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Billing code D5650 · Dental

D5650 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $94.47 for D5650 across 43 states, from $40.00 in California to $275.20 in Delaware.

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

States publishing
43
National median
$94.47units vary by state
Lowest
$40.00California
Highest
$275.20Delaware
Answer

What does Medicaid pay for D5650?

43 state Medicaid programs publish a fee-for-service rate for D5650. The national median is $94.47 (units differ between states). Delaware pays the most, $275.20, and California the least, $40.00 per percent of SMA, a 6.9x spread.

State ranking

D5650 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$275.20——Not classified—
2Missouri Source · since 2022-07-01$208.00——Plans must pay at least this—
3Colorado Source · since 2026-07-01$191.10——Paid by the state, outside plans—
21Virginia Source · since 2010-10-01$95.63——Paid by the state, outside plans—
22Georgia Source · since 2026-10-01$94.47——Plans negotiate; applies out of network—
23Connecticut Source · since 2016-09-01$94.08——Not classified—
42Florida Source · since 2026-07-01$42.19——Plans negotiate; applies out of network—
43California Source · since 2018-07-01$40.00percent of SMA—Paid by the state, outside plans—
See all 43 states for D5650 — 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 D5650 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 D5650?

It depends on the state. Of the 43 states with a published fee-for-service rate, the median is $94.47. Delaware pays the most ($275.20) and California the least ($40.00 per percent of SMA).

Which state pays the highest Medicaid rate for D5650?

Delaware, at $275.20, effective 2026-04-01.

Do managed-care plans pay the same rate for D5650?

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.