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D9930 Medicaid reimbursement rates by state

Dental services. 13 state Medicaid programs publish a fee-for-service rate for D9930 at the physician psychologist level. Rates run from $5.79 in Kansas to $82.80 in Utah, with a median of $43.12.

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

States publishing
13
Median rate
$43.12units vary by state
Highest
$82.80Utah
Medicare (non-facility)
—not on the physician fee schedule

D9930 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
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$82.80since 2019-07-01——Plans must pay at least this—Utah Medicaid Coverage and Reimbursement
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$77.81since 2026-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$77.47since 2026-01-01——Plans must pay at least this—MDHHS Dental Fee Schedule database, Janu
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$55.74since 2025-07-01——Paid by the state, outside plans—HCA Dental fee schedule (dental-20250701
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$51.83since 2024-01-01——Plans must pay at least this—SoonerCare Dental Fee Schedule
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$45.15since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Dental r
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$43.12since 2019-07-01——Plans must pay at least this—MO HealthNet fee schedule: Dental
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$36.59since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$33.52since 2010-10-01——Paid by the state, outside plans—DMAS procedure fee file dental.csv
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$23.89since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Denta
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$15.29since 2000-08-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal Dental (fee-for-service, Schedule of Maximum Allowances)$15.00since 2014-06-01——Paid by the state, outside plans—Medi-Cal Dental Schedule of Maximum Allo
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$5.79since 1981-10-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

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 D9930?

It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $43.12. Utah pays the most ($82.80) and Kansas the least ($5.79).

Which state pays the highest Medicaid rate for D9930?

Utah, at $82.80, effective 2019-07-01.

Do managed-care plans pay the same rate for D9930?

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 D9930 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state