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Billing code D5751 · Dental

D5751 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $219.61 for D5751 across 42 states, from $108.90 in New Jersey to $528.38 in Delaware.

Data as of Oct 5, 202642 statesEvery rate links to its official source

States publishing
42
National median
$219.61units vary by state
Lowest
$108.90New Jersey
Highest
$528.38Delaware
Answer

What does Medicaid pay for D5751?

42 state Medicaid programs publish a fee-for-service rate for D5751. The national median is $219.61 (units differ between states). Delaware pays the most, $528.38, and New Jersey the least, $108.90, a 4.9x spread.

State ranking

D5751 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 42 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Delaware Source · since 2026-04-01$528.38——Not classified—
2Missouri Source · since 2022-07-01$433.60——Plans must pay at least this—
3Colorado Source · since 2026-07-01$414.29——Paid by the state, outside plans—
21Hawaii Source · since 2024-03-04$224.22——Paid by the state, outside plans—
22Rhode Island Source · since 2022-07-01$215.00——Paid by the state, outside plans—
23New Mexico Source · since 2025-01-01$204.23——Plans must pay at least this—
41Texas Source · since 2025-09-01$113.47——Plans negotiate; applies out of network—
42New Jersey Source · since 2026-07-01$108.90——Not classified—
See all 42 states for D5751 — start free

34 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track D5751 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for D5751?

It depends on the state. Of the 42 states with a published fee-for-service rate, the median is $219.61. Delaware pays the most ($528.38) and New Jersey the least ($108.90).

Which state pays the highest Medicaid rate for D5751?

Delaware, at $528.38, effective 2026-04-01.

Do managed-care plans pay the same rate for D5751?

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.