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D3470 Medicaid reimbursement rates by state

Dental services. 5 state Medicaid programs publish a fee-for-service rate for D3470. Rates run from $119.44 in Texas to $1,314.33 in Colorado, with a median of $386.30.

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

States publishing
5
Median rate
$386.30units vary by state
Highest
$1,314.33Colorado
Medicare (non-facility)
—not on the physician fee schedule

D3470 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)$1,314.33⚠ over 3× mediansince 2026-07-01——Paid by the state, outside plans—HCBS-DD and SLS Waiver Dental Services f
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid dental (Maryland Healthy Smiles, fee-for-service through the dental ASO)$629.00since 2023-08-01——Paid by the state, outside plans—2026 CDT Fee Schedule - Section 508 Comp
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$386.30since 2023-10-01——Paid by the state, outside plans—2026 Fee Schedule - Covered Procedures R
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$202.31since 2023-04-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$119.44since 2018-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Denta

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 D3470?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $386.30. Colorado pays the most ($1,314.33) and Texas the least ($119.44).

Which state pays the highest Medicaid rate for D3470?

Colorado, at $1,314.33, effective 2026-07-01.

Do managed-care plans pay the same rate for D3470?

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 D3470 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state