The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for T1015. 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
14
Median % of Medicare
--
Rate range
$6.12 - $530.64
T1015 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $24.20 | -- | -- | 2026 |
| California | $71.50 | -- | -- | 2026 |
| District of Columbia | $51.00* | -- | Not required | 2023 |
| Massachusetts | $32.91 | -- | -- | 2026 |
| Maine | $45.43 | -- | -- | 2010 |
| Minnesota | $41.84 | -- | -- | 2004 |
| Missouri | $40.60 | -- | Not required | 2019 |
| North Dakota | $129.05 | -- | Not required | 2026 |
| New Hampshire | $530.64* | -- | Not required | 2026 |
| New Mexico | $122.47* | -- | -- | 2026 |
| Nevada | $82.84 | -- | -- | 2025 |
| Pennsylvania | $57.00* | -- | -- | 2025 |
| South Carolina | $99.00 | -- | -- | 2025 |
| Virginia | $6.12 | -- | -- | 2024 |
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.
Frequently asked questions
How much does Medicaid pay for T1015?
14 state Medicaid programs publish a fee-for-service rate for T1015 (clinic visit/encounter, all-inclusive), ranging from $6.12 in Virginia to $530.64 in New Hampshire. The full table on this page lists every publishing state's current rate.
Which state pays the most for T1015?
New Hampshire publishes the highest Medicaid rate for T1015 at $530.64. Virginia publishes the lowest at $6.12.
Does T1015 require prior authorization under Medicaid?
No publishing state flags T1015 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.