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D6058 Medicaid reimbursement rates by state

Dental services. 5 state Medicaid programs publish a fee-for-service rate for D6058. Rates run from $755.89 in Iowa to $1,076.11 in Kentucky, with a median of $988.00.

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

States publishing
5
Median rate
$988.00units vary by state
Highest
$1,076.11Kentucky
Medicare (non-facility)
—not on the physician fee schedule

D6058 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$1,076.11since 2023-01-01——Plans negotiate; applies out of network—KY Medicaid Dental fee schedule (2023Den
ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons with developmental disabilities (DD)$1,026.49since 2026-07-01——Paid by the state, outside plans—HCBS-DD and SLS Waiver Dental Services f
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$988.00since 2026-01-01——Plans negotiate; applies out of network—MDHHS Oral Maxillofacial Surgeon Fee Sch
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$808.00since 2023-01-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid Dental Fee Schedule
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$755.89since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #14 CLINIC (C

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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for D6058?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $988.00. Kentucky pays the most ($1,076.11) and Iowa the least ($755.89).

Which state pays the highest Medicaid rate for D6058?

Kentucky, at $1,076.11, effective 2023-01-01.

Do managed-care plans pay the same rate for D6058?

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 table shows the rule for each state, cited to the contract or statute.

Related Dental codes

Track D6058 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state