D5959 Medicaid reimbursement rate by state (2026)
Dental services. Medicaid pays a median of $340.43 for D5959 across 6 states, from $40.00 in California to $603.93 in Missouri.
- States publishing
- 6
- National median
- $340.43units vary by state
- Lowest
- $40.00California
- Highest
- $603.93Missouri
What does Medicaid pay for D5959?
6 state Medicaid programs publish a fee-for-service rate for D5959. The national median is $340.43 (units differ between states). Missouri pays the most, $603.93, and California the least, $40.00 per percent of SMA, a 15.1x spread.
D5959 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for D5959?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $340.43. Missouri pays the most ($603.93) and California the least ($40.00 per percent of SMA).
Which state pays the highest Medicaid rate for D5959?
Missouri, at $603.93, effective 2025-03-01.
Do managed-care plans pay the same rate for D5959?
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.