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Billing code D6930 · Dental

D6930 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $77.50 for D6930 across 34 states, from $14.52 in New Jersey to $213.28 in Delaware.

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

States publishing
34
National median
$77.50units vary by state
Lowest
$14.52New Jersey
Highest
$213.28Delaware
Answer

What does Medicaid pay for D6930?

34 state Medicaid programs publish a fee-for-service rate for D6930. The national median is $77.50 (units differ between states). Delaware pays the most, $213.28, and New Jersey the least, $14.52, a 14.7x spread.

State ranking

D6930 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$213.28——Not classified—
2Missouri Source · since 2022-07-01$157.60——Plans must pay at least this—
3Colorado Source · since 2026-07-01$148.41——Paid by the state, outside plans—
17Wyoming Source · since 2023-04-01$78.00——Not classified—
18Kentucky Source · since 2023-01-01$77.00——Plans negotiate; applies out of network—
19New Mexico Source · since 2025-01-01$64.92——Plans must pay at least this—
33Connecticut Source · since 2016-09-01$27.44——Not classified—
34New Jersey Source · since 2026-07-01$14.52——Not classified—
See all 34 states for D6930 — 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 D6930 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 D6930?

It depends on the state. Of the 34 states with a published fee-for-service rate, the median is $77.50. Delaware pays the most ($213.28) and New Jersey the least ($14.52).

Which state pays the highest Medicaid rate for D6930?

Delaware, at $213.28, effective 2026-04-01.

Do managed-care plans pay the same rate for D6930?

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.