D9999 Medicaid reimbursement rates by state
Dental services. 5 state Medicaid programs publish a fee-for-service rate for D9999 at the physician psychologist level. Rates run from $0.00 in Arkansas to $485.31 in Montana, with a median of $38.61.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $38.61units vary by state
- Highest
- $485.31Montana
- Medicare (non-facility)
- —not on the physician fee schedule
D9999 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $485.31⚠ over 3× mediansince 2025-07-01 | — | — | Not classified | — | Montana Healthcare Programs fee schedule |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $85.89since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Dental General Fee Schedule (AHCA Update |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $38.61since 2023-01-01 | — | — | Paid by the state, outside plans | — | HCA Dental fee schedule (dental-20230101 |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $16.40since 2023-07-01 | — | — | Plans negotiate; applies out of network | — | Nebraska Medicaid ad hoc fee schedule: C |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $0.00since 2025-05-15 | — | — | Not classified | — | Arkansas Medicaid Dental Fee Schedule (R |
Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 D9999?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $38.61. Montana pays the most ($485.31) and Arkansas the least ($0.00).
Which state pays the highest Medicaid rate for D9999?
Montana, at $485.31, effective 2025-07-01.
Do managed-care plans pay the same rate for D9999?
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.