Billing code D6790 · Dental

D6790 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $527.50 for D6790 across 16 states, from $120.00 in Kansas to $1,092.87 in Colorado.

Data as of Oct 5, 202616 statesEvery rate links to its official source

Compare D6790 in all 16 states All billing codes

States publishing: 16
National median: $527.50units vary by state
Lowest: $120.00Kansas
Highest: $1,092.87Colorado

Answer

What does Medicaid pay for D6790?

16 state Medicaid programs publish a fee-for-service rate for D6790. The national median is $527.50 (units differ between states). Colorado pays the most, $1,092.87, and Kansas the least, $120.00, a 9.1x spread.

State ranking

D6790 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 16 states with every variant, modifier and effective date.

#	State	Medicaid rate	Unit	Per hour	Managed-care plans	% of Medicare
1	Colorado Source · since 2026-07-01	$1,092.87	—	—	Paid by the state, outside plans	—
2	Missouri Source · since 2022-07-01	$1,012.00	—	—	Plans must pay at least this	—
3	Vermont Source · since 2023-07-01	$924.75	—	—	Not classified	—
···
8	Rhode Island Source · since 2001-12-01	$550.00	—	—	Paid by the state, outside plans	—
9	New York Source · since 2023-01-01	$505.00	—	—	Plans negotiate; applies out of network	—
10	Virginia Source · since 2010-10-01	$500.00	—	—	Paid by the state, outside plans	—
···
15	Illinois Source · since 2015-07-01	$159.95	—	—	Plans negotiate; applies out of network	—
16	Kansas Source · since 1987-07-01	$120.00	—	—	Not classified	—

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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.

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FAQ

Frequently asked questions

What does Medicaid pay for D6790?

It depends on the state. Of the 16 states with a published fee-for-service rate, the median is $527.50. Colorado pays the most ($1,092.87) and Kansas the least ($120.00).

Which state pays the highest Medicaid rate for D6790?

Colorado, at $1,092.87, effective 2026-07-01.

Do managed-care plans pay the same rate for D6790?

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.

D6790 Medicaid reimbursement rate by state (2026)

What does Medicaid pay for D6790?

D6790 rate by state: highest, middle and lowest

Frequently asked questions

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