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D1310 Medicaid reimbursement rates by state

Dental services. 10 state Medicaid programs publish a fee-for-service rate for D1310. Rates run from $7.09 in New Hampshire to $47.42 in Montana, with a median of $17.59.

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

States publishing
10
Median rate
$17.59units vary by state
Highest
$47.42Montana
Medicare (non-facility)
—not on the physician fee schedule

D1310 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
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$47.42since 2025-07-01——Not classified—Montana Healthcare Programs fee schedule
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal Dental (fee-for-service, Schedule of Maximum Allowances)$46.00since 2022-01-01——Paid by the state, outside plans—Medi-Cal Dental Schedule of Maximum Allo
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$26.85since 2025-07-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$21.88since 2024-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$19.53since 2025-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$15.64since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #30 SCREENING
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$12.19since 2023-04-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$10.87since 2022-05-02——Plans negotiate; applies out of network—52 Pa.B. 6117 Medical Assistance Program
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$10.84since 2024-06-01——Plans must pay at least this—MHCP Fee Schedule - Current Fee Schedule
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$7.09since 2024-07-01——Paid by the state, outside plans—2026 Fee Schedule - Covered Procedures R

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 D1310?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $17.59. Montana pays the most ($47.42) and New Hampshire the least ($7.09).

Which state pays the highest Medicaid rate for D1310?

Montana, at $47.42, effective 2025-07-01.

Do managed-care plans pay the same rate for D1310?

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 D1310 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state