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Billing code D7980 · Dental

D7980 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $229.05 for D7980 across 21 states, from $22.11 in Kansas to $1,048.60 in Wisconsin.

Data as of Oct 5, 202621 statesEvery rate links to its official source

States publishing
21
National median
$229.05units vary by state
Lowest
$22.11Kansas
Highest
$1,048.60Wisconsin
Answer

What does Medicaid pay for D7980?

21 state Medicaid programs publish a fee-for-service rate for D7980. The national median is $229.05 (units differ between states). Wisconsin pays the most, $1,048.60, and Kansas the least, $22.11, a 47.4x spread.

State ranking

D7980 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 21 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Wisconsin Source · since 2022-01-01$1,048.60——Paid by the state, outside plans—
2Colorado Source · since 2026-07-01$659.68——Paid by the state, outside plans—
3Alaska Source · since 2025-07-01$517.11——Not classified—
10Indiana Source · since 2014-01-01$244.75unit—Plans must pay at least this—
11Iowa Source · since 2013-07-01$229.05——Plans must pay at least this—
12Arizona Source · since 2026-10-01$191.10——Plans negotiate; applies out of network—
20California Source · since 2018-07-01$40.00percent of SMA—Paid by the state, outside plans—
21Kansas Source · since 2025-07-01$22.11——Plans must pay at least this—
See all 21 states for D7980 — start free

13 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 D7980 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 D7980?

It depends on the state. Of the 21 states with a published fee-for-service rate, the median is $229.05. Wisconsin pays the most ($1,048.60) and Kansas the least ($22.11).

Which state pays the highest Medicaid rate for D7980?

Wisconsin, at $1,048.60, effective 2022-01-01.

Do managed-care plans pay the same rate for D7980?

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.