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Billing code D5761 · Dental

D5761 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $201.50 for D5761 across 40 states, from $100.43 in New Jersey to $527.01 in Delaware.

Data as of Oct 5, 202640 statesEvery rate links to its official source

States publishing
40
National median
$201.50units vary by state
Lowest
$100.43New Jersey
Highest
$527.01Delaware
Answer

What does Medicaid pay for D5761?

40 state Medicaid programs publish a fee-for-service rate for D5761. The national median is $201.50 (units differ between states). Delaware pays the most, $527.01, and New Jersey the least, $100.43, a 5.2x spread.

State ranking

D5761 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 40 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Delaware Source · since 2026-04-01$527.01——Not classified—
2Missouri Source · since 2022-07-01$422.40——Plans must pay at least this—
3Colorado Source · since 2026-07-01$417.91——Paid by the state, outside plans—
20New Mexico Source · since 2025-01-01$204.23——Plans must pay at least this—
21Maine Source · since 2025-07-01$198.76——Not classified—
22Wisconsin Source · since 2022-01-01$189.81——Paid by the state, outside plans—
39Texas Source · since 2025-09-01$113.47——Plans negotiate; applies out of network—
40New Jersey Source · since 2026-07-01$100.43——Not classified—
See all 40 states for D5761 — start free

32 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 D5761 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 D5761?

It depends on the state. Of the 40 states with a published fee-for-service rate, the median is $201.50. Delaware pays the most ($527.01) and New Jersey the least ($100.43).

Which state pays the highest Medicaid rate for D5761?

Delaware, at $527.01, effective 2026-04-01.

Do managed-care plans pay the same rate for D5761?

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.