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Billing code D5725 · Dental

D5725 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $195.00 for D5725 across 7 states, from $129.35 in Connecticut to $418.21 in New Mexico.

Data as of Oct 5, 20267 statesEvery rate links to its official source

States publishing
7
National median
$195.00units vary by state
Lowest
$129.35Connecticut
Highest
$418.21New Mexico
Answer

What does Medicaid pay for D5725?

7 state Medicaid programs publish a fee-for-service rate for D5725. The national median is $195.00 (units differ between states). New Mexico pays the most, $418.21, and Connecticut the least, $129.35, a 3.2x spread.

State ranking

D5725 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Mexico Source · since 2025-01-01$418.21——Plans must pay at least this—
2Colorado Source · since 2024-07-01$270.74——Paid by the state, outside plans—
3District of Columbia Source · since 2025-10-01$221.88——Not classified—
7Connecticut Source · since 2022-07-01$129.35——Not classified—
See all 7 states for D5725 — 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 D5725 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 D5725?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $195.00. New Mexico pays the most ($418.21) and Connecticut the least ($129.35).

Which state pays the highest Medicaid rate for D5725?

New Mexico, at $418.21, effective 2025-01-01.

Do managed-care plans pay the same rate for D5725?

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.