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D3472 Medicaid reimbursement rates by state

Dental services. 6 state Medicaid programs publish a fee-for-service rate for D3472. Rates run from $90.00 in Indiana to $357.86 in Arizona, with a median of $110.07.

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

States publishing
6
Median rate
$110.07units vary by state
Highest
$357.86Arizona
Medicare (non-facility)
—not on the physician fee schedule

D3472 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
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$357.86since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Dental r
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$239.93since 2021-01-01——Plans must pay at least this—MO HealthNet fee schedule: Dental
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$120.13since 2021-01-01——Plans must pay at least this—Iowa Medicaid fee schedule #14 CLINIC (C
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal Dental (fee-for-service, Schedule of Maximum Allowances)$100.00since 2021-10-01——Paid by the state, outside plans—Medi-Cal Dental Schedule of Maximum Allo
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$95.59since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$90.00since 2021-01-01percent of billed charges—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd

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 D3472?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $110.07. Arizona pays the most ($357.86) and Indiana the least ($90.00 per percent of billed charges).

Which state pays the highest Medicaid rate for D3472?

Arizona, at $357.86, effective 2026-10-01.

Do managed-care plans pay the same rate for D3472?

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 D3472 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state