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Billing code D6211 · Dental

D6211 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $426.84 for D6211 across 23 states, from $40.00 in California to $1,179.92 in Delaware.

Data as of Oct 5, 202623 statesEvery rate links to its official source

States publishing
23
National median
$426.84units vary by state
Lowest
$40.00California
Highest
$1,179.92Delaware
Answer

What does Medicaid pay for D6211?

23 state Medicaid programs publish a fee-for-service rate for D6211. The national median is $426.84 (units differ between states). Delaware pays the most, $1,179.92, and California the least, $40.00 per percent of SMA, a 29.5x spread.

State ranking

D6211 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 23 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Delaware Source · since 2026-04-01$1,179.92——Not classified—
2Colorado Source · since 2026-07-01$1,079.19——Paid by the state, outside plans—
3Missouri Source · since 2022-07-01$962.40——Plans must pay at least this—
11Wisconsin Source · since 2022-01-01$469.07——Paid by the state, outside plans—
12Oklahoma Source · since 2024-01-01$426.84——Plans must pay at least this—
13Minnesota Source · since 2000-08-01$409.36——Plans negotiate; applies out of network—
22New Jersey Source · since 2026-07-01$79.86——Not classified—
23California Source · since 2018-07-01$40.00percent of SMA—Paid by the state, outside plans—
See all 23 states for D6211 — start free

15 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 D6211 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 D6211?

It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $426.84. Delaware pays the most ($1,179.92) and California the least ($40.00 per percent of SMA).

Which state pays the highest Medicaid rate for D6211?

Delaware, at $1,179.92, effective 2026-04-01.

Do managed-care plans pay the same rate for D6211?

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.