D9225 Medicaid reimbursement rate by state (2026)
Dental services. Medicaid pays a median of $94.72 for D9225 across 19 states, from $43.88 in Texas to $284.62 in Illinois.
- States publishing
- 19
- National median
- $94.72units vary by state
- Lowest
- $43.88Texas
- Highest
- $284.62Illinois
What does Medicaid pay for D9225?
19 state Medicaid programs publish a fee-for-service rate for D9225. The national median is $94.72 (units differ between states). Illinois pays the most, $284.62, and Texas the least, $43.88, a 6.5x spread.
D9225 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 19 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for D9225?
It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $94.72. Illinois pays the most ($284.62) and Texas the least ($43.88).
Which state pays the highest Medicaid rate for D9225?
Illinois, at $284.62, effective 2026-01-01.
Do managed-care plans pay the same rate for D9225?
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.