D5221 Medicaid reimbursement rate by state (2026)
Dental services. Medicaid pays a median of $618.29 for D5221 across 14 states, from $365.93 in Nevada to $1,238.38 in North Dakota.
- States publishing
- 14
- National median
- $618.29units vary by state
- Lowest
- $365.93Nevada
- Highest
- $1,238.38North Dakota
What does Medicaid pay for D5221?
14 state Medicaid programs publish a fee-for-service rate for D5221. The national median is $618.29 (units differ between states). North Dakota pays the most, $1,238.38, and Nevada the least, $365.93, a 3.4x spread.
D5221 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 14 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for D5221?
It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $618.29. North Dakota pays the most ($1,238.38) and Nevada the least ($365.93).
Which state pays the highest Medicaid rate for D5221?
North Dakota, at $1,238.38, effective 2026-07-01.
Do managed-care plans pay the same rate for D5221?
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.