The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 99392. 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
$29/mo after the trial. Cancel anytime.
Publishing states
47
Median % of Medicare
--
Rate range
$20.00 - $183.49
99392 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $183.49 | -- | -- | 2026 |
| Alabama | $88.00* | -- | -- | 2026 |
| Arkansas | $61.01 | -- | -- | 2026 |
| Arizona | $94.71 | -- | -- | 2024 |
| California | $116.39 | -- | -- | 2026 |
| Colorado | $93.43 | -- | -- | 2026 |
| Connecticut | $71.30 | -- | -- | 2008 |
| District of Columbia | $97.50 | -- | Not required | 2026 |
| Delaware | $106.03 | -- | -- | 2026 |
| Florida | $53.31 | -- | -- | 2026 |
| Georgia | $106.92* | -- | -- | 2026 |
| Hawaii | $73.80 | -- | -- | 2025 |
| Iowa | $69.39 | -- | -- | 2024 |
| Idaho | $98.87 | -- | Not required | 2025 |
| Illinois | $31.28 | -- | -- | 2026 |
| Indiana | $97.04 | -- | -- | 2025 |
| Kansas | $27.25 | -- | -- | 2024 |
| Kentucky | $78.58 | -- | -- | 2026 |
| Louisiana | $83.33 | -- | -- | 2026 |
| Massachusetts | $83.15 | -- | -- | 2026 |
| Maine | $58.37 | -- | -- | 2010 |
| Michigan | $53.49 | -- | -- | 2026 |
| Minnesota | $85.28 | -- | -- | 2026 |
| Missouri | $24.20 | -- | Not required | 2022 |
| Mississippi | $100.39 | -- | -- | 2026 |
| Montana | $142.04 | -- | -- | 2026 |
| North Carolina | $74.12 | -- | -- | 2025 |
| North Dakota | $120.53 | -- | Not required | 2026 |
| Nebraska | $113.89* | -- | -- | 2026 |
| New Hampshire | $67.95 | -- | Not required | 2026 |
| New Jersey | $84.39 | -- | Not required | 2026 |
| New Mexico | $147.54 | -- | -- | 2025 |
| Nevada | $109.63 | -- | -- | 2024 |
| New York | $91.13 | -- | -- | 2026 |
| Ohio | $65.49 | -- | -- | 2026 |
| Oklahoma | $95.76 | -- | -- | 2026 |
| Pennsylvania | $20.00 | -- | -- | 2023 |
| Rhode Island | $101.35 | -- | -- | 2026 |
| South Carolina | $84.51 | -- | -- | 2024 |
| Texas | $84.04* | -- | -- | 2023 |
| Utah | $82.62* | -- | Not required | 2026 |
| Virginia | $78.54* | -- | -- | 2026 |
| Vermont | $91.11 | -- | -- | 2026 |
| Washington | $75.11 | -- | -- | 2026 |
| Wisconsin | $70.13 | -- | -- | 2024 |
| West Virginia | $74.18 | -- | -- | 2026 |
| Wyoming | $87.33* | -- | -- | 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 99392?
47 state Medicaid programs publish a fee-for-service rate for 99392 (preventive visit, established patient, age 1-4), ranging from $20.00 in Pennsylvania to $183.49 in Alaska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 99392?
Alaska publishes the highest Medicaid rate for 99392 at $183.49. Pennsylvania publishes the lowest at $20.00.
Does 99392 require prior authorization under Medicaid?
No publishing state flags 99392 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.