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D7780 Medicaid reimbursement rates by state

Dental services. 16 state Medicaid programs publish a fee-for-service rate for D7780 at the physician psychologist level. Rates run from $400.51 in New Jersey to $6,493.84 in Colorado, with a median of $1,344.87.

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

States publishing
16
Median rate
$1,344.87units vary by state
Highest
$6,493.84Colorado
Medicare (non-facility)
—not on the physician fee schedule

D7780 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)$6,493.84⚠ over 3× mediansince 2026-07-01——Paid by the state, outside plans—HCBS-DD and SLS Waiver Dental Services f
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$5,093.90⚠ over 3× mediansince 2014-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$3,719.62since 2024-01-01——Plans must pay at least this—SoonerCare Dental Fee Schedule
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$3,518.13since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Dental r
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$3,029.16since 2025-10-01——Paid by the state, outside plans—NC Medicaid fee schedule 'Federally Qual
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$2,934.11since 2022-01-01——Paid by the state, outside plans—ForwardHealth max fee schedule: Dental (
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$2,626.04since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$1,443.25since 2026-04-01——Plans negotiate; applies out of network—BMS 2026 Dental Fee Schedule Effective 4
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$1,246.48since 2024-07-01——Paid by the state, outside plans—2026 Fee Schedule - Covered Procedures R
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$1,173.00since 2014-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$1,011.36since 2016-09-01——Not classified—CMAP fee schedule: 10/1/2026 Pediatric D
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$1,000.00since 1991-01-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$706.32since 2004-01-01——Paid by the state, outside plans—DMAS procedure fee file dental.csv
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$606.75since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Dental Codes fee sch
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$437.47since 2025-03-01——Plans must pay at least this—MO HealthNet fee schedule: Dental
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$400.51since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 D7780?

It depends on the state. Of the 16 states with a published fee-for-service rate, the median is $1,344.87. Colorado pays the most ($6,493.84) and New Jersey the least ($400.51).

Which state pays the highest Medicaid rate for D7780?

Colorado, at $6,493.84, effective 2026-07-01.

Do managed-care plans pay the same rate for D7780?

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

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