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Billing code D7540 · Dental

D7540 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $206.97 for D7540 across 26 states, from $17.28 in Kansas to $595.24 in Colorado.

Data as of Oct 5, 202626 statesEvery rate links to its official source

Compare D7540 in all 26 statesAll billing codes
States publishing
26
National median
$206.97units vary by state
Lowest
$17.28Kansas
Highest
$595.24Colorado
Answer

What does Medicaid pay for D7540?

26 state Medicaid programs publish a fee-for-service rate for D7540. The national median is $206.97 (units differ between states). Colorado pays the most, $595.24, and Kansas the least, $17.28, a 34.4x spread.

State ranking

D7540 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 26 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Colorado Source · since 2026-07-01$595.24——Paid by the state, outside plans—
2Alaska Source · since 2025-07-01$532.86——Not classified—
3Rhode Island Source · since 2022-07-01$464.00——Paid by the state, outside plans—
13Hawaii Source · since 2024-03-04$208.00——Paid by the state, outside plans—
14Missouri Source · since 2025-03-01$205.94——Plans must pay at least this—
15Utah Source · since 2019-07-01$181.63——Plans must pay at least this—
25California Source · since 2018-07-01$40.00percent of SMA—Paid by the state, outside plans—
26Kansas Source · since 1987-07-01$17.28——Plans must pay at least this—
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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.

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FAQ

Frequently asked questions

What does Medicaid pay for D7540?

It depends on the state. Of the 26 states with a published fee-for-service rate, the median is $206.97. Colorado pays the most ($595.24) and Kansas the least ($17.28).

Which state pays the highest Medicaid rate for D7540?

Colorado, at $595.24, effective 2026-07-01.

Do managed-care plans pay the same rate for D7540?

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.

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