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D2980 Medicaid reimbursement rates by state

Dental services. 13 state Medicaid programs publish a fee-for-service rate for D2980 at the physician psychologist level. Rates run from $40.00 in California to $171.92 in Colorado, with a median of $121.95.

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

States publishing
13
Median rate
$121.95units vary by state
Highest
$171.92Colorado
Medicare (non-facility)
—not on the physician fee schedule

D2980 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)$171.92since 2026-07-01——Paid by the state, outside plans—HCBS-DD and SLS Waiver Dental Services f
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$162.03since 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)$145.62since 2026-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$139.50since 2023-07-01——Not classified—Vermont Medicaid Fee Schedule - HCPCS (i
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$125.00since 2024-01-01——Plans must pay at least this—SoonerCare Dental Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$123.74since 2024-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$121.95since 2025-07-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid dental (Maryland Healthy Smiles, fee-for-service through the dental ASO)$98.11since 2023-08-01——Paid by the state, outside plans—2026 CDT Fee Schedule - Section 508 Comp
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$88.50since 2019-07-01——Plans must pay at least this—Utah Medicaid Coverage and Reimbursement
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$88.24since 2024-01-01——Plans must pay at least this—Provider Type 17, Specialty 179 - School
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$71.37since 2024-07-01——Paid by the state, outside plans—2026 Fee Schedule - Covered Procedures R
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$47.78since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Denta
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal Dental Proposition 56 supplemental payments$40.00since 2018-07-01percent of SMA—Paid by the state, outside plans—CDT Codes and SMAs for Proposition 56 Su

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 D2980?

It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $121.95. Colorado pays the most ($171.92) and California the least ($40.00 per percent of SMA).

Which state pays the highest Medicaid rate for D2980?

Colorado, at $171.92, effective 2026-07-01.

Do managed-care plans pay the same rate for D2980?

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 D2980 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state