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Billing code D9952 · Dental

D9952 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $172.19 for D9952 across 15 states, from $5.00 in Kansas to $660.75 in Vermont.

Data as of Oct 5, 202615 statesEvery rate links to its official source

States publishing
15
National median
$172.19units vary by state
Lowest
$5.00Kansas
Highest
$660.75Vermont
Answer

What does Medicaid pay for D9952?

15 state Medicaid programs publish a fee-for-service rate for D9952. The national median is $172.19 (units differ between states). Vermont pays the most, $660.75, and Kansas the least, $5.00, a 132.2x spread.

State ranking

D9952 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 15 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Vermont Source · since 2023-07-01$660.75——Not classified—
2Colorado Source · since 2026-07-01$507.45——Paid by the state, outside plans—
3North Dakota Source · since 2026-07-01$506.55——Not classified—
7New Hampshire Source · since 2024-07-01$223.00——Paid by the state, outside plans—
8Nevada Source · since 2024-01-01$172.19——Plans must pay at least this—
9Texas Source · since 2025-09-01$143.33——Plans negotiate; applies out of network—
14Minnesota Source · since 2000-08-01$61.21——Plans negotiate; applies out of network—
15Kansas Source · since 1978-07-01$5.00——Not classified—
See all 15 states for D9952 — start free

7 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 D9952 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 D9952?

It depends on the state. Of the 15 states with a published fee-for-service rate, the median is $172.19. Vermont pays the most ($660.75) and Kansas the least ($5.00).

Which state pays the highest Medicaid rate for D9952?

Vermont, at $660.75, effective 2023-07-01.

Do managed-care plans pay the same rate for D9952?

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.