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D1553 Medicaid reimbursement rates by state

Dental services. 37 state Medicaid programs publish a fee-for-service rate for D1553 at the physician psychologist level. Rates run from $10.70 in Illinois to $97.60 in Delaware, with a median of $35.18.

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

States publishing
37
Median rate
$35.18units vary by state
Highest
$97.60Delaware
Medicare (non-facility)
—not on the physician fee schedule

D1553 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
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$97.60since 2026-04-01——Not classified—DMAP 2026 Dental Fee Schedule
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$77.60since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Dental
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$64.50since 2023-07-01——Not classified—Vermont Medicaid Fee Schedule - HCPCS (i
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$63.00since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$57.46since 2024-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$52.49since 2025-04-21——Plans must pay at least this—Louisiana Medicaid Dental Program Fee Sc
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$50.57since 2026-01-01——Plans must pay at least this—MDHHS Dental Fee Schedule database, Janu
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$48.85since 2025-07-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
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
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$44.82since 2026-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$44.82since 2023-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service dental$44.46since 2024-04-01——Paid by the state, outside plans—Med-QUEST Children and Adult Dental Fee
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$43.45since 2020-01-01——Plans must pay at least this—Utah Medicaid Coverage and Reimbursement
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$43.40since 2026-07-01——Not classified—South Dakota Medicaid Children Dental Se
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$39.65since 2022-07-01——Not classified—CMAP fee schedule: 10/1/2026 Adult Denta
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$39.00since 2023-04-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$36.59since 2024-01-01——Plans must pay at least this—SoonerCare Dental Fee Schedule
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$35.90since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus dental fee schedu
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$35.18since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Dental r
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$35.00since 2025-10-01——Not classified—Dental Fee Schedule (REF-0128-Q)
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$34.98since 2025-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal Dental (fee-for-service, Schedule of Maximum Allowances)$30.00since 2021-07-01——Paid by the state, outside plans—Medi-Cal Dental Schedule of Maximum Allo
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$29.33since 2026-04-01——Plans negotiate; applies out of network—BMS 2026 Dental Fee Schedule Effective 4
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$28.68since 2026-10-01——Plans negotiate; applies out of network—Part II Policies and Procedures for Dent
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$28.42since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$27.98since 2021-01-08——Paid by the state, outside plans—HCA Dental fee schedule (dental-20210108
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$27.00since 2020-01-01——Paid by the state, outside plans—RI Medicaid Interactive Fee For Service
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$25.83since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid dental (Maryland Healthy Smiles, fee-for-service through the dental ASO)$25.32since 2023-08-01——Paid by the state, outside plans—2026 CDT Fee Schedule - Section 508 Comp
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$25.27since 2022-01-01——Paid by the state, outside plans—ForwardHealth max fee schedule: Dental (
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$24.93since 2020-01-01——Plans must pay at least this—Iowa Medicaid fee schedule #14 CLINIC (C
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$21.90since 2023-07-01——Paid by the state, outside plans—2026 Fee Schedule - Covered Procedures R
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$20.16since 2026-07-01——Plans negotiate; applies out of network—Dental General Fee Schedule (AHCA Update
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$19.19since 2023-01-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid Dental Fee Schedule
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$19.00since 2022-01-01——Plans negotiate; applies out of network—KY Medicaid Dental fee schedule (2022Den
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$13.79since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Denta
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$10.70since 2020-01-01——Plans negotiate; applies out of network—HFS [[' HFS Dental Program 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 D1553?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $35.18. Delaware pays the most ($97.60) and Illinois the least ($10.70).

Which state pays the highest Medicaid rate for D1553?

Delaware, at $97.60, effective 2026-04-01.

Do managed-care plans pay the same rate for D1553?

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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Medicaid rates by state
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