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Billing code D2160 · Dental

D2160 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $108.21 for D2160 across 46 states, from $40.00 in California to $311.33 in Delaware.

Data as of Oct 5, 202646 statesEvery rate links to its official source

States publishing
46
National median
$108.21units vary by state
Lowest
$40.00California
Highest
$311.33Delaware
Answer

What does Medicaid pay for D2160?

46 state Medicaid programs publish a fee-for-service rate for D2160. The national median is $108.21 (units differ between states). Delaware pays the most, $311.33, and California the least, $40.00 per percent of SMA, a 7.8x spread.

State ranking

D2160 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 46 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Delaware Source · since 2026-04-01$311.33——Not classified—
2Missouri Source · since 2022-07-01$202.40——Plans must pay at least this—
3Colorado Source · since 2024-07-01$172.40——Plans negotiate; applies out of network—
23Maryland Source · since 2023-08-01$109.72——Paid by the state, outside plans—
24Montana Source · since 2025-07-01$106.70——Not classified—
25Kentucky Source · since 2026-07-01$105.00——Plans negotiate; applies out of network—
45New Jersey Source · since 2026-07-01$49.61——Not classified—
46California Source · since 2018-07-01$40.00percent of SMA—Paid by the state, outside plans—
See all 46 states for D2160 — start free

38 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track D2160 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for D2160?

It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $108.21. Delaware pays the most ($311.33) and California the least ($40.00 per percent of SMA).

Which state pays the highest Medicaid rate for D2160?

Delaware, at $311.33, effective 2026-04-01.

Do managed-care plans pay the same rate for D2160?

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.