The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 99387. 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
43
Median % of Medicare
--
Rate range
$32.70 - $288.50
99387 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $288.50 | -- | -- | 2026 |
| Arizona | $146.37 | -- | -- | 2024 |
| California | $146.75 | -- | -- | 2026 |
| Colorado | $151.16 | -- | -- | 2026 |
| Connecticut | $122.45 | -- | -- | 2008 |
| District of Columbia | $150.40 | -- | Not required | 2026 |
| Delaware | $164.56 | -- | -- | 2026 |
| Florida | $83.65 | -- | -- | 2026 |
| Georgia | $75.38 | -- | -- | 2026 |
| Hawaii | $123.12 | -- | -- | 2025 |
| Iowa | $116.36 | -- | -- | 2024 |
| Idaho | $129.26 | -- | Not required | 2025 |
| Illinois | $64.61 | -- | -- | 2009 |
| Indiana | $150.36 | -- | -- | 2025 |
| Kansas | $32.70 | -- | -- | 2024 |
| Kentucky | $127.74 | -- | -- | 2026 |
| Louisiana | $98.57 | -- | -- | 2026 |
| Massachusetts | $129.72 | -- | -- | 2026 |
| Maine | $160.27 | -- | -- | 2026 |
| Michigan | $92.42 | -- | -- | 2026 |
| Minnesota | $131.20 | -- | -- | 2026 |
| Missouri | $52.42 | -- | Not required | 2022 |
| Mississippi | $156.47 | -- | -- | 2026 |
| Montana | $221.42 | -- | -- | 2026 |
| North Carolina | $120.67 | -- | -- | 2025 |
| North Dakota | $185.87 | -- | Not required | 2026 |
| Nebraska | $192.79 | -- | -- | 2026 |
| New Hampshire | $44.15 | -- | Not required | 2026 |
| New Jersey | $116.00 | -- | Not required | 2026 |
| New Mexico | $229.09 | -- | -- | 2025 |
| Nevada | $170.39 | -- | -- | 2024 |
| New York | $142.08 | -- | -- | 2026 |
| Ohio | $103.49 | -- | -- | 2024 |
| Oklahoma | $148.85 | -- | -- | 2026 |
| Rhode Island | $101.35 | -- | -- | 2026 |
| South Carolina | $118.06 | -- | -- | 2024 |
| Texas | $103.10* | -- | -- | 2010 |
| Utah | $128.22* | -- | Not required | 2026 |
| Virginia | $121.66* | -- | -- | 2026 |
| Vermont | $140.91 | -- | -- | 2026 |
| Wisconsin | $108.57 | -- | -- | 2024 |
| West Virginia | $116.14 | -- | -- | 2026 |
| Wyoming | $126.93 | -- | -- | 2026 |
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
- 10021 - Fine needle aspiration biopsy, first lesion, no imaging
- 10060 - Drainage of a skin abscess, simple
- 10061 - Drainage of a skin abscess, complicated or multiple
- 10120 - Removal of a foreign body from tissue, simple
- 10140 - Drainage of a blood or fluid collection under the skin
- 11042 - Wound debridement, skin and tissue below, first 20 sq cm
- 11043 - Wound debridement to muscle, first 20 sq cm
- 11044 - Wound debridement to bone, first 20 sq cm
Frequently asked questions
How much does Medicaid pay for 99387?
43 state Medicaid programs publish a fee-for-service rate for 99387 (preventive visit, new patient, age 65+), ranging from $32.70 in Kansas to $288.50 in Alaska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 99387?
Alaska publishes the highest Medicaid rate for 99387 at $288.50. Kansas publishes the lowest at $32.70.
Does 99387 require prior authorization under Medicaid?
No publishing state flags 99387 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.