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D7270 Medicaid reimbursement rates by state

Dental services. 37 state Medicaid programs publish a fee-for-service rate for D7270 at the physician psychologist level. Rates run from $40.00 in California to $729.12 in Connecticut, with a median of $211.85.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
37
Median rate
$211.85units vary by state
Highest
$729.12Connecticut
Medicare (non-facility)
—not on the physician fee schedule

D7270 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$729.12⚠ over 3× mediansince 2016-09-01——Not classified—CMAP fee schedule: 10/1/2026 Pediatric D
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$496.10since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$429.38since 2014-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons with developmental disabilities (DD)$405.47since 2026-07-01——Paid by the state, outside plans—HCBS-DD and SLS Waiver Dental Services f
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$351.75since 2023-07-01——Not classified—Vermont Medicaid Fee Schedule - HCPCS (i
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$337.43since 2010-10-01——Paid by the state, outside plans—DMAS procedure fee file dental.csv
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$334.85since 2024-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$320.43since 2026-01-01——Plans must pay at least this—MDHHS Dental Fee Schedule database, Janu
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$314.12since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Dental r
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$302.19since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Dental Codes fee sch
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$297.73since 2026-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$284.54since 2025-07-01——Not classified—Montana Healthcare Programs fee schedule
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$283.25since 2026-10-01——Plans negotiate; applies out of network—Part II Policies and Procedures for Dent
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$256.76since 2025-03-01——Plans must pay at least this—MO HealthNet fee schedule: Dental
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$233.95since 2025-07-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$225.56since 2025-10-01——Paid by the state, outside plans—NC Medicaid fee schedule 'Federally Qual
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$220.50since 2025-10-01——Not classified—Dental Fee Schedule (REF-0128-Q)
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$219.52since 2024-01-01——Plans must pay at least this—SoonerCare Dental Fee Schedule
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$211.85since 2025-05-15——Not classified—Arkansas Medicaid Oral Surgeon Fee Sched
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$202.89since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$200.00since 2023-01-01——Plans negotiate; applies out of network—KY Medicaid Dental fee schedule (2023Den
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$193.60since 2025-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$193.13since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (ODM workbo
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$173.93since 2025-07-01——Paid by the state, outside plans—HCA Dental fee schedule (dental-20250701
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$164.27since 2026-04-01——Plans negotiate; applies out of network—BMS 2026 Dental Fee Schedule Effective 4
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$143.84since 2000-08-01——Plans negotiate; applies out of network—MHCP Fee Schedule (Wayback capture 20250
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$140.17since 2023-10-01——Paid by the state, outside plans—2026 Fee Schedule - Covered Procedures R
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$138.56since 2022-01-01——Paid by the state, outside plans—ForwardHealth max fee schedule: Dental (
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$127.29since 2019-07-01——Plans must pay at least this—Utah Medicaid Coverage and Reimbursement
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$115.14since 2023-01-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid Dental Fee Schedule
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$114.52since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #14 CLINIC (C
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$107.61since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$105.11since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Denta
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$88.00since 2015-07-01——Plans negotiate; applies out of network—HFS [[' HFS Dental Program Fee Schedule
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid dental (Maryland Healthy Smiles, fee-for-service through the dental ASO)$64.00since 2023-08-01——Paid by the state, outside plans—2026 CDT Fee Schedule - Section 508 Comp
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$40.31since 2026-07-01——Plans negotiate; applies out of network—Dental General Fee Schedule (AHCA Update
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal Dental Proposition 56 supplemental payments$40.00since 2018-07-01percent of SMA—Paid by the state, outside plans—CDT Codes and SMAs for Proposition 56 Su

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for D7270?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $211.85. Connecticut pays the most ($729.12) and California the least ($40.00 per percent of SMA).

Which state pays the highest Medicaid rate for D7270?

Connecticut, at $729.12, effective 2016-09-01.

Do managed-care plans pay the same rate for D7270?

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 table shows the rule for each state, cited to the contract or statute.

Related Dental codes

Track D7270 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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