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D7840 Medicaid reimbursement rates by state

Dental services. 14 state Medicaid programs publish a fee-for-service rate for D7840 at the physician psychologist level. Rates run from $40.00 in California to $4,398.73 in Colorado, with a median of $1,154.72.

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

States publishing
14
Median rate
$1,154.72units vary by state
Highest
$4,398.73Colorado
Medicare (non-facility)
—not on the physician fee schedule

D7840 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)$4,398.73⚠ over 3× mediansince 2024-07-01——Paid by the state, outside plans—Appendix H: DIDD and Medicaid Dental Rat
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$3,054.60since 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)$2,622.03since 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)$2,229.46since 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)$2,126.99since 2025-10-01——Paid by the state, outside plans—NC Medicaid fee schedule 'Federally Qual
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$1,291.50since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$1,166.20since 2016-09-01——Not classified—CMAP fee schedule: 10/1/2026 Pediatric D
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$1,143.23since 2022-01-01——Paid by the state, outside plans—ForwardHealth max fee schedule: Dental (
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$924.24since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #14 CLINIC (C
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$397.79since 2023-10-01——Paid by the state, outside plans—2026 Fee Schedule - Covered Procedures R
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$381.15since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$378.00since 1996-12-01——Paid by the state, outside plans—RI Medicaid Interactive Fee For Service
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$279.13since 2025-03-01——Plans must pay at least this—MO HealthNet fee schedule: Dental
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 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 D7840?

It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $1,154.72. Colorado pays the most ($4,398.73) and California the least ($40.00 per percent of SMA).

Which state pays the highest Medicaid rate for D7840?

Colorado, at $4,398.73, effective 2024-07-01.

Do managed-care plans pay the same rate for D7840?

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 D7840 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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