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D2991 Medicaid reimbursement rates by state

Dental services. 5 state Medicaid programs publish a fee-for-service rate for D2991. Rates run from $36.30 in New Jersey to $70.00 in Georgia, with a median of $59.84.

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

States publishing
5
Median rate
$59.84units vary by state
Highest
$70.00Georgia
Medicare (non-facility)
—not on the physician fee schedule

D2991 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
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$70.00since 2026-10-01——Plans negotiate; applies out of network—Part II Policies and Procedures for Dent
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$70.00since 2024-01-01——Not classified—CMAP fee schedule: 10/1/2026 Adult Denta
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$59.84since 2026-04-01——Plans negotiate; applies out of network—BMS 2026 Dental Fee Schedule Effective 4
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$58.50since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus dental fee schedu
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$36.30since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS

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 D2991?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $59.84. Georgia pays the most ($70.00) and New Jersey the least ($36.30).

Which state pays the highest Medicaid rate for D2991?

Georgia, at $70.00, effective 2026-10-01.

Do managed-care plans pay the same rate for D2991?

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 D2991 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state