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Billing code D6980 · Dental

D6980 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $211.29 for D6980 across 13 states, from $40.00 in California to $439.63 in Delaware.

Data as of Oct 5, 202613 statesEvery rate links to its official source

States publishing
13
National median
$211.29units vary by state
Lowest
$40.00California
Highest
$439.63Delaware
Answer

What does Medicaid pay for D6980?

13 state Medicaid programs publish a fee-for-service rate for D6980. The national median is $211.29 (units differ between states). Delaware pays the most, $439.63, and California the least, $40.00 per percent of SMA, a 11.0x spread.

State ranking

D6980 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 13 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Delaware Source · since 2026-04-01$439.63——Not classified—
2Missouri Source · since 2022-07-01$351.20——Plans must pay at least this—
3Indiana Source · since 2015-08-01$282.00unit—Plans must pay at least this—
6Vermont Source · since 2023-07-01$214.50——Not classified—
7Wisconsin Source · since 2022-01-01$211.29——Paid by the state, outside plans—
8Montana Source · since 2025-07-01$205.50——Not classified—
12Texas Source · since 2025-09-01$65.70——Plans negotiate; applies out of network—
13California Source · since 2018-07-01$40.00percent of SMA—Paid by the state, outside plans—
See all 13 states for D6980 — start free

5 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 D6980 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 D6980?

It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $211.29. Delaware pays the most ($439.63) and California the least ($40.00 per percent of SMA).

Which state pays the highest Medicaid rate for D6980?

Delaware, at $439.63, effective 2026-04-01.

Do managed-care plans pay the same rate for D6980?

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.