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Billing code D7285 · Dental

D7285 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $170.12 for D7285 across 37 states, from $31.46 in New Jersey to $433.32 in Hawaii.

Data as of Oct 5, 202637 statesEvery rate links to its official source

States publishing
37
National median
$170.12units vary by state
Lowest
$31.46New Jersey
Highest
$433.32Hawaii
Answer

What does Medicaid pay for D7285?

37 state Medicaid programs publish a fee-for-service rate for D7285. The national median is $170.12 (units differ between states). Hawaii pays the most, $433.32, and New Jersey the least, $31.46, a 13.8x spread.

State ranking

D7285 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 37 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Hawaii Source · since 2026-06-01$433.32——Paid by the state, outside plans—
2Mississippi Source · since 2019-03-01$408.00——Plans must pay at least this—
3Alabama Source · since 2025-10-01$398.40——Not classified—
18Iowa Source · since 2013-07-01$174.52——Plans must pay at least this—
19Maine Source · since 2025-07-01$170.12——Not classified—
20Ohio Source · since 2024-01-01$165.00——Plans negotiate; applies out of network—
36California Source · since 2018-07-01$40.00percent of SMA—Paid by the state, outside plans—
37New Jersey Source · since 2026-07-01$31.46——Not classified—
See all 37 states for D7285 — start free

29 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 D7285 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 D7285?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $170.12. Hawaii pays the most ($433.32) and New Jersey the least ($31.46).

Which state pays the highest Medicaid rate for D7285?

Hawaii, at $433.32, effective 2026-06-01.

Do managed-care plans pay the same rate for D7285?

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.