Billing code D7111 · Dental

D7111 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $57.08 for D7111 across 42 states, from $0.25 in Kansas to $165.12 in Delaware.

Data as of Oct 5, 202642 statesEvery rate links to its official source

Compare D7111 in all 42 states All billing codes

States publishing: 42
National median: $57.08units vary by state
Lowest: $0.25Kansas
Highest: $165.12Delaware

Answer

What does Medicaid pay for D7111?

42 state Medicaid programs publish a fee-for-service rate for D7111. The national median is $57.08 (units differ between states). Delaware pays the most, $165.12, and Kansas the least, $0.25, a 660.5x spread.

State ranking

D7111 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 42 states with every variant, modifier and effective date.

#	State	Medicaid rate	Unit	Per hour	Managed-care plans	% of Medicare
1	Delaware Source · since 2026-04-01	$165.12	—	—	Not classified	—
2	Alaska Source · since 2025-07-01	$117.78	—	—	Not classified	—
3	South Dakota Source · since 2026-07-01	$104.61	—	—	Not classified	—
···
21	New Hampshire Source · since 2023-10-01	$58.50	—	—	Paid by the state, outside plans	—
22	Wisconsin Source · since 2022-01-01	$55.66	—	—	Paid by the state, outside plans	—
23	North Carolina Source · since 2025-10-01	$55.01	—	—	Paid by the state, outside plans	—
···
41	Texas Source · since 2026-09-01	$12.17	—	—	Plans negotiate; applies out of network	—
42	Kansas Source · since 2003-01-01	$0.25	—	—	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 D7111?

It depends on the state. Of the 42 states with a published fee-for-service rate, the median is $57.08. Delaware pays the most ($165.12) and Kansas the least ($0.25).

Which state pays the highest Medicaid rate for D7111?

Delaware, at $165.12, effective 2026-04-01.

Do managed-care plans pay the same rate for D7111?

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.

D7111 Medicaid reimbursement rate by state (2026)

What does Medicaid pay for D7111?

D7111 rate by state: highest, middle and lowest

Frequently asked questions

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