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D6753 Medicaid reimbursement rates by state

Dental services. 5 state Medicaid programs publish a fee-for-service rate for D6753. Rates run from $159.95 in Illinois to $1,020.80 in Missouri, with a median of $505.00.

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

States publishing
5
Median rate
$505.00units vary by state
Highest
$1,020.80Missouri
Medicare (non-facility)
—not on the physician fee schedule

D6753 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
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$1,020.80since 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)$748.08since 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
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$419.84since 2020-01-01——Plans must pay at least this—Iowa Medicaid fee schedule #14 CLINIC (C
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$159.95since 2020-01-01——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 D6753?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $505.00. Missouri pays the most ($1,020.80) and Illinois the least ($159.95).

Which state pays the highest Medicaid rate for D6753?

Missouri, at $1,020.80, effective 2022-07-01.

Do managed-care plans pay the same rate for D6753?

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 D6753 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state