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Billing code D9212 · Dental

D9212 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $28.93 for D9212 across 8 states, from $10.76 in Nevada to $226.40 in Missouri.

Data as of Oct 5, 20268 statesEvery rate links to its official source

States publishing
8
National median
$28.93units vary by state
Lowest
$10.76Nevada
Highest
$226.40Missouri
Answer

What does Medicaid pay for D9212?

8 state Medicaid programs publish a fee-for-service rate for D9212. The national median is $28.93 (units differ between states). Missouri pays the most, $226.40, and Nevada the least, $10.76, a 21.0x spread.

State ranking

D9212 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 8 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Missouri Source · since 2025-03-01$226.40——Plans must pay at least this—
2Oregon Source · since 2026-01-01$40.19——Plans negotiate; applies out of network—
3Rhode Island Source · since 1996-01-01$39.42——Paid by the state, outside plans—
7New Hampshire Source · since 2024-07-01$15.60——Paid by the state, outside plans—
8Nevada Source · since 2024-01-01$10.76——Plans must pay at least this—
See all 8 states for D9212 — 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 D9212 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 D9212?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $28.93. Missouri pays the most ($226.40) and Nevada the least ($10.76).

Which state pays the highest Medicaid rate for D9212?

Missouri, at $226.40, effective 2025-03-01.

Do managed-care plans pay the same rate for D9212?

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.