The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 99188. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
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Publishing states
39
Median % of Medicare
--
Rate range
$6.66 - $33.00
99188 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $19.95 | -- | -- | 2026 |
| Arizona | $13.03 | -- | -- | 2024 |
| California | $18.00 | -- | -- | 2026 |
| Connecticut | $20.00 | -- | -- | 2015 |
| District of Columbia | $10.65 | -- | Not required | 2026 |
| Delaware | $20.00 | -- | -- | 2026 |
| Florida | $6.66 | -- | -- | 2026 |
| Georgia | $17.59 | -- | -- | 2026 |
| Hawaii | $9.90 | -- | -- | 2025 |
| Iowa | $12.11 | -- | -- | 2024 |
| Idaho | $13.69 | -- | Not required | 2025 |
| Indiana | $10.93 | -- | -- | 2025 |
| Kansas | $21.60 | -- | -- | 2025 |
| Kentucky | $18.75 | -- | -- | 2026 |
| Louisiana | $24.05 | -- | -- | 2026 |
| Massachusetts | $28.00 | -- | -- | 2026 |
| Maine | $26.58 | -- | -- | 2026 |
| Michigan | $7.67 | -- | -- | 2026 |
| Minnesota | $14.00 | -- | -- | 2015 |
| Missouri | $21.86 | -- | Not required | 2022 |
| Montana | $23.46 | -- | -- | 2026 |
| North Dakota | $30.48 | -- | Not required | 2026 |
| Nebraska | $26.12 | -- | -- | 2026 |
| New Hampshire | $19.71 | -- | Not required | 2026 |
| New Jersey | $20.14 | -- | Not required | 2026 |
| New Mexico | $18.84 | -- | -- | 2023 |
| Nevada | $12.92 | -- | -- | 2024 |
| New York | $30.30 | -- | -- | 2026 |
| Ohio | $29.48 | -- | -- | 2024 |
| Oklahoma | $10.69 | -- | -- | 2026 |
| Pennsylvania | $18.00 | -- | -- | 2023 |
| South Carolina | $7.81 | -- | -- | 2024 |
| Utah | $17.87* | -- | Not required | 2021 |
| Virginia | $20.79* | -- | -- | 2016 |
| Vermont | $10.04 | -- | -- | 2026 |
| Washington | $13.25 | -- | -- | 2026 |
| Wisconsin | $12.89 | -- | -- | 2015 |
| West Virginia | $20.00 | -- | -- | 2026 |
| Wyoming | $33.00* | -- | -- | 2021 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related physician codes
- 10004 - Needle biopsy without imaging, each added lesion
- 10005 - Needle biopsy with ultrasound guidance, first lesion
- 10006 - Needle biopsy with ultrasound guidance, each added lesion
- 10007 - Needle biopsy with fluoroscopic guidance, first lesion
- 10009 - Needle biopsy with CT guidance, first lesion
- 10011 - Needle biopsy with MRI guidance, first lesion
- 10012 - Needle biopsy with MRI guidance, each added lesion
- 10021 - Fine needle aspiration biopsy, first lesion, no imaging
Frequently asked questions
How much does Medicaid pay for 99188?
39 state Medicaid programs publish a fee-for-service rate for 99188 (fluoride varnish applied by a physician), ranging from $6.66 in Florida to $33.00 in Wyoming. The full table on this page lists every publishing state's current rate.
Which state pays the most for 99188?
Wyoming publishes the highest Medicaid rate for 99188 at $33.00. Florida publishes the lowest at $6.66.
Does 99188 require prior authorization under Medicaid?
No publishing state flags 99188 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.