish a fee-for-service rate for D5120. The national median is $731.48 (units differ between states). Delaware pays the most, $2,077.07, and California the least, $40.00 per percent of SMA, a 51.9x spread.
D5120 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 47 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for D5120?
It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $731.48. Delaware pays the most ($2,077.07) and California the least ($40.00 per percent of SMA).
Which state pays the highest Medicaid rate for D5120?
Delaware, at $2,077.07, effective 2026-04-01.
Do managed-care plans pay the same rate for D5120?
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.