How Much Does Medicaid Pay for Dental sealant per tooth?
HCPCS D1351 Year 2024
State-by-State Reimbursement Rates
| State | Avg / Claim | Total Claims | Total Paid | Providers |
|---|---|---|---|---|
| Alabama | $20.74 | 86,006 | $1,784,045.87 | 88 |
| Alaska | $65.17 | 30,245 | $1,971,098.41 | 31 |
| Arizona | $10.92 | 137,999 | $1,507,279.04 | 210 |
| Arkansas | $25.58 | 50,275 | $1,286,095.12 | 58 |
| California | $36.33 | 1,174,473 | $42,672,797.42 | 1,177 |
| Colorado | $44.80 | 54,174 | $2,427,140.48 | 114 |
| Connecticut | $32.42 | 64,740 | $2,098,730.47 | 97 |
| Delaware | $45.30 | 54,864 | $2,485,565.66 | 37 |
| District of Columbia | $36.51 | 7,479 | $273,075.76 | 11 |
| Florida | $9.60 | 553,173 | $5,310,866.77 | 428 |
| Georgia | $32.31 | 63,524 | $2,052,404.78 | 26 |
| Guam | $38.01 | 5,166 | $196,380.00 | 7 |
| Hawaii | $36.56 | 7,713 | $282,008.28 | 20 |
| Idaho | $2.46 | 94,605 | $232,675.55 | 54 |
| Illinois | $58.42 | 356,028 | $20,799,241.00 | 652 |
| Indiana | $30.09 | 314,168 | $9,452,431.23 | 216 |
| Iowa | $21.58 | 88,168 | $1,902,823.50 | 82 |
| Kansas | $25.97 | 217,934 | $5,658,870.35 | 78 |
| Kentucky | $23.97 | 125,275 | $3,003,143.67 | 141 |
| Louisiana | $32.57 | 176,363 | $5,743,561.48 | 131 |
| Maine | $28.43 | 67,166 | $1,909,748.10 | 44 |
| Maryland | $38.27 | 306,052 | $11,713,639.77 | 223 |
| Massachusetts | $38.38 | 181,840 | $6,978,766.63 | 219 |
| Michigan | $29.36 | 610,054 | $17,908,212.11 | 297 |
| Minnesota | $38.76 | 93,614 | $3,628,494.08 | 108 |
| Mississippi | $27.40 | 219,320 | $6,008,696.90 | 94 |
| Missouri | $49.59 | 8,097 | $401,527.01 | 16 |
| Montana | $26.11 | 30,289 | $790,796.86 | 33 |
| Nebraska | $31.03 | 59,231 | $1,838,179.52 | 53 |
| Nevada | $21.62 | 163,303 | $3,531,283.50 | 103 |
| New Hampshire | $29.01 | 33,414 | $969,384.68 | 28 |
| New Jersey | $22.81 | 585,411 | $13,351,154.83 | 222 |
| New Mexico | $25.66 | 55,675 | $1,428,555.91 | 57 |
| New York | $35.47 | 411,132 | $14,581,803.42 | 429 |
| North Carolina | $25.01 | 396,435 | $9,913,312.38 | 265 |
| North Dakota | $27.03 | 8,454 | $228,489.00 | 14 |
| Ohio | $39.12 | 226,924 | $8,877,114.83 | 198 |
| Oklahoma | $23.60 | 42,801 | $1,010,248.15 | 64 |
| Oregon | $13.91 | 65,044 | $904,990.03 | 106 |
| Pennsylvania | $30.43 | 437,435 | $13,308,984.54 | 321 |
| Puerto Rico | $16.10 | 27,294 | $439,539.43 | 45 |
| Rhode Island | $18.22 | 20,882 | $380,462.75 | 37 |
| South Carolina | $31.44 | 116,288 | $3,655,654.14 | 102 |
| South Dakota | $40.97 | 40,322 | $1,651,875.80 | 23 |
| Tennessee | $16.36 | 206,946 | $3,385,180.75 | 131 |
| Texas | $25.05 | 1,796,885 | $45,015,927.47 | 1,637 |
| U.S. Virgin Islands | $61.85 | 880 | $54,425.90 | 3 |
| Utah | $33.99 | 41,976 | $1,426,775.66 | 68 |
| Vermont | $23.37 | 15,386 | $359,510.95 | 17 |
| Virginia | $3.80 | 81,841 | $311,285.90 | 146 |
| Washington | $24.29 | 298,983 | $7,262,364.00 | 212 |
| West Virginia | $29.58 | 44,223 | $1,308,144.35 | 54 |
| Wisconsin | $22.82 | 238,811 | $5,448,772.29 | 170 |
| Wyoming | $29.29 | 11,417 | $334,459.35 | 14 |