D5228 Medicaid reimbursement rate by state (2026)
Dental services. Medicaid pays a median of $724.81 for D5228 across 10 states, from $90.00 in Indiana to $1,908.59 in North Dakota.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 10
- National median
- $724.81units vary by state
- Lowest
- $90.00Indiana
- Highest
- $1,908.59North Dakota
What does Medicaid pay for D5228?
10 state Medicaid programs publish a fee-for-service rate for D5228. The national median is $724.81 (units differ between states). North Dakota pays the most, $1,908.59, and Indiana the least, $90.00 per percent of billed charges, a 21.2x spread.
D5228 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 10 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for D5228?
It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $724.81. North Dakota pays the most ($1,908.59) and Indiana the least ($90.00 per percent of billed charges).
Which state pays the highest Medicaid rate for D5228?
North Dakota, at $1,908.59, effective 2026-07-01.
Do managed-care plans pay the same rate for D5228?
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.