How Much Does Medicaid Pay for Topical fluoride varnish?

HCPCS D1206 Year 2024

State-by-State Reimbursement Rates

StateAvg / ClaimTotal ClaimsTotal PaidProviders
Alabama$21.66182,564$3,953,895.30221
Alaska$102.1349,029$5,007,511.1297
Arizona$8.23367,119$3,021,523.90472
Arkansas$18.72179,047$3,351,418.10143
California$19.191,384,174$26,555,612.251,972
Colorado$28.42303,794$8,633,397.96426
Connecticut$22.54149,513$3,369,701.06149
Delaware$32.5681,333$2,648,070.7284
District of Columbia$25.4030,805$782,444.9830
Florida$10.01507,774$5,081,795.10486
Georgia$17.5441,583$729,229.3641
Hawaii$25.5457,107$1,458,262.3774
Idaho$0.6784,984$56,681.20101
Illinois$21.64341,817$7,396,838.92646
Indiana$23.63384,528$9,086,046.25454
Iowa$14.98230,020$3,445,279.02317
Kansas$31.82183,349$5,834,876.04133
Kentucky$18.86240,726$4,540,110.40301
Louisiana$30.20184,831$5,582,336.48227
Maine$21.4871,060$1,526,415.86103
Maryland$24.77493,735$12,231,019.74559
Massachusetts$26.40350,199$9,244,105.06400
Michigan$26.19479,021$12,547,938.69861
Minnesota$33.60304,111$10,217,413.12325
Mississippi$26.42207,008$5,470,134.04242
Missouri$20.1216,106$324,079.8258
Montana$20.3894,844$1,933,376.86136
Nebraska$25.53132,221$3,375,340.41154
Nevada$39.13165,530$6,476,369.97174
New Hampshire$22.3754,932$1,228,583.8958
New Jersey$22.15367,518$8,141,203.02444
New Mexico$20.6876,334$1,578,483.2685
New York$26.71555,435$14,833,970.90677
North Carolina$14.91859,755$12,822,187.31756
North Dakota$29.8922,636$676,480.0857
Ohio$26.07319,332$8,323,865.02377
Oklahoma$18.01248,324$4,472,455.98261
Oregon$9.89286,418$2,833,987.84338
Pennsylvania$19.92611,059$12,170,015.19614
Puerto Rico$30.341,036$31,432.915
Rhode Island$26.0469,948$1,821,368.2378
South Carolina$17.36370,878$6,438,390.07211
South Dakota$49.0840,037$1,965,210.47105
Tennessee$19.84435,781$8,647,068.54336
Texas$13.29768,272$10,213,632.101,073
U.S. Virgin Islands$25.21537$13,536.514
Utah$20.56100,290$2,061,893.10226
Vermont$29.8351,625$1,540,224.3461
Virginia$0.75252,865$189,751.46360
Washington$22.81698,522$15,930,737.35411
West Virginia$19.1824,730$474,232.9081
Wisconsin$15.36298,769$4,590,474.44273
Wyoming$36.4124,014$874,363.4551