D7856 Medicaid reimbursement rate by state (2026)
Dental services. Medicaid pays a median of $1,330.82 for D7856 across 5 states, from $40.00 in California to $2,898.96 in Colorado.
- States publishing
- 5
- National median
- $1,330.82units vary by state
- Lowest
- $40.00California
- Highest
- $2,898.96Colorado
What does Medicaid pay for D7856?
5 state Medicaid programs publish a fee-for-service rate for D7856. The national median is $1,330.82 (units differ between states). Colorado pays the most, $2,898.96, and California the least, $40.00 per percent of SMA, a 72.5x spread.
D7856 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for D7856?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $1,330.82. Colorado pays the most ($2,898.96) and California the least ($40.00 per percent of SMA).
Which state pays the highest Medicaid rate for D7856?
Colorado, at $2,898.96, effective 2024-07-01.
Do managed-care plans pay the same rate for D7856?
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.