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D5958 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $853.51 for D5958 across 7 states, from $40.00 in California to $1,887.50 in Colorado.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
7
National median
$853.51units vary by state
Lowest
$40.00California
Highest
$1,887.50Colorado

What does Medicaid pay for D5958?

7 state Medicaid programs publish a fee-for-service rate for D5958. The national median is $853.51 (units differ between states). Colorado pays the most, $1,887.50, and California the least, $40.00 per percent of SMA, a 47.2x spread.

D5958 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Colorado Source · since 2026-07-01$1,887.50——Paid by the state, outside plans—
2Wisconsin Source · since 2022-01-01$1,216.08——Paid by the state, outside plans—
3Oklahoma Source · since 2024-01-01$1,158.57——Plans must pay at least this—
7California Source · since 2018-07-01$40.00percent of SMA—Paid by the state, outside plans—
See all 7 states for D5958 — start free

3 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.

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 D5958 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for D5958?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $853.51. Colorado pays the most ($1,887.50) and California the least ($40.00 per percent of SMA).

Which state pays the highest Medicaid rate for D5958?

Colorado, at $1,887.50, effective 2026-07-01.

Do managed-care plans pay the same rate for D5958?

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.