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Dental Medicaid rates by code

590 dental codes with published Medicaid rates in five or more states. Each page compares every state's rate, unit and managed-care rule.

CodeServiceStatesMedian rate
D0120Dental services47$30.36
D0140Dental services47$39.36
D0145Dental services39$43.40
D0150Dental services47$44.00
D0160Dental services29$63.71
D0170Dental services27$35.57
D0171Dental services11$33.20
D0180Dental services21$50.35
D0190Dental services17$22.38
D0191Dental services19$23.02
D0210Dental services47$74.90
D0220Dental services47$15.35
D0230Dental services47$11.79
D0240Dental services43$20.15
D0250Dental services28$25.98
D0251Dental services17$35.27
D0270Dental services44$13.86
D0272Dental services47$24.08
D0273Dental services32$29.72
D0274Dental services45$35.71
D0277Dental services20$47.11
D0310Dental services18$59.38
D0320Dental services15$138.11
D0321Dental services14$79.23
D0322Dental services13$108.90
D0330Dental services47$64.28
D0340Dental services36$60.23
D0350Dental services25$33.21
D0364Dental services13$189.07
D0365Dental services13$233.25
D0366Dental services13$233.25
D0367Dental services18$266.66
D0368Dental services8$246.37
D0372Dental services10$64.63
D0373Dental services10$26.06
D0374Dental services10$19.57
D0380Dental services5$189.07
D0381Dental services5$189.07
D0382Dental services5$189.07
D0383Dental services6$199.85
D0387Dental services6$62.25
D0388Dental services7$19.12
D0389Dental services7$22.98
D0391Dental services6$125.02
D0411Dental services5$28.84
D0412Dental services5$4.38
D0415Dental services7$36.40
D0460Dental services17$28.64
D0470Dental services33$53.12
D0473Dental services8$57.67
D0474Dental services8$74.89
D0486Dental services7$75.36
D0601Dental services8$11.98
D0602Dental services8$11.98
D0603Dental services8$11.98
D0604Dental services7$39.88
D0605Dental services7$45.23
D0701Dental services6$22.10
D0706Dental services5$7.24
D0707Dental services6$5.58
D0708Dental services6$6.20
D0709Dental services5$20.36
D0999Dental services6$34.00
D1110Dental services47$59.28
D1120Dental services47$41.60
D1206Dental services47$26.09
D1208Dental services46$23.20
D1310Dental services10$17.59
D1320Dental services16$25.00
D1321Dental services5$15.00
D1330Dental services15$15.29
D1351Dental services47$32.87
D1352Dental services8$36.76
D1353Dental services12$24.70
D1354Dental services43$16.50
D1355Dental services13$19.60
D1510Dental services47$169.00
D1516Dental services45$246.78
D1517Dental services46$245.82
D1520Dental services24$139.73
D1526Dental services29$224.01
D1527Dental services29$220.19
D1551Dental services38$39.33
D1552Dental services38$39.33
D1553Dental services39$35.18
D1556Dental services30$38.90
D1557Dental services28$44.15
D1558Dental services28$44.15
D1575Dental services34$171.37
D1701Dental services7$42.21
D1702Dental services7$42.21
D1703Dental services7$42.21
D1704Dental services7$42.21
D1708Dental services7$40.50
D1709Dental services7$40.50
D1710Dental services7$40.50
D1711Dental services7$40.50
D1713Dental services7$40.50
D1714Dental services7$40.50
D1781Dental services5$90.00
D1782Dental services5$90.00
D1783Dental services5$90.00
D2140Dental services46$70.59
D2150Dental services46$91.17
D2160Dental services46$108.21
D2161Dental services46$121.97
D2330Dental services47$83.09
D2331Dental services47$105.33
D2332Dental services47$125.00
D2335Dental services47$152.73
D2390Dental services40$188.12
D2391Dental services47$87.71
D2392Dental services47$110.92
D2393Dental services47$135.00
D2394Dental services47$160.00
D2710Dental services26$257.34
D2712Dental services8$367.10
D2720Dental services17$459.90
D2721Dental services24$366.12
D2722Dental services18$472.51
D2740Dental services40$557.89
D2750Dental services30$599.63
D2751Dental services40$530.67
D2752Dental services35$560.97
D2753Dental services13$689.59
D2780Dental services8$717.90
D2781Dental services11$404.00
D2782Dental services8$647.05
D2783Dental services9$731.25
D2790Dental services25$550.00
D2791Dental services33$498.36
D2792Dental services27$505.00
D2794Dental services10$560.76
D2799Dental services7$241.73
D2910Dental services27$37.90
D2915Dental services19$47.56
D2920Dental services44$43.23
D2921Dental services11$93.10
D2928Dental services19$189.89
D2929Dental services26$175.12
D2930Dental services47$153.95
D2931Dental services47$176.42
D2932Dental services39$145.38
D2933Dental services37$168.25
D2934Dental services38$173.75
D2940Dental services40$52.11
D2950Dental services41$134.40
D2951Dental services42$30.10
D2952Dental services32$173.60
D2953Dental services10$148.68
D2954Dental services43$147.36
D2955Dental services11$86.10
D2957Dental services12$115.14
D2960Dental services8$210.03
D2961Dental services8$331.54
D2962Dental services9$439.04
D2976Dental services6$61.19
D2980Dental services15$121.95
D2991Dental services6$64.18
D3110Dental services23$38.11
D3120Dental services20$32.75
D3220Dental services47$90.37
D3221Dental services26$108.13
D3222Dental services25$114.20
D3230Dental services30$123.97
D3240Dental services30$152.79
D3310Dental services46$397.00
D3320Dental services46$464.21
D3330Dental services45$584.40
D3331Dental services10$299.96
D3332Dental services9$353.16
D3333Dental services8$186.66
D3346Dental services32$447.97
D3347Dental services29$529.57
D3348Dental services29$722.96
D3351Dental services40$143.62
D3352Dental services38$107.25
D3353Dental services34$242.17
D3355Dental services6$301.27
D3356Dental services6$113.65
D3357Dental services6$214.77
D3410Dental services45$337.20
D3421Dental services30$347.83
D3425Dental services29$411.87
D3426Dental services28$164.06
D3430Dental services34$120.79
D3450Dental services16$167.43
D3460Dental services5$333.64
D3470Dental services5$386.30
D3471Dental services10$166.46
D3472Dental services10$180.03
D3473Dental services10$190.07
D3501Dental services7$212.78
D3502Dental services7$239.93
D3503Dental services7$260.00
D3910Dental services5$115.50
D3920Dental services11$202.65
D3921Dental services11$135.00
D3950Dental services8$62.90
D4210Dental services41$273.00
D4211Dental services38$108.86
D4212Dental services16$144.12
D4230Dental services6$176.65
D4231Dental services7$174.35
D4240Dental services28$322.12
D4241Dental services22$246.00
D4245Dental services9$344.69
D4249Dental services16$392.03
D4260Dental services28$507.09
D4261Dental services24$375.14
D4263Dental services15$319.01
D4264Dental services13$238.45
D4265Dental services9$304.99
D4266Dental services9$500.00
D4267Dental services9$554.44
D4270Dental services22$375.46
D4273Dental services16$565.98
D4274Dental services9$329.79
D4275Dental services10$501.04
D4276Dental services5$537.60
D4277Dental services17$404.00
D4278Dental services16$284.85
D4283Dental services5$270.00
D4286Dental services5$140.75
D4322Dental services13$240.79
D4323Dental services15$200.90
D4341Dental services46$134.63
D4342Dental services42$72.98
D4346Dental services30$95.80
D4355Dental services40$96.76
D4381Dental services8$76.23
D4910Dental services43$67.00
D4920Dental services14$45.00
D5110Dental services47$731.48
D5120Dental services47$731.48
D5130Dental services34$728.86
D5140Dental services34$728.86
D5211Dental services46$566.88
D5212Dental services46$595.40
D5213Dental services39$775.36
D5214Dental services39$775.36
D5221Dental services14$618.29
D5222Dental services14$650.33
D5223Dental services9$832.27
D5224Dental services9$832.27
D5225Dental services26$655.33
D5226Dental services26$655.33
D5227Dental services10$675.49
D5228Dental services10$724.81
D5282Dental services11$372.18
D5283Dental services11$372.18
D5284Dental services9$408.55
D5286Dental services9$408.55
D5410Dental services37$41.30
D5411Dental services37$41.30
D5421Dental services37$36.59
D5422Dental services37$36.59
D5511Dental services43$88.85
D5512Dental services43$88.85
D5520Dental services43$73.17
D5611Dental services39$86.10
D5612Dental services39$86.10
D5621Dental services37$105.99
D5622Dental services37$107.17
D5630Dental services42$115.03
D5640Dental services45$86.18
D5650Dental services43$94.47
D5660Dental services41$119.00
D5670Dental services9$374.62
D5671Dental services9$374.62
D5710Dental services28$255.56
D5711Dental services27$258.11
D5720Dental services27$230.00
D5721Dental services26$253.17
D5725Dental services7$195.00
D5730Dental services34$153.45
D5731Dental services34$153.56
D5740Dental services33$128.37
D5741Dental services32$131.53
D5750Dental services43$224.22
D5751Dental services42$219.61
D5760Dental services40$201.50
D5761Dental services40$201.50
D5765Dental services15$159.14
D5810Dental services13$319.80
D5811Dental services13$320.01
D5820Dental services24$324.54
D5821Dental services24$319.61
D5850Dental services28$64.49
D5851Dental services27$69.09
D5862Dental services7$191.56
D5863Dental services10$596.10
D5864Dental services9$781.89
D5865Dental services10$596.10
D5866Dental services9$781.89
D5876Dental services7$159.14
D5899Dental services5$90.00
D5911Dental services7$57.83
D5912Dental services6$83.73
D5913Dental services7$1,924.05
D5914Dental services7$1,881.00
D5915Dental services5$836.06
D5916Dental services6$597.13
D5919Dental services5$2,439.10
D5922Dental services7$286.76
D5923Dental services6$1,083.27
D5924Dental services5$418.03
D5925Dental services5$704.28
D5926Dental services5$626.87
D5927Dental services5$626.87
D5928Dental services5$429.98
D5931Dental services12$939.57
D5932Dental services12$1,274.21
D5933Dental services6$295.81
D5934Dental services8$1,286.61
D5935Dental services7$1,141.52
D5936Dental services7$700.35
D5937Dental services6$264.14
D5951Dental services9$391.41
D5952Dental services12$993.14
D5953Dental services6$755.82
D5954Dental services9$914.66
D5955Dental services10$1,080.83
D5958Dental services7$853.51
D5959Dental services6$340.43
D5960Dental services6$205.28
D5982Dental services11$164.64
D5983Dental services6$110.10
D5984Dental services5$155.27
D5985Dental services6$378.98
D5986Dental services15$91.47
D5988Dental services11$302.50
D5991Dental services7$121.35
D5992Dental services7$55.00
D5993Dental services5$86.10
D6010Dental services8$1,030.64
D6049Dental services7$86.00
D6055Dental services5$967.50
D6056Dental services7$450.44
D6057Dental services6$563.89
D6058Dental services6$898.00
D6081Dental services9$118.03
D6092Dental services6$61.90
D6096Dental services5$139.05
D6100Dental services9$156.89
D6101Dental services6$307.00
D6102Dental services6$437.98
D6103Dental services6$373.16
D6105Dental services9$106.71
D6106Dental services6$449.43
D6107Dental services6$583.15
D6110Dental services5$1,324.26
D6111Dental services5$1,323.60
D6191Dental services5$212.18
D6192Dental services5$106.00
D6205Dental services6$515.12
D6210Dental services16$475.00
D6211Dental services23$426.84
D6212Dental services17$500.00
D6214Dental services5$612.56
D6240Dental services18$496.80
D6241Dental services25$500.00
D6242Dental services20$462.50
D6243Dental services5$720.99
D6245Dental services14$597.67
D6250Dental services12$406.68
D6251Dental services14$406.68
D6252Dental services12$406.68
D6545Dental services16$311.17
D6548Dental services7$522.20
D6710Dental services6$550.60
D6720Dental services12$454.68
D6721Dental services15$409.36
D6722Dental services12$454.68
D6740Dental services15$601.34
D6750Dental services19$553.96
D6751Dental services23$500.00
D6752Dental services21$553.27
D6753Dental services6$626.54
D6780Dental services10$429.68
D6781Dental services7$546.00
D6782Dental services6$605.63
D6783Dental services7$624.42
D6790Dental services16$527.50
D6791Dental services21$500.00
D6792Dental services18$586.43
D6794Dental services6$580.69
D6930Dental services34$77.50
D6950Dental services6$248.83
D6980Dental services13$211.29
D6985Dental services5$424.20
D7111Dental services42$57.08
D7140Dental services47$87.59
D7210Dental services47$142.64
D7220Dental services47$164.43
D7230Dental services47$217.19
D7240Dental services47$273.23
D7241Dental services40$302.39
D7250Dental services46$134.50
D7251Dental services19$279.30
D7259Dental services6$201.59
D7260Dental services35$382.38
D7261Dental services24$306.48
D7270Dental services44$223.03
D7272Dental services11$155.82
D7280Dental services46$221.67
D7282Dental services19$187.29
D7283Dental services36$124.75
D7284Dental services15$160.48
D7285Dental services37$170.12
D7286Dental services40$147.77
D7287Dental services7$49.24
D7288Dental services13$108.93
D7290Dental services15$190.26
D7291Dental services13$96.78
D7295Dental services6$567.90
D7296Dental services6$138.68
D7297Dental services6$189.60
D7310Dental services40$136.97
D7311Dental services28$104.73
D7320Dental services39$187.00
D7321Dental services29$153.75
D7340Dental services22$409.04
D7350Dental services22$755.57
D7410Dental services34$134.29
D7411Dental services29$232.86
D7412Dental services21$284.30
D7413Dental services23$255.26
D7414Dental services22$366.89
D7415Dental services18$460.65
D7440Dental services26$254.69
D7441Dental services22$340.76
D7450Dental services34$189.57
D7451Dental services34$311.99
D7460Dental services34$143.57
D7461Dental services32$255.51
D7465Dental services21$113.01
D7471Dental services37$205.43
D7472Dental services34$276.21
D7473Dental services34$278.71
D7485Dental services20$248.50
D7490Dental services15$2,109.34
D7509Dental services13$213.34
D7510Dental services45$94.72
D7511Dental services22$108.28
D7520Dental services37$161.00
D7521Dental services18$249.09
D7530Dental services29$100.34
D7540Dental services26$206.97
D7550Dental services30$234.05
D7560Dental services27$420.97
D7610Dental services24$957.43
D7620Dental services24$688.85
D7630Dental services26$1,138.52
D7640Dental services26$887.25
D7650Dental services18$552.37
D7660Dental services18$381.32
D7670Dental services23$424.38
D7671Dental services17$609.13
D7680Dental services14$2,275.63
D7710Dental services22$1,067.80
D7720Dental services22$731.96
D7730Dental services22$1,609.79
D7740Dental services23$968.61
D7750Dental services20$786.48
D7760Dental services19$333.17
D7770Dental services20$493.91
D7771Dental services14$651.02
D7780Dental services17$1,443.25
D7810Dental services19$895.86
D7820Dental services24$124.38
D7830Dental services15$210.28
D7840Dental services16$1,154.72
D7850Dental services17$645.75
D7852Dental services8$1,289.52
D7854Dental services7$602.69
D7856Dental services5$1,330.82
D7858Dental services10$2,122.37
D7860Dental services15$645.75
D7865Dental services14$1,642.67
D7870Dental services17$86.10
D7871Dental services6$287.86
D7872Dental services11$510.27
D7873Dental services12$610.39
D7874Dental services11$774.89
D7875Dental services10$456.38
D7876Dental services9$1,219.55
D7877Dental services10$456.38
D7880Dental services22$384.72
D7910Dental services35$119.60
D7911Dental services30$187.41
D7912Dental services29$292.82
D7920Dental services13$689.25
D7922Dental services6$32.43
D7940Dental services16$1,258.24
D7941Dental services16$2,240.15
D7943Dental services15$1,614.38
D7944Dental services16$1,510.79
D7945Dental services14$1,327.78
D7946Dental services15$2,947.72
D7947Dental services16$2,080.19
D7948Dental services16$1,993.61
D7949Dental services14$1,787.56
D7950Dental services16$954.94
D7951Dental services7$808.00
D7953Dental services11$280.00
D7955Dental services12$788.07
D7956Dental services7$400.01
D7957Dental services7$480.02
D7961Dental services41$166.50
D7962Dental services41$166.50
D7963Dental services16$230.50
D7970Dental services34$213.94
D7971Dental services29$103.66
D7972Dental services20$238.79
D7979Dental services14$82.05
D7980Dental services21$229.05
D7981Dental services15$344.96
D7982Dental services20$306.56
D7983Dental services21$371.86
D7990Dental services16$365.80
D7991Dental services13$929.47
D7997Dental services10$94.06
D8010Dental services20$800.35
D8020Dental services28$1,003.76
D8030Dental services20$1,161.31
D8040Dental services15$980.00
D8070Dental services28$2,346.34
D8080Dental services41$1,516.37
D8090Dental services26$2,346.82
D8091Dental services6$4,091.82
D8210Dental services27$333.93
D8220Dental services32$423.34
D8660Dental services26$97.04
D8670Dental services28$145.00
D8680Dental services28$209.00
D8695Dental services14$141.13
D8696Dental services11$88.38
D8697Dental services11$88.38
D8698Dental services15$70.70
D8699Dental services15$70.70
D8701Dental services10$81.58
D8702Dental services10$81.58
D8703Dental services26$171.50
D8704Dental services26$171.50
D9110Dental services42$54.02
D9120Dental services13$75.40
D9210Dental supplemental payment (add-on to the fee schedule)6$11.35
D9211Dental services5$17.92
D9212Dental services8$28.93
D9215Dental services5$6.46
D9222Dental services45$119.04
D9223Dental services45$96.40
D9224Dental services19$118.07
D9225Dental services19$94.72
D9230Dental services45$36.00
D9239Dental services43$94.54
D9243Dental services43$76.76
D9244Dental services25$98.30
D9245Dental services28$110.94
D9246Dental services23$75.00
D9247Dental services21$61.91
D9248Dental services10$101.05
D9310Dental services37$57.75
D9311Dental services6$35.88
D9410Dental services27$47.34
D9420Dental services40$92.29
D9430Dental services11$30.37
D9440Dental services22$62.61
D9610Dental services27$28.00
D9612Dental services15$45.22
D9613Dental services8$23.90
D9630Dental services9$19.76
D9910Dental services14$18.12
D9920Dental services23$66.83
D9930Dental services18$48.49
D9943Dental services6$47.65
D9944Dental services30$231.43
D9945Dental services26$197.92
D9946Dental services24$209.75
D9947Dental services5$507.41
D9950Dental services10$169.43
D9951Dental services19$48.43
D9952Dental services15$172.19
D9953Dental services6$172.68
D9992Dental services5$24.84
D9994Dental services6$22.78
D9995Dental services12$20.13
D9996Dental services10$21.26
D9997Dental services7$48.86
Dental rates in your statesRates, managed-care rules, Medicare comparison and changes, for the codes you bill.
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