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Billing code D7280 · Dental

D7280 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $221.67 for D7280 across 46 states, from $40.00 in California to $573.10 in Delaware.

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

States publishing
46
National median
$221.67units vary by state
Lowest
$40.00California
Highest
$573.10Delaware
Answer

What does Medicaid pay for D7280?

46 state Medicaid programs publish a fee-for-service rate for D7280. The national median is $221.67 (units differ between states). Delaware pays the most, $573.10, and California the least, $40.00 per percent of SMA, a 14.3x spread.

State ranking

D7280 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$573.10——Not classified—
2South Dakota Source · since 2026-07-01$457.35——Not classified—
3New Jersey Source · since 2026-07-01$446.49——Not classified—
23Arizona Source · since 2026-10-01$223.34——Plans negotiate; applies out of network—
24Kansas Source · since 2025-07-01$220.00——Plans must pay at least this—
25Hawaii Source · since 2024-03-04$211.86——Paid by the state, outside plans—
45Illinois Source · since 2020-01-01$50.80——Plans negotiate; applies out of network—
46California Source · since 2018-07-01$40.00percent of SMA—Paid by the state, outside plans—
See all 46 states for D7280 — 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.

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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 D7280 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 D7280?

It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $221.67. Delaware pays the most ($573.10) and California the least ($40.00 per percent of SMA).

Which state pays the highest Medicaid rate for D7280?

Delaware, at $573.10, effective 2026-04-01.

Do managed-care plans pay the same rate for D7280?

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.