D4283 Medicaid reimbursement rates by state
Dental services. 5 state Medicaid programs publish a fee-for-service rate for D4283. Rates run from $65.70 in Texas to $973.97 in Colorado, with a median of $270.00.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $270.00units vary by state
- Highest
- $973.97Colorado
- Medicare (non-facility)
- —not on the physician fee schedule
D4283 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons with developmental disabilities (DD) | $973.97⚠ over 3× mediansince 2026-07-01 | — | — | Paid by the state, outside plans | — | HCBS-DD and SLS Waiver Dental Services f |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $805.60since 2022-07-01 | — | — | Plans must pay at least this | — | MO HealthNet fee schedule: Dental |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $270.00since 2019-10-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth interactive max fee schedu |
| New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service) | $202.00since 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) | $65.70since 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 D4283?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $270.00. Colorado pays the most ($973.97) and Texas the least ($65.70).
Which state pays the highest Medicaid rate for D4283?
Colorado, at $973.97, effective 2026-07-01.
Do managed-care plans pay the same rate for D4283?
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.