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Billing code D5899 · Dental

D5899 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $90.00 for D5899 across 5 states, from $21.53 in Nevada to $489.30 in South Dakota.

Data as of Oct 5, 20265 statesEvery rate links to its official source

States publishing
5
National median
$90.00units vary by state
Lowest
$21.53Nevada
Highest
$489.30South Dakota
Answer

What does Medicaid pay for D5899?

5 state Medicaid programs publish a fee-for-service rate for D5899. The national median is $90.00 (units differ between states). South Dakota pays the most, $489.30, and Nevada the least, $21.53, a 22.7x spread.

State ranking

D5899 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1South Dakota Source · since 2026-07-01$489.30——Not classified—
2Colorado Source · since 2026-07-01$462.03——Paid by the state, outside plans—
3Washington Source · since 2025-07-01$90.00——Paid by the state, outside plans—
See all 5 states for D5899 — start free

2 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 D5899 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 D5899?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $90.00. South Dakota pays the most ($489.30) and Nevada the least ($21.53).

Which state pays the highest Medicaid rate for D5899?

South Dakota, at $489.30, effective 2026-07-01.

Do managed-care plans pay the same rate for D5899?

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.