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Billing code D7997 · Dental

D7997 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $94.06 for D7997 across 10 states, from $19.51 in Georgia to $588.00 in Connecticut.

Data as of Oct 5, 202610 statesEvery rate links to its official source

States publishing
10
National median
$94.06units vary by state
Lowest
$19.51Georgia
Highest
$588.00Connecticut
Answer

What does Medicaid pay for D7997?

10 state Medicaid programs publish a fee-for-service rate for D7997. The national median is $94.06 (units differ between states). Connecticut pays the most, $588.00, and Georgia the least, $19.51, a 30.1x spread.

State ranking

D7997 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 10 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Connecticut Source · since 2016-09-01$588.00——Not classified—
2Oregon Source · since 2026-01-01$218.69——Plans negotiate; applies out of network—
3New Jersey Source · since 2026-07-01$182.71——Not classified—
5Missouri Source · since 2025-03-01$94.10——Plans must pay at least this—
6Colorado Source · since 2026-07-01$94.02——Paid by the state, outside plans—
9California Source · since 2018-07-01$40.00percent of SMA—Paid by the state, outside plans—
10Georgia Source · since 2026-10-01$19.51——Plans negotiate; applies out of network—
See all 10 states for D7997 — start free

3 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 D7997 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 D7997?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $94.06. Connecticut pays the most ($588.00) and Georgia the least ($19.51).

Which state pays the highest Medicaid rate for D7997?

Connecticut, at $588.00, effective 2016-09-01.

Do managed-care plans pay the same rate for D7997?

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.