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D1330 Medicaid reimbursement rates by state

Dental services. 13 state Medicaid programs publish a fee-for-service rate for D1330. Rates run from $7.20 in Maryland to $32.25 in Vermont, with a median of $15.29.

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

States publishing
13
Median rate
$15.29units vary by state
Highest
$32.25Vermont
Medicare (non-facility)
—not on the physician fee schedule

D1330 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
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$32.25since 2023-07-01——Not classified—Vermont Medicaid Fee Schedule - HCPCS (i
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$27.66since 2025-07-01——Not classified—Montana Healthcare Programs fee schedule
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
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$21.34since 2024-01-01——Plans must pay at least this—SoonerCare Dental Fee Schedule
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$16.04since 2024-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
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
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$15.29since 2000-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$14.24since 2026-07-01——Plans negotiate; applies out of network—Dental General Fee Schedule (AHCA Update
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$12.97since 2021-01-08——Paid by the state, outside plans—HCA Dental fee schedule (dental-20210108
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$12.25since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Denta
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
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$11.08since 2022-05-02——Plans negotiate; applies out of network—52 Pa.B. 6117 Medical Assistance Program
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid dental (Maryland Healthy Smiles, fee-for-service through the dental ASO)$7.20since 2023-08-01——Paid by the state, outside plans—2026 CDT Fee Schedule - Section 508 Comp

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 D1330?

It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $15.29. Vermont pays the most ($32.25) and Maryland the least ($7.20).

Which state pays the highest Medicaid rate for D1330?

Vermont, at $32.25, effective 2023-07-01.

Do managed-care plans pay the same rate for D1330?

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 D1330 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state