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Billing code D7990 · Dental

D7990 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $365.80 for D7990 across 16 states, from $40.00 in California to $1,169.38 in Oregon.

Data as of Oct 5, 202616 statesEvery rate links to its official source

States publishing
16
National median
$365.80units vary by state
Lowest
$40.00California
Highest
$1,169.38Oregon
Answer

What does Medicaid pay for D7990?

16 state Medicaid programs publish a fee-for-service rate for D7990. The national median is $365.80 (units differ between states). Oregon pays the most, $1,169.38, and California the least, $40.00 per percent of SMA, a 29.2x spread.

State ranking

D7990 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 16 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Oregon Source · since 2026-01-01$1,169.38——Plans negotiate; applies out of network—
2Colorado Source · since 2026-07-01$1,019.47——Paid by the state, outside plans—
3Mississippi Source · since 2014-07-01$765.21——Plans must pay at least this—
8Alaska Source · since 2025-07-01$373.91——Not classified—
9Arizona Source · since 2026-10-01$357.69——Plans negotiate; applies out of network—
10New Mexico Source · since 2025-01-01$271.51——Plans must pay at least this—
15Missouri Source · since 2025-03-01$101.50——Plans must pay at least this—
16California Source · since 2018-07-01$40.00percent of SMA—Paid by the state, outside plans—
See all 16 states for D7990 — start free

8 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 D7990 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 D7990?

It depends on the state. Of the 16 states with a published fee-for-service rate, the median is $365.80. Oregon pays the most ($1,169.38) and California the least ($40.00 per percent of SMA).

Which state pays the highest Medicaid rate for D7990?

Oregon, at $1,169.38, effective 2026-01-01.

Do managed-care plans pay the same rate for D7990?

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.