D5213 Medicaid reimbursement rate by state (2026)
Dental services. Medicaid pays a median of $775.36 for D5213 across 39 states, from $316.39 in Florida to $2,118.35 in Delaware.
- States publishing
- 39
- National median
- $775.36units vary by state
- Lowest
- $316.39Florida
- Highest
- $2,118.35Delaware
What does Medicaid pay for D5213?
39 state Medicaid programs publish a fee-for-service rate for D5213. The national median is $775.36 (units differ between states). Delaware pays the most, $2,118.35, and Florida the least, $316.39, a 6.7x spread.
D5213 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 39 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for D5213?
It depends on the state. Of the 39 states with a published fee-for-service rate, the median is $775.36. Delaware pays the most ($2,118.35) and Florida the least ($316.39).
Which state pays the highest Medicaid rate for D5213?
Delaware, at $2,118.35, effective 2026-04-01.
Do managed-care plans pay the same rate for D5213?
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.