Based on public Medicaid payment data.

Average Medicaid Tooth Extraction Payments in San Jose, CA: $63.45

Avg. Paid

$63.45

Range

$11.02 – $217.45

Total Claims

89,937

Providers

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 San Jose, CA

Provider	Avg. Paid	Claims	Patients
Cuc Thi Tran 2593 S King Rd	$57.40	13	12
Pragya Chawla 1600 Willow St	$119.00	15	12
Aparnavalli C Nayudu 3005 Silver Creek Rd	$57.40	18	12
Kevin Vu 2090 N Capitol Ave	$119.00	20	12
Uyen Khanh Bui 21500 Bertram Rd	$54.67	21	17
Jason Song 1628 Hostetter Rd Ste J	$26.67	21	14
Anh Qt Le 2811 Story Rd.	$57.40	21	14
Leoncio Nikolay Fierro 3535 Ross Ave Ste 305	$57.40	23	13
Quyen Thuc Duong 175 S Capitol Ave	$57.40	29	13
Jamie Yuen Yin Yeung 7012 Silver Moon Ct	$57.40	36	27
Yujia Yao 1670 Westwood Dr Ste J	$30.86	39	14
My Hoa Thi Le 1110 S King Rd	$57.40	39	13
Steve Phuc Trinh 478 E Santa Clara St	$56.18	47	12
Mindi Chau Thai 120 Blossom Hill Rd	$67.67	52	38
Mai Kim Le 1832 Tully Rd	$57.40	59	25
Ted Khoi Vu 2344 Mckee Rd	$217.45	62	26
Afsaneh Moslemi 48 E Santa Clara St	$56.57	69	39
Edegar Vergara 2340 Mckee Rd Ste 3	$109.30	71	36
Kimdung Tracy Tran 120 Blossom Hill Rd # 20	$55.83	73	50
Tiphanie Tran 2664 Berryessa Road	$101.40	77	49
Dexter Massa 2664 Berryessa Rd	$114.36	77	40
Arturo Carhuamaca Latorre 22 N White Rd Ste 40	$119.00	79	26
Trammie Bui 228 N Jackson Ave Ste 50	$57.40	81	53
Gurdip Singh Narula 2850 Quimby Road	$57.40	84	49
Pauline Phuong Nguyen 5278 Monterey Hwy	$56.93	87	50
Cyrus M Akhbari 1201 Park Ave	$57.40	90	64
Reena Gupta 373 S Monroe St	$101.45	91	74
Vu Anh Tran 1672 Mckee Rd	$77.93	93	66
Maria Godelia Villar 848 S Almaden Ave Ste 100	$57.40	118	55
Thao Minh Nguyen 2782 Baton Rouge Dr	$62.10	126	81
David M. Ichimura 2400 Moorpark Ave Ste 110	$45.92	130	71
Jia Teng 3161 Senter Rd Ste G&F	$63.17	131	67
Lien Bich Hoang 3161 Senter Rd	$55.27	135	77
Marcy Kazeminy 1676 Story Rd	$54.92	156	91
Ngocle Vu 2344 Mckee Rd Ste 20	$52.26	157	84
Carolina Rodriguez 3087 Mckee Rd	$115.71	181	115
Katherine H. Yang 1153 S. King Rd	$56.77	181	125
Ky Nguyen 4055 Evergreen Village Sq Ste 240	$118.38	193	105
Yi Xu 4155 Moorpark Ave Ste 2	$57.13	211	120
Hani Sulaiman Jamah 5710 Cahalan Ave	$118.44	212	107
Whitney Do 3151 Senter Rd Ste 200	$56.50	223	96
Harold Lee Baumstein 25 N 14Th St	$101.51	284	163
Lanchi Pham 3005 Silver Creek Rd	$57.22	313	197
Christopher Rodriguez 634 N 13Th St	$57.22	318	199
Irina V Ganzha 1902 N Capitol Ave	$118.37	331	217
Ha Heather Nguyen 1705 Branham Ln	$88.82	498	325
Rita Chandki 2325 Mclaughlin Ave	$57.04	594	343
Mala Gopal 1333 Meridian Ave	$56.54	601	305
Sima Maleki 1155 N Capitol Ave Ste 160	$56.37	614	273
Deepika Jain 2454 Story Rd	$105.32	639	345

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 San Jose, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Tooth Extraction in San Jose, CA is $63.45 per claim, based on 89,937 claims from 85 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 San Jose, CA?

There are 85 Medicaid providers offering Tooth Extraction related services in San Jose, CA according to public payment data.

What is the price range for Tooth Extraction in San Jose, CA?

Medicaid reimbursement for Tooth Extraction in San Jose, CA ranges from $11.02 to $217.45 per claim, with an average of $63.45. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Tooth Extraction Payments in San Jose, CA: $63.45

Providers Offering Tooth Extraction in San Jose, CA

What to Expect: Tooth Extraction

Cost Components

Frequently Asked Questions

Tooth Extraction in Other Cities

Los Angeles, CA

Brooklyn, NY

Chicago, IL

New York, NY

Petoskey, MI

Fresno, CA

Las Vegas, NV

Boston, MA

Other Procedures in San Jose, CA

Office Visit

Blood Work & Lab Tests

Dental Cleaning & Exam

Case Management Services

Behavioral & Mental Health Therapy

Vaccines & Immunizations

X-Ray

Substance Abuse Treatment