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D4341 Medicaid reimbursement rates by state

Dental services. 38 state Medicaid programs publish a fee-for-service rate for D4341 at the physician psychologist level. Rates run from $29.67 in Washington to $240.49 in Colorado, with a median of $123.56.

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

States publishing
38
Median rate
$123.56units vary by state
Highest
$240.49Colorado
Medicare (non-facility)
—not on the physician fee schedule

D4341 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)$240.49since 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)$238.40since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Dental
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$223.00since 2024-01-01——Not classified—CMAP fee schedule: 10/1/2026 Adult Denta
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$197.60since 2025-07-01——Not classified—Montana Healthcare Programs fee schedule
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$192.75since 2023-07-01——Not classified—Vermont Medicaid Fee Schedule - HCPCS (i
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$192.65since 2024-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$187.89since 2026-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$173.66since 2026-04-01——Plans negotiate; applies out of network—BMS 2026 Dental Fee Schedule Effective 4
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$170.00since 2026-01-01——Plans must pay at least this—MDHHS Dental Fee Schedule database, Janu
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$169.58since 2026-08-10——Not classified—Arkansas Medicaid Dental Fee Schedule (R
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$167.46since 2025-07-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$158.85since 2025-04-21——Plans must pay at least this—Louisiana Medicaid Dental Program Fee Sc
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$152.44since 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)$146.11since 2019-07-01——Plans must pay at least this—Utah Medicaid Coverage and Reimbursement
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$144.28since 2026-10-01——Plans negotiate; applies out of network—Part II Policies and Procedures for Dent
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$144.10since 2024-07-01——Paid by the state, outside plans—2026 Fee Schedule - Covered Procedures R
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$135.26since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$129.15since 2025-10-01——Not classified—Dental Fee Schedule (REF-0128-Q)
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$125.12since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Dental Codes fee sch
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$122.00since 2015-07-01——Plans negotiate; applies out of network—HFS [[' HFS Dental Program Fee Schedule
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$111.34since 2026-07-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Dental r
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$110.54since 2014-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$108.06since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$107.27since 2025-10-01——Paid by the state, outside plans—NC Medicaid fee schedule 'Federally Qual
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$99.72since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #14 CLINIC (C
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$95.99since 2016-01-01——Plans negotiate; applies out of network—ODM Dental CDT Procedures, effective 04/
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$94.09since 2022-01-01——Paid by the state, outside plans—ForwardHealth max fee schedule: Dental (
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$93.14since 2010-10-01——Paid by the state, outside plans—DMAS procedure fee file dental.csv
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid dental (Maryland Healthy Smiles, fee-for-service through the dental ASO)$90.00since 2023-08-01——Paid by the state, outside plans—2026 CDT Fee Schedule - Section 508 Comp
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$86.15since 2004-07-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$85.46since 2025-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$78.00since 2021-01-01——Plans negotiate; applies out of network—KY Medicaid Dental fee schedule (2021Den
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$53.75since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Denta
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal Dental (fee-for-service, Schedule of Maximum Allowances)$50.00since 2014-06-01——Paid by the state, outside plans—Medi-Cal Dental Schedule of Maximum Allo
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$45.45since 2023-01-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid Dental Fee Schedule
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$41.75since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$29.86since 2026-07-01——Plans negotiate; applies out of network—Dental General Fee Schedule (AHCA Update
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$29.67since 2025-07-01——Paid by the state, outside plans—HCA Dental fee schedule (dental-20250701

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 D4341?

It depends on the state. Of the 38 states with a published fee-for-service rate, the median is $123.56. Colorado pays the most ($240.49) and Washington the least ($29.67).

Which state pays the highest Medicaid rate for D4341?

Colorado, at $240.49, effective 2026-07-01.

Do managed-care plans pay the same rate for D4341?

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 D4341 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state