How do I use Dapper to get the return value of stored proc?

You can declare dynamic params with direction: ReturnValue You can also use "select" instead of "return" and use Query<T> extension.

create procedure sp_foo
    as
    begin
        return 99
    end

[Test]
public void TestStoredProcedure()
{
    using (var conn = new SqlConnection(@"Data Source=.\sqlexpress;Integrated Security=true; Initial Catalog=foo"))
    {
        var p = new DynamicParameters();
        p.Add("@foo", dbType: DbType.Int32, direction: ParameterDirection.ReturnValue);

        conn.Execute("sp_foo", p, commandType: CommandType.StoredProcedure);

        var b = p.Get<int>("@foo");

        Assert.That(b, Is.EqualTo(99));
    }
}

you'll have to define a SqlParameter for your stored procedure with a Direction.ReturnValue