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Billing code D7415 · Dental

D7415 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $460.65 for D7415 across 18 states, from $40.00 in California to $1,541.25 in Vermont.

Data as of Oct 5, 202618 statesEvery rate links to its official source

States publishing
18
National median
$460.65units vary by state
Lowest
$40.00California
Highest
$1,541.25Vermont
Answer

What does Medicaid pay for D7415?

18 state Medicaid programs publish a fee-for-service rate for D7415. The national median is $460.65 (units differ between states). Vermont pays the most, $1,541.25, and California the least, $40.00 per percent of SMA, a 38.5x spread.

State ranking

D7415 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 18 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Vermont Source · since 2023-07-01$1,541.25——Not classified—
2District of Columbia Source · since 2023-04-01$1,123.78——Not classified—
3Colorado Source · since 2026-07-01$914.48——Paid by the state, outside plans—
9North Dakota Source · since 2026-07-01$473.56——Not classified—
10North Carolina Source · since 2025-10-01$447.73——Paid by the state, outside plans—
11Oklahoma Source · since 2024-01-01$432.94——Plans must pay at least this—
17Kansas Source · since 2003-01-01$82.08——Plans must pay at least this—
18California Source · since 2018-07-01$40.00percent of SMA—Paid by the state, outside plans—
See all 18 states for D7415 — start free

10 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 D7415 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 D7415?

It depends on the state. Of the 18 states with a published fee-for-service rate, the median is $460.65. Vermont pays the most ($1,541.25) and California the least ($40.00 per percent of SMA).

Which state pays the highest Medicaid rate for D7415?

Vermont, at $1,541.25, effective 2023-07-01.

Do managed-care plans pay the same rate for D7415?

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.