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D7910 Medicaid reimbursement rates by state

Dental services. 16 state Medicaid programs publish a fee-for-service rate for D7910. Rates run from $38.72 in New Jersey to $238.53 in Colorado, with a median of $126.98.

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

States publishing
16
Median rate
$126.98units vary by state
Highest
$238.53Colorado
Medicare (non-facility)
—not on the physician fee schedule

D7910 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)$238.53since 2026-07-01——Paid by the state, outside plans—HCBS-DD and SLS Waiver Dental Services f
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$223.84since 2026-10-01——Plans negotiate; applies out of network—Part II Policies and Procedures for Dent
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$213.97since 2025-03-01——Plans must pay at least this—MO HealthNet fee schedule: Dental
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$192.34since 2026-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$190.61since 2025-04-21——Plans must pay at least this—Louisiana Medicaid Dental Program Fee Sc
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$183.73since 2025-10-01——Paid by the state, outside plans—NC Medicaid fee schedule 'Federally Qual
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$166.40since 2024-01-01unit—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)$135.24since 2016-09-01——Not classified—CMAP fee schedule: 10/1/2026 Pediatric D
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$118.72since 2010-10-01——Paid by the state, outside plans—DMAS procedure fee file dental.csv
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$114.37since 2022-01-01——Paid by the state, outside plans—ForwardHealth max fee schedule: Dental (
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$94.69since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Dental r
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$85.91since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #14 CLINIC (C
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$71.66since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Denta
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$67.60since 2026-01-01——Plans negotiate; applies out of network—KY Medicaid Dental fee schedule (2026Den
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
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$38.72since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS

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 D7910?

It depends on the state. Of the 16 states with a published fee-for-service rate, the median is $126.98. Colorado pays the most ($238.53) and New Jersey the least ($38.72).

Which state pays the highest Medicaid rate for D7910?

Colorado, at $238.53, effective 2026-07-01.

Do managed-care plans pay the same rate for D7910?

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 D7910 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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