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Billing code D7876 · Dental

D7876 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $1,219.55 for D7876 across 9 states, from $40.00 in California to $4,109.74 in New Hampshire.

Data as of Oct 5, 20269 statesEvery rate links to its official source

States publishing
9
National median
$1,219.55units vary by state
Lowest
$40.00California
Highest
$4,109.74New Hampshire
Answer

What does Medicaid pay for D7876?

9 state Medicaid programs publish a fee-for-service rate for D7876. The national median is $1,219.55 (units differ between states). New Hampshire pays the most, $4,109.74, and California the least, $40.00 per percent of SMA, a 102.7x spread.

State ranking

D7876 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 9 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Hampshire Source · since 2024-07-01$4,109.74——Paid by the state, outside plans—
2West Virginia Source · since 2026-04-01$2,053.40——Plans negotiate; applies out of network—
3Wisconsin Source · since 2022-01-01$1,833.94——Paid by the state, outside plans—
5Oklahoma Source · since 2024-01-01$1,219.55——Plans must pay at least this—
8Rhode Island Source · since 1996-12-01$240.20——Paid by the state, outside plans—
9California Source · since 2018-07-01$40.00percent of SMA—Paid by the state, outside plans—
See all 9 states for D7876 — start free

3 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 D7876 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 D7876?

It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $1,219.55. New Hampshire pays the most ($4,109.74) and California the least ($40.00 per percent of SMA).

Which state pays the highest Medicaid rate for D7876?

New Hampshire, at $4,109.74, effective 2024-07-01.

Do managed-care plans pay the same rate for D7876?

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.