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Billing code D5765 · Dental

D5765 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $159.14 for D5765 across 15 states, from $87.89 in Arizona to $596.39 in North Dakota.

Data as of Oct 5, 202615 statesEvery rate links to its official source

States publishing
15
National median
$159.14units vary by state
Lowest
$87.89Arizona
Highest
$596.39North Dakota
Answer

What does Medicaid pay for D5765?

15 state Medicaid programs publish a fee-for-service rate for D5765. The national median is $159.14 (units differ between states). North Dakota pays the most, $596.39, and Arizona the least, $87.89, a 6.8x spread.

State ranking

D5765 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 15 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$596.39——Not classified—
2Colorado Source · since 2026-07-01$434.91——Paid by the state, outside plans—
3South Dakota Source · since 2026-07-01$324.80——Not classified—
7New Hampshire Source · since 2024-07-01$195.00——Paid by the state, outside plans—
8District of Columbia Source · since 2025-10-01$159.14——Not classified—
9Missouri Source · since 2022-01-01$151.30——Plans must pay at least this—
14Indiana Source · since 2022-01-01$90.00percent of billed charges—Plans must pay at least this—
15Arizona Source · since 2026-07-01$87.89——Plans negotiate; applies out of network—
See all 15 states for D5765 — start free

7 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 D5765 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 D5765?

It depends on the state. Of the 15 states with a published fee-for-service rate, the median is $159.14. North Dakota pays the most ($596.39) and Arizona the least ($87.89).

Which state pays the highest Medicaid rate for D5765?

North Dakota, at $596.39, effective 2026-07-01.

Do managed-care plans pay the same rate for D5765?

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.