D5991 Medicaid reimbursement rate by state (2026)
Dental services. Medicaid pays a median of $121.35 for D5991 across 7 states, from $36.30 in New Jersey to $278.64 in Delaware.
- States publishing
- 7
- National median
- $121.35units vary by state
- Lowest
- $36.30New Jersey
- Highest
- $278.64Delaware
What does Medicaid pay for D5991?
7 state Medicaid programs publish a fee-for-service rate for D5991. The national median is $121.35 (units differ between states). Delaware pays the most, $278.64, and New Jersey the least, $36.30, a 7.7x spread.
D5991 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.
Frequently asked questions
What does Medicaid pay for D5991?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $121.35. Delaware pays the most ($278.64) and New Jersey the least ($36.30).
Which state pays the highest Medicaid rate for D5991?
Delaware, at $278.64, effective 2026-04-01.
Do managed-care plans pay the same rate for D5991?
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.