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D0120 Medicaid reimbursement rates by state

Dental services. 27 state Medicaid programs publish a fee-for-service rate for D0120. Rates run from $12.22 in Minnesota to $48.80 in Missouri, with a median of $29.40.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
27
Median rate
$29.40units vary by state
Highest
$48.80Missouri
Medicare (non-facility)
—not on the physician fee schedule

D0120 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$48.80since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Dental
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$46.57since 2026-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$38.35since 2024-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2024-2025 Rate
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$36.88since 2025-04-21——Plans must pay at least this—Louisiana Medicaid Dental Program Fee Sc
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$34.30since 2026-05-01——Not classified—CMAP fee schedule: 10/1/2026 Adult Denta
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$34.00since 2026-07-01——Plans negotiate; applies out of network—KY Medicaid Dental fee schedule (2026Den
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$33.99since 2026-01-01——Plans must pay at least this—MDHHS Dental Fee Schedule database, Janu
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$33.56since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (ODM workbo
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid dental (Maryland Healthy Smiles, fee-for-service through the dental ASO)$31.81since 2023-08-01——Paid by the state, outside plans—2026 CDT Fee Schedule - Section 508 Comp
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$30.59since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Denta
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$30.36since 2025-07-01——Paid by the state, outside plans—HCA Dental fee schedule (dental-20250701
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$29.77since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$29.74since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Dental r
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$29.40since 2024-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$28.00since 2018-07-01——Plans negotiate; applies out of network—HFS [[' HFS Dental Program Fee Schedule
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$27.52since 2025-10-01——Paid by the state, outside plans—NC Medicaid fee schedule 'Federally Qual
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$25.93since 2026-10-01——Plans negotiate; applies out of network—Part II Policies and Procedures for Dent
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$25.25since 2023-01-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid Dental Fee Schedule
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$23.00since 2017-07-01——Paid by the state, outside plans—SCDHHS Dental Fee Schedule (Schedule upd
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$22.39since 2026-07-01——Plans negotiate; applies out of network—Dental General Fee Schedule (AHCA Update
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$20.15since 2010-10-01——Paid by the state, outside plans—DMAS procedure fee file dental.csv
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$20.00since 2025-10-01——Not classified—Dental Fee Schedule (REF-0128-Q)
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$17.37since 2022-01-01——Paid by the state, outside plans—ForwardHealth max fee schedule: Dental (
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$16.94since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$15.95since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #14 CLINIC (C
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal Dental (fee-for-service, Schedule of Maximum Allowances)$15.00since 2016-10-06——Paid by the state, outside plans—Medi-Cal Dental Schedule of Maximum Allo
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$12.22since 2002-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule

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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for D0120?

It depends on the state. Of the 27 states with a published fee-for-service rate, the median is $29.40. Missouri pays the most ($48.80) and Minnesota the least ($12.22).

Which state pays the highest Medicaid rate for D0120?

Missouri, at $48.80, effective 2022-07-01.

Do managed-care plans pay the same rate for D0120?

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 table shows the rule for each state, cited to the contract or statute.

Related Dental codes

Track D0120 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state