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D9248 Medicaid reimbursement rates by state

Dental services. 8 state Medicaid programs publish a fee-for-service rate for D9248. Rates run from $25.00 in California to $188.55 in Colorado, with a median of $114.91.

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

States publishing
8
Median rate
$114.91units vary by state
Highest
$188.55Colorado
Medicare (non-facility)
—not on the physician fee schedule

D9248 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)$188.55since 2024-07-01——Paid by the state, outside plans—Appendix H: DIDD and Medicaid Dental Rat
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid dental (Maryland Healthy Smiles, fee-for-service through the dental ASO)$186.91since 2023-08-01——Paid by the state, outside plans—2025 Dental Fee Schedule and Procedure C
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$149.81since 2025-01-01——Plans must pay at least this—MDHHS Dental Fee Schedule database, Janu
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$149.59since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #14 CLINIC (C
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$80.22since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Dental r
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$39.00since 2021-01-01——Plans negotiate; applies out of network—KY Medicaid Dental fee schedule (2021Den
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$25.40since 2003-06-01——Plans negotiate; applies out of network—MHCP Fee Schedule (Wayback capture 20250
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal Dental (fee-for-service, Schedule of Maximum Allowances)$25.00since 2014-06-01——Paid by the state, outside plans—Medi-Cal Dental Schedule of Maximum Allo

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 D9248?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $114.91. Colorado pays the most ($188.55) and California the least ($25.00).

Which state pays the highest Medicaid rate for D9248?

Colorado, at $188.55, effective 2024-07-01.

Do managed-care plans pay the same rate for D9248?

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 D9248 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state