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D3460 Medicaid reimbursement rates by state

Dental services. 5 state Medicaid programs publish a fee-for-service rate for D3460 at the physician psychologist level. Rates run from $14.00 in Kansas to $677.50 in Colorado, with a median of $333.64.

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

States publishing
5
Median rate
$333.64units vary by state
Highest
$677.50Colorado
Medicare (non-facility)
—not on the physician fee schedule

D3460 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)$677.50since 2024-07-01——Paid by the state, outside plans—Appendix H: DIDD and Medicaid Dental Rat
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$462.00since 2024-07-01——Paid by the state, outside plans—2026 Fee Schedule - Covered Procedures R
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$333.64since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$203.04since 2018-09-01——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$14.00since 1978-07-01——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 D3460?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $333.64. Colorado pays the most ($677.50) and Kansas the least ($14.00).

Which state pays the highest Medicaid rate for D3460?

Colorado, at $677.50, effective 2024-07-01.

Do managed-care plans pay the same rate for D3460?

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 D3460 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state