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D8020 Medicaid reimbursement rates by state

Dental services. 28 state Medicaid programs publish a fee-for-service rate for D8020 at the physician psychologist level. Rates run from $73.09 in Minnesota to $5,487.21 in Colorado, with a median of $1,003.76.

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

States publishing
28
Median rate
$1,003.76units vary by state
Highest
$5,487.21Colorado
Medicare (non-facility)
—not on the physician fee schedule

D8020 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)$5,487.21⚠ over 3× mediansince 2026-07-01——Paid by the state, outside plans—HCBS-DD and SLS Waiver Dental Services f
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$2,977.66⚠ over 3× mediansince 2026-04-01——Not classified—DMAP 2026 Dental Fee Schedule
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$2,511.30since 2023-10-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$2,457.41since 2026-07-01——Not classified—South Dakota Medicaid Children Dental Se
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$2,165.81since 2024-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$1,916.64since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$1,845.75since 2023-07-01——Not classified—Vermont Medicaid Fee Schedule - HCPCS (i
AlaskaAny qualified provider (rate does not vary by provider) · Alaska Medicaid (fee-for-service, Department of Health)$1,677.00since 2025-07-01——Not classified—Alaska Medicaid Dental Fee Schedule SFY2
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$1,600.00since 2026-07-01——Plans negotiate; applies out of network—KY Medicaid Dental fee schedule (2026Den
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$1,470.00since 2023-01-01——Plans negotiate; applies out of network—MDHHS Oral Maxillofacial Surgeon Fee Sch
North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service)$1,469.12since 2026-07-01——Not classified—ND Medicaid Dental Services Fee Schedule
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$1,342.61since 2025-07-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service dental$1,311.05since 2024-04-01——Paid by the state, outside plans—Med-QUEST Children and Adult Dental Fee
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$1,027.52since 2025-07-01——Not classified—Montana Healthcare Programs fee schedule
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$980.00since 2022-01-01——Paid by the state, outside plans—ForwardHealth max fee schedule: Dental (
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$731.25since 2023-04-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$692.48since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Dental r
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$611.76since 2021-04-01——Paid by the state, outside plans—HCA Dental fee schedule (dental-20210401
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$572.38since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Denta
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$559.65since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$547.42since 2023-07-01——Paid by the state, outside plans—2026 Fee Schedule - Covered Procedures R
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$429.38since 2024-01-01——Plans must pay at least this—SoonerCare Dental Fee Schedule
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$412.50since 2025-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$331.57since 2010-10-01——Paid by the state, outside plans—DMAS procedure fee file dental.csv
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$316.81since 2026-04-01——Plans negotiate; applies out of network—BMS 2026 Dental Fee Schedule Effective 4
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$298.11since 2021-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #04 DENTIST (
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$240.00since 1996-01-01——Paid by the state, outside plans—RI Medicaid Interactive Fee For Service
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$73.09since 2000-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule

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 D8020?

It depends on the state. Of the 28 states with a published fee-for-service rate, the median is $1,003.76. Colorado pays the most ($5,487.21) and Minnesota the least ($73.09).

Which state pays the highest Medicaid rate for D8020?

Colorado, at $5,487.21, effective 2026-07-01.

Do managed-care plans pay the same rate for D8020?

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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