How Much Does Medicaid Pay for Periodic oral evaluation?

HCPCS D0120 Part of Dental Services Year 2024

State-by-State Reimbursement Rates

StateAvg / ClaimTotal ClaimsTotal PaidProviders
Alabama$18.20407,640$7,419,422.37363
Alaska$121.6639,581$4,815,500.33108
Arizona$10.16434,640$4,415,062.02603
Arkansas$24.77326,911$8,098,803.60348
California$69.062,828,427$195,341,598.163,901
Colorado$29.89335,557$10,028,635.86580
Connecticut$26.16333,745$8,730,470.31428
Delaware$42.1677,400$3,262,922.7796
District of Columbia$29.7251,694$1,536,140.7876
Florida$15.34750,558$11,514,539.87775
Georgia$22.54105,974$2,388,352.4756
Guam$40.484,541$183,813.007
Hawaii$30.1360,091$1,810,482.8191
Idaho$1.30101,987$132,247.99160
Illinois$26.43817,801$21,614,504.911,241
Indiana$26.64517,878$13,798,419.90758
Iowa$18.93220,156$4,166,857.67398
Kansas$24.64161,426$3,978,062.66172
Kentucky$27.09266,076$7,207,210.87430
Louisiana$32.71415,295$13,583,336.10450
Maine$25.9642,579$1,105,482.2173
Maryland$30.56527,899$16,135,135.11659
Massachusetts$25.55727,684$18,592,220.82986
Michigan$28.31624,183$17,668,612.721,236
Minnesota$54.60284,452$15,530,343.39393
Mississippi$28.93196,500$5,684,061.30290
Missouri$29.1922,895$668,233.7498
Montana$24.3686,891$2,116,292.06159
Nebraska$27.80111,922$3,111,604.63180
Nevada$27.74119,546$3,315,907.31161
New Hampshire$35.0567,660$2,371,672.5889
New Jersey$24.95651,717$16,260,673.13994
New Mexico$23.53146,144$3,438,575.82144
New York$26.231,892,631$49,634,836.022,344
North Carolina$27.051,080,537$29,231,003.63903
North Dakota$42.2219,539$824,860.8964
Ohio$30.99533,793$16,539,690.79747
Oklahoma$20.93266,793$5,584,507.96316
Oregon$22.39185,343$4,150,407.93318
Pennsylvania$21.86826,068$18,056,925.051,066
Puerto Rico$15.69364,921$5,726,563.47598
Rhode Island$14.1578,418$1,109,357.62114
South Carolina$25.23365,807$9,228,239.29348
South Dakota$42.3842,508$1,801,690.99120
Tennessee$23.84504,612$12,031,885.82385
Texas$29.472,160,493$63,659,342.423,392
U.S. Virgin Islands$44.151,260$55,630.808
Utah$32.5099,403$3,230,532.75241
Vermont$35.2547,026$1,657,737.3779
Virginia$1.00334,026$335,667.70684
Washington$32.04710,983$22,781,397.10478
West Virginia$24.2473,319$1,777,344.87213
Wisconsin$21.63194,563$4,209,274.69253
Wyoming$34.7822,938$797,695.0769