Skip to content
Billing code D7250 · Dental

D7250 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $134.50 for D7250 across 46 states, from $40.00 in California to $351.57 in Delaware.

Data as of Oct 5, 202646 statesEvery rate links to its official source

States publishing
46
National median
$134.50units vary by state
Lowest
$40.00California
Highest
$351.57Delaware
Answer

What does Medicaid pay for D7250?

46 state Medicaid programs publish a fee-for-service rate for D7250. The national median is $134.50 (units differ between states). Delaware pays the most, $351.57, and California the least, $40.00 per percent of SMA, a 8.8x spread.

State ranking

D7250 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 46 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Delaware Source · since 2026-04-01$351.57——Not classified—
2Alaska Source · since 2025-07-01$301.33——Not classified—
3Connecticut Source · since 2016-09-01$280.28——Not classified—
23Arizona Source · since 2026-10-01$136.44——Plans negotiate; applies out of network—
24Mississippi Source · since 2020-07-01$132.55——Plans must pay at least this—
25New Mexico Source · since 2025-01-01$131.04——Plans must pay at least this—
45New Jersey Source · since 2026-07-01$47.19——Not classified—
46California Source · since 2018-07-01$40.00percent of SMA—Paid by the state, outside plans—
See all 46 states for D7250 — start free

38 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 D7250 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 D7250?

It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $134.50. Delaware pays the most ($351.57) and California the least ($40.00 per percent of SMA).

Which state pays the highest Medicaid rate for D7250?

Delaware, at $351.57, effective 2026-04-01.

Do managed-care plans pay the same rate for D7250?

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.