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D7295 Medicaid reimbursement rates by state

Dental services. 6 state Medicaid programs publish a fee-for-service rate for D7295 at the physician psychologist level. Rates run from $107.61 in Nevada to $689.25 in Iowa, with a median of $567.90.

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

States publishing
6
Median rate
$567.90units vary by state
Highest
$689.25Iowa
Medicare (non-facility)
—not on the physician fee schedule

D7295 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
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$689.25since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #14 CLINIC (C
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$612.20since 2024-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons with developmental disabilities (DD)$582.30since 2026-07-01——Paid by the state, outside plans—HCBS-DD and SLS Waiver Dental Services f
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$553.50since 2023-07-01——Not classified—Vermont Medicaid Fee Schedule - HCPCS (i
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$431.70since 2025-07-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$107.61since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa

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 D7295?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $567.90. Iowa pays the most ($689.25) and Nevada the least ($107.61).

Which state pays the highest Medicaid rate for D7295?

Iowa, at $689.25, effective 2013-07-01.

Do managed-care plans pay the same rate for D7295?

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 D7295 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state