Average Medicaid Tooth Extraction Payments in Pomona, CA: $65.39
Avg. Paid
$65.39
Range
$51.53 – $119.00
Total Claims
34,578
Providers
20
Typical Payment Range
Typical Medicaid Tooth Extraction payments fall between $51.28 and $99.39 per claim (median: $64.79). The top 10% of payments exceed $134.20.
Based on per-provider averages across all Medicaid claims in this category.
Surgical or simple removal of a tooth. Includes wisdom tooth extraction and other dental extractions.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Tooth Extraction in Pomona, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ki Hun Sung
819 E Mission Blvd |
$57.18 | 10,015 | 4,571 |
|
Steven William Friedrichsen
795 E Second Street |
$76.21 | 4,113 | 1,979 |
|
Estelle Hwei-Wan Liou
1524 N Orange Grove Ave |
$56.61 | 3,235 | 2,123 |
|
Sheila Therese Aquino Amisola
1021 E Holt Ave |
$56.42 | 2,815 | 1,525 |
|
Elizabeth A Andrews
795 East Second Street |
$69.13 | 2,375 | 1,190 |
|
Hesham Mahmoud Hassan
408 W Grove St |
$64.20 | 2,231 | 1,238 |
|
David A Choi
920 N Garey Ave |
$98.54 | 2,036 | 1,179 |
|
John Jongcheol Park
819 E Mission Blvd |
$58.83 | 1,872 | 883 |
|
Abrahim Abdul Mustafa
2280 S Garey Ave |
$51.53 | 1,518 | 1,067 |
|
Kim-Phung Thi Ha
756 E Holt Ave |
$55.32 | 1,484 | 788 |
|
Manar Jamal
2005 W Holt Ave |
$104.20 | 1,036 | 523 |
|
Jing Chen
430 W Holt Ave Ste E |
$114.89 | 455 | 295 |
|
Hernando Suarez Ayora
2280 S Garey Ave |
$52.25 | 388 | 248 |
|
Mai Thi Nguyen-Tu
1922 S Garey Ave |
$57.31 | 333 | 249 |
|
Van Kim Nguyen
1182 E Holt Ave |
$57.40 | 330 | 206 |
|
Pravinchandra K Makadia
826 E Mission Blvd |
$117.35 | 138 | 77 |
|
Andre Widodo
2112 S Garey Ave Ste A |
$115.17 | 109 | 78 |
|
Rita Lui
175 W La Verne Ave |
$57.40 | 33 | 12 |
|
Bhavin Chatrabhuj Changela
2407 Valley Blvd |
$119.00 | 32 | 12 |
|
Yvonne Shu Rodriguez
1640 Indian Hill Blvd |
$57.40 | 30 | 13 |
What to Expect: Tooth Extraction
Simple extractions take 20-40 minutes under local anesthetic. Surgical extractions (like impacted wisdom teeth) may take longer and require sedation. After the procedure, you'll bite on gauze for 30-45 minutes. Expect some swelling and discomfort for a few days. Use ice packs and take prescribed pain medications. Eat soft foods and avoid using straws for the first few days.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| D7140 | Extraction erupted tooth | $62.39 | 23,686,863 | 23,795 |
| D7210 | Extraction surgical | $107.67 | 10,401,864 | 9,633 |
| D7240 | Extraction impacted complete | $224.70 | 3,269,582 | 2,462 |
| D7230 | Extraction impacted partial | $183.08 | 1,015,698 | 1,544 |
| D7111 | Extraction coronal remnant pri | $52.85 | 561,092 | 1,785 |
| D7250 | Surgical removal residual root | $112.93 | 316,096 | 591 |
| D7220 | Extraction impacted soft tiss | $130.41 | 131,703 | 431 |
| D7241 | Extraction impacted w/compl | $234.67 | 32,070 | 71 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Tooth Extraction cost in Pomona, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Tooth Extraction in Pomona, CA is $65.39 per claim, based on 34,578 claims from 20 providers. Typical payments fall between $51.28 and $99.39. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Tooth Extraction in Pomona, CA?
There are 20 Medicaid providers offering Tooth Extraction related services in Pomona, CA according to public payment data.
What is the price range for Tooth Extraction in Pomona, CA?
Medicaid reimbursement for Tooth Extraction in Pomona, CA ranges from $51.53 to $119.00 per claim, with an average of $65.39. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Tooth Extraction in Other Cities
Los Angeles, CA
Avg $86.56
539,544 claims · 348 providers
Brooklyn, NY
Avg $85.98
436,312 claims · 287 providers
Chicago, IL
Avg $87.62
434,806 claims · 400 providers
New York, NY
Avg $87.60
389,697 claims · 237 providers
Petoskey, MI
Avg $60.22
355,067 claims · 1 providers
Fresno, CA
Avg $100.70
348,781 claims · 117 providers
Las Vegas, NV
Avg $64.75
294,569 claims · 200 providers
Boston, MA
Avg $104.04
289,859 claims · 122 providers
Other Procedures in Pomona, CA
Blood Work & Lab Tests
Avg $3.21
4,565,012 claims
Office Visit
Avg $29.82
1,091,740 claims
Urinalysis & Urine Tests
Avg $1.47
848,645 claims
Physical Therapy
Avg $34.06
464,973 claims
Substance Abuse Treatment
Avg $64.29
429,941 claims
Dental Cleaning & Exam
Avg $49.69
313,121 claims
Emergency Room Visit
Avg $72.32
308,969 claims
X-Ray
Avg $10.26
271,954 claims