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Billing code D6103 · Dental

D6103 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $373.16 for D6103 across 6 states, from $202.00 in New York to $992.53 in Colorado.

Data as of Oct 5, 20266 statesEvery rate links to its official source

States publishing
6
National median
$373.16units vary by state
Lowest
$202.00New York
Highest
$992.53Colorado
Answer

What does Medicaid pay for D6103?

6 state Medicaid programs publish a fee-for-service rate for D6103. The national median is $373.16 (units differ between states). Colorado pays the most, $992.53, and New York the least, $202.00, a 4.9x spread.

State ranking

D6103 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Colorado Source · since 2026-07-01$992.53——Paid by the state, outside plans—
2District of Columbia Source · since 2025-10-01$636.54——Not classified—
3Vermont Source · since 2023-07-01$430.50——Not classified—
6New York Source · since 2023-01-01$202.00——Plans negotiate; applies out of network—
See all 6 states for D6103 — 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 D6103 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 D6103?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $373.16. Colorado pays the most ($992.53) and New York the least ($202.00).

Which state pays the highest Medicaid rate for D6103?

Colorado, at $992.53, effective 2026-07-01.

Do managed-care plans pay the same rate for D6103?

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.