D0604 Medicaid reimbursement rate by state (2026)
Dental services. Medicaid pays a median of $39.88 for D0604 across 7 states, from $3.90 in District of Columbia to $52.56 in Maine.
- States publishing
- 7
- National median
- $39.88units vary by state
- Lowest
- $3.90District of Columbia
- Highest
- $52.56Maine
What does Medicaid pay for D0604?
7 state Medicaid programs publish a fee-for-service rate for D0604. The national median is $39.88 (units differ between states). Maine pays the most, $52.56, and District of Columbia the least, $3.90, a 13.5x spread.
D0604 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for D0604?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $39.88. Maine pays the most ($52.56) and District of Columbia the least ($3.90).
Which state pays the highest Medicaid rate for D0604?
Maine, at $52.56, effective 2025-07-01.
Do managed-care plans pay the same rate for D0604?
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.