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Billing code D5992 · Dental

D5992 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $55.00 for D5992 across 7 states, from $10.89 in New Jersey to $268.74 in Texas.

Data as of Oct 5, 20267 statesEvery rate links to its official source

States publishing
7
National median
$55.00units vary by state
Lowest
$10.89New Jersey
Highest
$268.74Texas
Answer

What does Medicaid pay for D5992?

7 state Medicaid programs publish a fee-for-service rate for D5992. The national median is $55.00 (units differ between states). Texas pays the most, $268.74, and New Jersey the least, $10.89, a 24.7x spread.

State ranking

D5992 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
1Texas Source · since 2018-09-01$268.74——Plans negotiate; applies out of network—
2Colorado Source · since 2026-07-01$123.49——Paid by the state, outside plans—
3Nevada Source · since 2024-01-01$86.10——Plans must pay at least this—
7New Jersey Source · since 2026-07-01$10.89——Not classified—
See all 7 states for D5992 — 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.

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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 D5992 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 D5992?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $55.00. Texas pays the most ($268.74) and New Jersey the least ($10.89).

Which state pays the highest Medicaid rate for D5992?

Texas, at $268.74, effective 2018-09-01.

Do managed-care plans pay the same rate for D5992?

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.