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Billing code D5286 · Dental

D5286 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $408.55 for D5286 across 9 states, from $184.29 in Kansas to $941.60 in Missouri.

Data as of Oct 5, 20269 statesEvery rate links to its official source

States publishing
9
National median
$408.55units vary by state
Lowest
$184.29Kansas
Highest
$941.60Missouri
Answer

What does Medicaid pay for D5286?

9 state Medicaid programs publish a fee-for-service rate for D5286. The national median is $408.55 (units differ between states). Missouri pays the most, $941.60, and Kansas the least, $184.29, a 5.1x spread.

State ranking

D5286 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 9 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Missouri Source · since 2022-07-01$941.60——Plans must pay at least this—
2Colorado Source · since 2026-07-01$803.53——Paid by the state, outside plans—
3Arizona Source · since 2026-10-01$743.08——Plans negotiate; applies out of network—
5Oklahoma Source · since 2024-01-01$408.55——Plans must pay at least this—
8West Virginia Source · since 2026-04-01$264.01——Plans negotiate; applies out of network—
9Kansas Source · since 2020-01-01$184.29——Plans must pay at least this—
See all 9 states for D5286 — start free

3 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 D5286 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 D5286?

It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $408.55. Missouri pays the most ($941.60) and Kansas the least ($184.29).

Which state pays the highest Medicaid rate for D5286?

Missouri, at $941.60, effective 2022-07-01.

Do managed-care plans pay the same rate for D5286?

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.