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D6241 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $500.00 for D6241 across 25 states, from $40.00 in California to $1,149.65 in Delaware.

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

States publishing
25
National median
$500.00units vary by state
Lowest
$40.00California
Highest
$1,149.65Delaware

What does Medicaid pay for D6241?

25 state Medicaid programs publish a fee-for-service rate for D6241. The national median is $500.00 (units differ between states). Delaware pays the most, $1,149.65, and California the least, $40.00 per percent of SMA, a 28.7x spread.

D6241 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 25 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Delaware Source · since 2026-04-01$1,149.65——Not classified—
2Colorado Source · since 2026-07-01$1,079.19——Paid by the state, outside plans—
3Missouri Source · since 2022-07-01$971.20——Plans must pay at least this—
12Maine Source · since 2025-07-01$503.54——Not classified—
13Virginia Source · since 2010-10-01$500.00——Paid by the state, outside plans—
14Wisconsin Source · since 2022-01-01$469.07——Paid by the state, outside plans—
24Illinois Source · since 2015-07-01$178.80——Plans negotiate; applies out of network—
25California Source · since 2018-07-01$40.00percent of SMA—Paid by the state, outside plans—
See all 25 states for D6241 — start free

17 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 D6241 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 D6241?

It depends on the state. Of the 25 states with a published fee-for-service rate, the median is $500.00. Delaware pays the most ($1,149.65) and California the least ($40.00 per percent of SMA).

Which state pays the highest Medicaid rate for D6241?

Delaware, at $1,149.65, effective 2026-04-01.

Do managed-care plans pay the same rate for D6241?

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.