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Billing code D8091 · Dental

D8091 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $4,091.82 for D8091 across 6 states, from $941.71 in North Carolina to $6,500.00 in District of Columbia.

Data as of Oct 5, 20266 statesEvery rate links to its official source

States publishing
6
National median
$4,091.82units vary by state
Lowest
$941.71North Carolina
Highest
$6,500.00District of Columbia
Answer

What does Medicaid pay for D8091?

6 state Medicaid programs publish a fee-for-service rate for D8091. The national median is $4,091.82 (units differ between states). District of Columbia pays the most, $6,500.00, and North Carolina the least, $941.71, a 6.9x spread.

State ranking

D8091 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1District of Columbia Source · since 2025-01-01$6,500.00——Not classified—
2South Dakota Source · since 2026-07-01$6,483.35——Not classified—
3Oregon Source · since 2026-01-01$4,203.64——Plans negotiate; applies out of network—
6North Carolina Source · since 2025-10-01$941.71——Paid by the state, outside plans—
See all 6 states for D8091 — start free

2 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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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 D8091 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 D8091?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $4,091.82. District of Columbia pays the most ($6,500.00) and North Carolina the least ($941.71).

Which state pays the highest Medicaid rate for D8091?

District of Columbia, at $6,500.00, effective 2025-01-01.

Do managed-care plans pay the same rate for D8091?

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.