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Billing code D7946 · Dental

D7946 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $2,947.72 for D7946 across 15 states, from $40.00 in California to $5,163.58 in Mississippi.

Data as of Oct 5, 202615 statesEvery rate links to its official source

States publishing
15
National median
$2,947.72units vary by state
Lowest
$40.00California
Highest
$5,163.58Mississippi
Answer

What does Medicaid pay for D7946?

15 state Medicaid programs publish a fee-for-service rate for D7946. The national median is $2,947.72 (units differ between states). Mississippi pays the most, $5,163.58, and California the least, $40.00 per percent of SMA, a 129.1x spread.

State ranking

D7946 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 15 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Mississippi Source · since 2014-07-01$5,163.58——Plans must pay at least this—
2New Hampshire Source · since 2024-07-01$4,454.49——Paid by the state, outside plans—
3Oklahoma Source · since 2024-01-01$3,811.09——Plans must pay at least this—
7West Virginia Source · since 2026-04-01$3,285.44——Plans negotiate; applies out of network—
8Colorado Source · since 2026-07-01$2,947.72——Paid by the state, outside plans—
9Nevada Source · since 2024-01-01$2,690.61——Plans must pay at least this—
14New Jersey Source · since 2026-07-01$660.66——Not classified—
15California Source · since 2018-07-01$40.00percent of SMA—Paid by the state, outside plans—
See all 15 states for D7946 — start free

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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 D7946 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 D7946?

It depends on the state. Of the 15 states with a published fee-for-service rate, the median is $2,947.72. Mississippi pays the most ($5,163.58) and California the least ($40.00 per percent of SMA).

Which state pays the highest Medicaid rate for D7946?

Mississippi, at $5,163.58, effective 2014-07-01.

Do managed-care plans pay the same rate for D7946?

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.