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D6245 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $597.67 for D6245 across 14 states, from $40.00 in California to $1,029.60 in Missouri.

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

States publishing
14
National median
$597.67units vary by state
Lowest
$40.00California
Highest
$1,029.60Missouri

What does Medicaid pay for D6245?

14 state Medicaid programs publish a fee-for-service rate for D6245. The national median is $597.67 (units differ between states). Missouri pays the most, $1,029.60, and California the least, $40.00 per percent of SMA, a 25.7x spread.

D6245 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 14 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Missouri Source · since 2022-07-01$1,029.60——Plans must pay at least this—
2North Dakota Source · since 2026-07-01$939.80——Not classified—
3South Dakota Source · since 2026-07-01$857.44——Not classified—
7Maine Source · since 2025-07-01$598.58——Not classified—
8Montana Source · since 2025-07-01$596.75——Not classified—
9Alabama Source · since 2025-10-01$537.60——Not classified—
13Texas Source · since 2025-09-01$252.25——Plans negotiate; applies out of network—
14California Source · since 2018-07-01$40.00percent of SMA—Paid by the state, outside plans—
See all 14 states for D6245 — start free

6 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 D6245 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 D6245?

It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $597.67. Missouri pays the most ($1,029.60) and California the least ($40.00 per percent of SMA).

Which state pays the highest Medicaid rate for D6245?

Missouri, at $1,029.60, effective 2022-07-01.

Do managed-care plans pay the same rate for D6245?

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.