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D2790 Medicaid reimbursement rates by state

Dental services. 16 state Medicaid programs publish a fee-for-service rate for D2790. Rates run from $120.00 in Kansas to $1,082.95 in Colorado, with a median of $496.41.

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

States publishing
16
Median rate
$496.41units vary by state
Highest
$1,082.95Colorado
Medicare (non-facility)
—not on the physician fee schedule

D2790 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
ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons with developmental disabilities (DD)$1,082.95since 2026-07-01——Paid by the state, outside plans—HCBS-DD and SLS Waiver Dental Services f
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$1,064.80since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Dental
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$708.00since 2026-01-01——Plans must pay at least this—MDHHS Dental Fee Schedule database, Janu
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$579.29since 2024-01-01——Plans must pay at least this—SoonerCare Dental Fee Schedule
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$553.03since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Dental r
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$534.93since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Denta
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$505.00since 2023-01-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid Dental Fee Schedule
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$500.00since 2010-10-01——Paid by the state, outside plans—DMAS procedure fee file dental.csv
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$492.81since 2023-01-01——Plans negotiate; applies out of network—KY Medicaid Dental fee schedule (2023Den
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$459.90since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$450.00since 2026-01-01——Plans negotiate; applies out of network—ODM CPT/HCPCS procedure code changes (De
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$408.87since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #14 CLINIC (C
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid dental (Maryland Healthy Smiles, fee-for-service through the dental ASO)$308.05since 2023-08-01——Paid by the state, outside plans—2026 CDT Fee Schedule - Section 508 Comp
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$169.40since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$169.19since 2023-01-01——Plans negotiate; applies out of network—HFS [[' HFS Dental Program Fee Schedule
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$120.00since 1987-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

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 D2790?

It depends on the state. Of the 16 states with a published fee-for-service rate, the median is $496.41. Colorado pays the most ($1,082.95) and Kansas the least ($120.00).

Which state pays the highest Medicaid rate for D2790?

Colorado, at $1,082.95, effective 2026-07-01.

Do managed-care plans pay the same rate for D2790?

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 D2790 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state