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D0150 Medicaid reimbursement rates by state

Dental services. 23 state Medicaid programs publish a fee-for-service rate for D0150. Rates run from $15.93 in Minnesota to $83.20 in Missouri, with a median of $40.50.

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

States publishing
23
Median rate
$40.50units vary by state
Highest
$83.20Missouri
Medicare (non-facility)
—not on the physician fee schedule

D0150 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)$83.20since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Dental
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$64.13since 2025-04-21——Plans must pay at least this—Louisiana Medicaid Dental Program Fee Sc
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$61.03since 2024-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2024-2025 Rate
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid dental (Maryland Healthy Smiles, fee-for-service through the dental ASO)$56.34since 2023-08-01——Paid by the state, outside plans—2026 CDT Fee Schedule - Section 508 Comp
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$54.14since 2026-01-01——Plans must pay at least this—MDHHS Dental Fee Schedule database, Janu
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$51.44since 2024-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$47.60since 2025-10-01——Paid by the state, outside plans—NC Medicaid fee schedule 'Federally Qual
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$46.28since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Dental r
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$44.79since 2026-10-01——Plans negotiate; applies out of network—Part II Policies and Procedures for Dent
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$44.00since 2026-07-01——Plans negotiate; applies out of network—KY Medicaid Dental fee schedule (2026Den
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$43.74since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Denta
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$40.50since 2017-07-01——Paid by the state, outside plans—SCDHHS Dental Fee Schedule (Schedule upd
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$39.03since 2025-07-01——Paid by the state, outside plans—HCA Dental fee schedule (dental-20250701
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$31.31since 2010-10-01——Paid by the state, outside plans—DMAS procedure fee file dental.csv
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$30.30since 2023-01-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid Dental Fee Schedule
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
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$26.35since 2008-07-01——Plans negotiate; applies out of network—ODM Dental CDT Procedures, effective 04/
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$26.08since 2023-01-01——Plans negotiate; applies out of network—HFS [[' HFS Dental Program Fee Schedule
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal Dental (fee-for-service, Schedule of Maximum Allowances)$25.00since 2016-10-06——Paid by the state, outside plans—Medi-Cal Dental Schedule of Maximum Allo
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$21.56since 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)$18.15since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$16.07since 2026-07-01——Plans negotiate; applies out of network—Dental General Fee Schedule (AHCA Update
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$15.93since 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 D0150?

It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $40.50. Missouri pays the most ($83.20) and Minnesota the least ($15.93).

Which state pays the highest Medicaid rate for D0150?

Missouri, at $83.20, effective 2022-07-01.

Do managed-care plans pay the same rate for D0150?

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 D0150 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state