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D6752 Medicaid reimbursement rates by state

Dental services. 12 state Medicaid programs publish a fee-for-service rate for D6752. Rates run from $159.95 in Illinois to $1,202.11 in Colorado, with a median of $410.68.

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

States publishing
12
Median rate
$410.68units vary by state
Highest
$1,202.11Colorado
Medicare (non-facility)
—not on the physician fee schedule

D6752 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
ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons with developmental disabilities (DD)$1,202.11since 2026-07-01——Paid by the state, outside plans—HCBS-DD and SLS Waiver Dental Services f
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$990.40since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Dental
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$678.57since 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)$505.00since 2023-01-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid Dental Fee Schedule
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$500.00since 2010-10-01——Paid by the state, outside plans—DMAS procedure fee file dental.csv
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$412.00since 2023-01-01——Plans negotiate; applies out of network—KY Medicaid Dental fee schedule (2023Den
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$409.36since 2000-08-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$362.25since 2025-10-01——Not classified—Dental Fee Schedule (REF-0128-Q)
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$334.08since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #14 CLINIC (C
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$306.13since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$252.25since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Denta
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$159.95since 2015-07-01——Plans negotiate; applies out of network—HFS [[' HFS Dental Program Fee Schedule

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 D6752?

It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $410.68. Colorado pays the most ($1,202.11) and Illinois the least ($159.95).

Which state pays the highest Medicaid rate for D6752?

Colorado, at $1,202.11, effective 2026-07-01.

Do managed-care plans pay the same rate for D6752?

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 D6752 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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