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D7720 Medicaid reimbursement rates by state

Dental services. 12 state Medicaid programs publish a fee-for-service rate for D7720. Rates run from $40.00 in California to $2,723.99 in Colorado, with a median of $596.55.

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

States publishing
12
Median rate
$596.55units vary by state
Highest
$2,723.99Colorado
Medicare (non-facility)
—not on the physician fee schedule

D7720 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)$2,723.99since 2026-07-01——Paid by the state, outside plans—HCBS-DD and SLS Waiver Dental Services f
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$1,659.35since 2022-01-01——Paid by the state, outside plans—ForwardHealth max fee schedule: Dental (
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$1,292.76since 2025-10-01——Paid by the state, outside plans—NC Medicaid fee schedule 'Federally Qual
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$1,171.08since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Dental r
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$1,043.86since 2025-03-01——Plans must pay at least this—MO HealthNet fee schedule: Dental
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$706.35since 2015-07-01——Plans negotiate; applies out of network—HFS [[' HFS Dental Program Fee Schedule
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$486.75since 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)$435.25since 2014-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$333.17since 2004-01-01——Paid by the state, outside plans—DMAS procedure fee file dental.csv
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$200.86since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$131.32since 2016-09-01——Not classified—CMAP fee schedule: 10/1/2026 Pediatric D
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal Dental Proposition 56 supplemental payments$40.00since 2018-07-01percent of SMA—Paid by the state, outside plans—CDT Codes and SMAs for Proposition 56 Su

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 D7720?

It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $596.55. Colorado pays the most ($2,723.99) and California the least ($40.00 per percent of SMA).

Which state pays the highest Medicaid rate for D7720?

Colorado, at $2,723.99, effective 2026-07-01.

Do managed-care plans pay the same rate for D7720?

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 D7720 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state