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D3430 Medicaid reimbursement rates by state

Dental services. 29 state Medicaid programs publish a fee-for-service rate for D3430 at the physician psychologist level. Rates run from $9.08 in New Jersey to $341.25 in Delaware, with a median of $118.56.

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

States publishing
29
Median rate
$118.56units vary by state
Highest
$341.25Delaware
Medicare (non-facility)
—not on the physician fee schedule

D3430 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)$341.25since 2026-04-01——Not classified—DMAP 2026 Dental Fee Schedule
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$297.58since 2026-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$264.00since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Dental
ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons with developmental disabilities (DD)$207.95since 2026-07-01——Paid by the state, outside plans—HCBS-DD and SLS Waiver Dental Services f
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$186.57since 2013-07-01——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)$181.60since 2023-10-01——Paid by the state, outside plans—2026 Fee Schedule - Covered Procedures R
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$177.08since 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)$174.04since 2025-04-21——Plans must pay at least this—Louisiana Medicaid Dental Program Fee Sc
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$150.00since 2023-07-01——Not classified—Vermont Medicaid Fee Schedule - HCPCS (i
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$145.00since 2026-01-01——Plans must pay at least this—MDHHS Dental Fee Schedule database, Janu
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$145.00since 2025-10-01——Not classified—Dental Fee Schedule (REF-0128-Q)
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$134.10since 2023-01-01——Plans negotiate; applies out of network—KY Medicaid Dental fee schedule (2023Den
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$132.21since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Dental Codes fee sch
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$123.02since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Dental r
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$118.56since 2025-07-01——Not classified—Montana Healthcare Programs fee schedule
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$116.38since 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)$105.00since 1993-04-01——Paid by the state, outside plans—RI Medicaid Interactive Fee For Service
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid dental (Maryland Healthy Smiles, fee-for-service through the dental ASO)$100.00since 2023-08-01——Paid by the state, outside plans—2026 CDT Fee Schedule - Section 508 Comp
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$91.47since 2024-01-01——Plans must pay at least this—SoonerCare Dental Fee Schedule
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
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$64.58since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$61.35since 2010-10-01——Paid by the state, outside plans—DMAS procedure fee file dental.csv
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$59.16since 2000-08-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$50.50since 2023-01-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid Dental Fee Schedule
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
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$40.00since 1987-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$38.86since 2022-01-01——Paid by the state, outside plans—ForwardHealth max fee schedule: Dental (
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$37.32since 2026-07-01——Plans negotiate; applies out of network—Dental General Fee Schedule (AHCA Update
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$9.08since 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 D3430?

It depends on the state. Of the 29 states with a published fee-for-service rate, the median is $118.56. Delaware pays the most ($341.25) and New Jersey the least ($9.08).

Which state pays the highest Medicaid rate for D3430?

Delaware, at $341.25, effective 2026-04-01.

Do managed-care plans pay the same rate for D3430?

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 D3430 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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