D4920 Medicaid reimbursement rate by state (2026)
Dental services. Medicaid pays a median of $45.00 for D4920 across 14 states, from $10.00 in Kansas to $115.58 in Delaware.
- States publishing
- 14
- National median
- $45.00units vary by state
- Lowest
- $10.00Kansas
- Highest
- $115.58Delaware
What does Medicaid pay for D4920?
14 state Medicaid programs publish a fee-for-service rate for D4920. The national median is $45.00 (units differ between states). Delaware pays the most, $115.58, and Kansas the least, $10.00, a 11.6x spread.
D4920 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 14 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for D4920?
It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $45.00. Delaware pays the most ($115.58) and Kansas the least ($10.00).
Which state pays the highest Medicaid rate for D4920?
Delaware, at $115.58, effective 2026-04-01.
Do managed-care plans pay the same rate for D4920?
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 workspace shows the rule for each state, cited to the contract or statute.