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D9120 Medicaid reimbursement rates by state

Dental services. 12 state Medicaid programs publish a fee-for-service rate for D9120 at the physician psychologist level. Rates run from $19.11 in Texas to $243.45 in Delaware, with a median of $75.37.

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

States publishing
12
Median rate
$75.37units vary by state
Highest
$243.45Delaware
Medicare (non-facility)
—not on the physician fee schedule

D9120 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
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$243.45⚠ over 3× mediansince 2026-04-01——Not classified—DMAP 2026 Dental Fee Schedule
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$120.27since 2026-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$117.00since 2024-07-01——Not classified—Vermont Medicaid Fee Schedule - HCPCS (i
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$77.74since 2019-07-01——Plans must pay at least this—MO HealthNet fee schedule: Dental
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$76.09since 2011-09-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$75.40since 2024-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$75.34since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$70.95since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Dental r
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$70.00since 2010-10-01——Paid by the state, outside plans—DMAS procedure fee file dental.csv
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal Dental (fee-for-service, Schedule of Maximum Allowances)$50.00since 2014-06-01——Paid by the state, outside plans—Medi-Cal Dental Schedule of Maximum Allo
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$48.45since 2019-01-01——Plans must pay at least this—Iowa Medicaid fee schedule #14 CLINIC (C
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$19.11since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Denta

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 D9120?

It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $75.37. Delaware pays the most ($243.45) and Texas the least ($19.11).

Which state pays the highest Medicaid rate for D9120?

Delaware, at $243.45, effective 2026-04-01.

Do managed-care plans pay the same rate for D9120?

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 D9120 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state