D9243 Medicaid reimbursement rate by state (2026)
Dental services. Medicaid pays a median of $76.76 for D9243 across 43 states, from $19.37 in Nevada to $256.45 in Delaware.
- States publishing
- 43
- National median
- $76.76units vary by state
- Lowest
- $19.37Nevada
- Highest
- $256.45Delaware
What does Medicaid pay for D9243?
43 state Medicaid programs publish a fee-for-service rate for D9243. The national median is $76.76 (units differ between states). Delaware pays the most, $256.45, and Nevada the least, $19.37, a 13.2x spread.
D9243 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 43 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for D9243?
It depends on the state. Of the 43 states with a published fee-for-service rate, the median is $76.76. Delaware pays the most ($256.45) and Nevada the least ($19.37).
Which state pays the highest Medicaid rate for D9243?
Delaware, at $256.45, effective 2025-04-01.
Do managed-care plans pay the same rate for D9243?
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.