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Billing code D7680 · Dental

D7680 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $2,275.63 for D7680 across 14 states, from $606.75 in New Mexico to $5,242.72 in Colorado.

Data as of Oct 5, 202614 statesEvery rate links to its official source

States publishing
14
National median
$2,275.63units vary by state
Lowest
$606.75New Mexico
Highest
$5,242.72Colorado
Answer

What does Medicaid pay for D7680?

14 state Medicaid programs publish a fee-for-service rate for D7680. The national median is $2,275.63 (units differ between states). Colorado pays the most, $5,242.72, and New Mexico the least, $606.75, a 8.6x spread.

State ranking

D7680 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 14 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Colorado Source · since 2026-07-01$5,242.72——Paid by the state, outside plans—
2Indiana Source · since 2015-08-01$5,088.00unit—Plans must pay at least this—
3Mississippi Source · since 2014-07-01$3,820.42——Plans must pay at least this—
7Wisconsin Source · since 2022-01-01$2,526.80——Paid by the state, outside plans—
8Missouri Source · since 2025-03-01$2,024.45——Plans must pay at least this—
9West Virginia Source · since 2026-04-01$1,535.81——Plans negotiate; applies out of network—
13Virginia Source · since 2004-01-01$706.32——Paid by the state, outside plans—
14New Mexico Source · since 2025-01-01$606.75——Plans must pay at least this—
See all 14 states for D7680 — start free

6 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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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.

Track D7680 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for D7680?

It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $2,275.63. Colorado pays the most ($5,242.72) and New Mexico the least ($606.75).

Which state pays the highest Medicaid rate for D7680?

Colorado, at $5,242.72, effective 2026-07-01.

Do managed-care plans pay the same rate for D7680?

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.