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Billing code D5730 · Dental

D5730 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $153.45 for D5730 across 34 states, from $31.46 in New Jersey to $434.13 in Delaware.

Data as of Oct 5, 202634 statesEvery rate links to its official source

States publishing
34
National median
$153.45units vary by state
Lowest
$31.46New Jersey
Highest
$434.13Delaware
Answer

What does Medicaid pay for D5730?

34 state Medicaid programs publish a fee-for-service rate for D5730. The national median is $153.45 (units differ between states). Delaware pays the most, $434.13, and New Jersey the least, $31.46, a 13.8x spread.

State ranking

D5730 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 34 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Delaware Source · since 2026-04-01$434.13——Not classified—
2Missouri Source · since 2022-07-01$341.60——Plans must pay at least this—
3Colorado Source · since 2026-07-01$306.99——Paid by the state, outside plans—
17Rhode Island Source · since 2022-07-01$158.00——Paid by the state, outside plans—
18Maine Source · since 2025-07-01$148.90——Not classified—
19North Carolina Source · since 2025-10-01$144.77——Paid by the state, outside plans—
33Florida Source · since 2026-07-01$63.28——Plans negotiate; applies out of network—
34New Jersey Source · since 2026-07-01$31.46——Not classified—
See all 34 states for D5730 — start free

26 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 D5730 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 D5730?

It depends on the state. Of the 34 states with a published fee-for-service rate, the median is $153.45. Delaware pays the most ($434.13) and New Jersey the least ($31.46).

Which state pays the highest Medicaid rate for D5730?

Delaware, at $434.13, effective 2026-04-01.

Do managed-care plans pay the same rate for D5730?

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.