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D7912 Medicaid reimbursement rates by state

Dental services. 29 state Medicaid programs publish a fee-for-service rate for D7912 at the physician psychologist level. Rates run from $10.76 in Nevada to $982.21 in Georgia, with a median of $292.82.

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

States publishing
29
Median rate
$292.82units vary by state
Highest
$982.21Georgia
Medicare (non-facility)
—not on the physician fee schedule

D7912 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
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$982.21⚠ over 3× mediansince 2026-10-01——Plans negotiate; applies out of network—Part II Policies and Procedures for Dent
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$739.00since 2019-03-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons with developmental disabilities (DD)$715.47since 2026-07-01——Paid by the state, outside plans—HCBS-DD and SLS Waiver Dental Services f
AlaskaAny qualified provider (rate does not vary by provider) · Alaska Medicaid (fee-for-service, Department of Health)$663.32since 2025-07-01——Not classified—Alaska Medicaid Dental Fee Schedule SFY2
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$560.46since 2024-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$493.50since 2023-07-01——Not classified—Vermont Medicaid Fee Schedule - HCPCS (i
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$401.50since 2026-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$360.14since 2019-07-01——Plans must pay at least this—Utah Medicaid Coverage and Reimbursement
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$354.29since 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)$322.63since 2022-01-01——Paid by the state, outside plans—ForwardHealth max fee schedule: Dental (
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$316.16since 2025-07-01——Not classified—Montana Healthcare Programs fee schedule
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$304.61since 2025-07-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$303.16since 2024-07-01——Paid by the state, outside plans—2026 Fee Schedule - Covered Procedures R
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$294.21since 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)$292.82since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$279.23since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #14 CLINIC (C
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$276.24since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Dental Codes fee sch
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$269.50since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Dental r
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$243.91since 2024-01-01——Plans must pay at least this—SoonerCare Dental Fee Schedule
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$208.00since 2024-03-04——Paid by the state, outside plans—Medicaid Fee-For-Service (FFS) Fee Sched
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$187.34since 2010-10-01——Paid by the state, outside plans—DMAS procedure fee file dental.csv
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$175.00since 1991-01-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$155.27since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Denta
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$117.34since 2026-04-01——Plans negotiate; applies out of network—BMS 2026 Dental Fee Schedule Effective 4
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$107.80since 2016-09-01——Not classified—CMAP fee schedule: 10/1/2026 Pediatric D
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$100.80since 2022-07-01——Paid by the state, outside plans—RI Medicaid Interactive Fee For Service
North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service)$44.80since 2026-07-01——Not classified—ND Medicaid Dental Services Fee Schedule
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
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$10.76since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa

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 D7912?

It depends on the state. Of the 29 states with a published fee-for-service rate, the median is $292.82. Georgia pays the most ($982.21) and Nevada the least ($10.76).

Which state pays the highest Medicaid rate for D7912?

Georgia, at $982.21, effective 2026-10-01.

Do managed-care plans pay the same rate for D7912?

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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