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D1208 Medicaid reimbursement rates by state

Dental services. 30 state Medicaid programs publish a fee-for-service rate for D1208 at the physician psychologist level. Rates run from $8.00 in California to $35.20 in Missouri, with a median of $20.98.

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

States publishing
30
Median rate
$20.98units vary by state
Highest
$35.20Missouri
Medicare (non-facility)
—not on the physician fee schedule

D1208 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)$35.20since 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)$32.48since 2026-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$29.48since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (ODM workbo
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$28.42since 2016-09-01——Not classified—CMAP fee schedule: 10/1/2026 Pediatric D
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$27.30since 2023-01-01——Plans negotiate; applies out of network—HFS [[' HFS Dental Program Fee Schedule
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$27.29since 2026-01-01——Plans must pay at least this—MDHHS Dental Fee Schedule database, Janu
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$27.00since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus dental fee schedu
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$26.40since 2025-04-21——Plans must pay at least this—Louisiana Medicaid Dental Program Fee Sc
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$26.09since 2026-07-01——Plans negotiate; applies out of network—Dental General Fee Schedule (AHCA Update
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$25.49since 2024-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$24.44since 2026-08-10——Not classified—Arkansas Medicaid Dental Fee Schedule (R
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$24.35since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid dental (Maryland Healthy Smiles, fee-for-service through the dental ASO)$24.26since 2023-08-01——Paid by the state, outside plans—2026 CDT Fee Schedule - Section 508 Comp
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$21.41since 2025-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$21.16since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Denta
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$20.79since 2013-01-01——Paid by the state, outside plans—DMAS procedure fee file dental.csv
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$20.03since 2026-10-01——Plans negotiate; applies out of network—Part II Policies and Procedures for Dent
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$19.00since 2024-07-01——Paid by the state, outside plans—SCDHHS Dental Fee Schedule (Schedule upd
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$18.75since 2021-01-01——Plans negotiate; applies out of network—KY Medicaid Dental fee schedule (2021Den
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$18.48since 2026-01-01——Paid by the state, outside plans—HCA Dental fee schedule (dental-20260101
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$18.05since 2022-01-01——Paid by the state, outside plans—ForwardHealth max fee schedule: Dental (
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$17.64since 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)$16.74since 2026-07-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Dental r
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$15.24since 2024-01-01——Plans must pay at least this—SoonerCare Dental Fee Schedule
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$15.00since 2025-10-01——Not classified—Dental Fee Schedule (REF-0128-Q)
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$14.33since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$14.14since 2023-01-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid Dental Fee Schedule
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$13.81since 2013-03-12——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$12.10since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal Dental (fee-for-service, Schedule of Maximum Allowances)$8.00since 2019-06-01——Paid by the state, outside plans—Medi-Cal Dental Schedule of Maximum Allo

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 D1208?

It depends on the state. Of the 30 states with a published fee-for-service rate, the median is $20.98. Missouri pays the most ($35.20) and California the least ($8.00).

Which state pays the highest Medicaid rate for D1208?

Missouri, at $35.20, effective 2022-07-01.

Do managed-care plans pay the same rate for D1208?

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

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