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D7297 Medicaid reimbursement rates by state

Dental services. 6 state Medicaid programs publish a fee-for-service rate for D7297. Rates run from $90.00 in Indiana to $476.65 in Colorado, with a median of $189.60.

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

States publishing
6
Median rate
$189.60units vary by state
Highest
$476.65Colorado
Medicare (non-facility)
—not on the physician fee schedule

D7297 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)$476.65since 2026-07-01——Paid by the state, outside plans—HCBS-DD and SLS Waiver Dental Services f
North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service)$341.18since 2026-07-01——Not classified—ND Medicaid Dental Services Fee Schedule
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$202.19since 2018-01-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$177.00since 2019-07-01——Plans must pay at least this—MO HealthNet fee schedule: Dental
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$176.15since 2026-07-01——Plans negotiate; applies out of network—Dental General Fee Schedule (AHCA Update
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$90.00since 2018-01-01percent of billed charges—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd

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 D7297?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $189.60. Colorado pays the most ($476.65) and Indiana the least ($90.00 per percent of billed charges).

Which state pays the highest Medicaid rate for D7297?

Colorado, at $476.65, effective 2026-07-01.

Do managed-care plans pay the same rate for D7297?

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 D7297 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state