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D9953 Medicaid reimbursement rates by state

Dental services. 5 state Medicaid programs publish a fee-for-service rate for D9953. Rates run from $90.00 in Indiana to $318.65 in Oregon, with a median of $129.35.

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

States publishing
5
Median rate
$129.35units vary by state
Highest
$318.65Oregon
Medicare (non-facility)
—not on the physician fee schedule

D9953 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
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$318.65since 2026-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid (KMAP fee-for-service schedule)$216.00since 2023-01-01——Plans must pay at least this—KMAP Fee Schedule TXIX Medicaid (FeeSche
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$129.35since 2023-01-01——Not classified—CMAP fee schedule: 10/1/2026 Adult Denta
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$110.11since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$90.00since 2023-01-01percent of billed charges—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd

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 D9953?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $129.35. Oregon pays the most ($318.65) and Indiana the least ($90.00 per percent of billed charges).

Which state pays the highest Medicaid rate for D9953?

Oregon, at $318.65, effective 2026-01-01.

Do managed-care plans pay the same rate for D9953?

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 D9953 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state