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D7945 Medicaid reimbursement rates by state

Dental services. 13 state Medicaid programs publish a fee-for-service rate for D7945 at the physician psychologist level. Rates run from $40.00 in California to $4,168.19 in Mississippi, with a median of $1,244.60.

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

States publishing
13
Median rate
$1,244.60units vary by state
Highest
$4,168.19Mississippi
Medicare (non-facility)
—not on the physician fee schedule

D7945 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
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$4,168.19since 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)$3,445.22since 2024-01-01——Plans must pay at least this—SoonerCare Dental Fee Schedule
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$3,176.05since 2025-10-01——Paid by the state, outside plans—NC Medicaid fee schedule 'Federally Qual
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$3,062.43since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Dental r
ColoradoAny qualified provider (rate does not vary by provider) · Colorado HCBS waiver for persons with developmental disabilities (DD)$2,002.69since 2026-07-01——Paid by the state, outside plans—HCBS-DD and SLS Waiver Dental Services f
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$1,410.95since 2024-07-01——Paid by the state, outside plans—2026 Fee Schedule - Covered Procedures R
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$1,244.60since 2016-09-01——Not classified—CMAP fee schedule: 10/1/2026 Pediatric D
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$1,076.25since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
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
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$668.64since 2004-01-01——Paid by the state, outside plans—DMAS procedure fee file dental.csv
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$406.00since 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)$349.69since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
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 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 D7945?

It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $1,244.60. Mississippi pays the most ($4,168.19) and California the least ($40.00 per percent of SMA).

Which state pays the highest Medicaid rate for D7945?

Mississippi, at $4,168.19, effective 2014-07-01.

Do managed-care plans pay the same rate for D7945?

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 D7945 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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