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Based on public Medicaid payment data.

Average Medicaid Tooth Extraction Payments

Typical Medicaid Tooth Extraction reimbursement across 5,267 cities

Avg. Medicaid Paid

$90.73

Price Range

$0.00 – $570.06

Total Claims

36.2M

Cities

5267

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.

About This Procedure

Surgical or simple removal of a tooth. Includes wisdom tooth extraction and other dental extractions.

Why do these costs look low?

These figures represent Medicaid reimbursement rates β€” the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.

Costs by City

City Avg. Paid Min / Max Claims Providers
Clifton Park, NY $95.46 $43.98 – $115.04 25,248 19
Paducah, KY $50.11 $22.07 – $109.61 25,253 9
Florence, SC $116.82 $2.81 – $280.78 25,343 17
Bayamon, PR $102.37 $19.69 – $138.55 25,371 23
Portland, ME $81.17 $0.00 – $127.47 25,393 22
Bloomington, IL $72.66 $0.00 – $114.94 25,440 13
Corbin, KY $54.94 $33.15 – $82.86 25,867 9
Frederick, MD $102.68 $19.32 – $282.91 25,915 16
Mebane, NC $124.75 $54.21 – $251.63 25,935 7
Murfreesboro, TN $71.25 $35.00 – $238.09 25,952 27
Moline, IL $124.66 $57.14 – $353.81 25,953 12
Tustin, CA $110.39 $50.73 – $171.38 26,021 12
Downey, CA $78.14 $0.00 – $112.64 26,043 12
Camas, WA $88.86 $50.72 – $101.10 26,068 4
Waterville, ME $125.93 $91.00 – $190.97 26,262 5
Fremont, CA $60.40 $50.16 – $119.00 26,397 19
Holland, MI $91.29 $28.74 – $178.89 26,421 11
Lakewood, CO $132.37 $42.66 – $272.42 26,441 25
Lima, OH $62.29 $0.44 – $174.39 26,529 12
Red Bank, NJ $148.69 $55.56 – $150.22 26,529 5
Bristol, TN $55.48 $42.19 – $193.92 26,587 8
Lakewood, WA $89.32 $30.36 – $125.32 26,725 6
Allentown, PA $90.59 $0.00 – $249.97 26,739 21
Ruleville, MS $184.16 $73.08 – $225.30 26,767 4
Carlsbad, CA $60.02 $52.31 – $117.30 26,855 5
Marlton, NJ $129.41 $0.00 – $135.56 26,901 6
Middletown, OH $51.20 $0.00 – $99.11 26,966 16
West Hollywood, CA $146.96 $54.11 – $148.03 27,020 4
Austin, TX $110.00 $0.00 – $286.65 27,036 48
Blue Ash, OH $72.64 $12.82 – $72.68 27,351 2
Bartlett, TN $127.36 $51.52 – $136.58 27,513 6
Maryville, TN $128.27 $54.60 – $242.00 27,567 10
Longview, WA $64.13 $0.00 – $107.12 27,593 19
Vista, CA $153.42 $55.56 – $176.17 27,608 12
Alexandria, LA $83.06 $1.77 – $222.42 27,627 10
Stony Brook, NY $71.65 $33.16 – $184.55 27,717 12
Cornelius, NC $124.17 $113.01 – $128.74 27,742 4
Olympia, WA $62.04 $0.00 – $160.52 27,850 23
Chippewa Falls, WI $47.60 $30.63 – $85.27 27,945 12
Hampton, VA $63.99 $0.00 – $166.40 27,983 21
Oxnard, CA $92.98 $53.06 – $140.36 28,035 25
Slidell, LA $68.24 $28.05 – $102.59 28,137 22
Henderson, NV $43.89 $23.68 – $124.90 28,147 30
Dorchester, MA $82.65 $0.00 – $246.53 28,147 19
Jonesboro, AR $141.99 $46.88 – $265.12 28,367 17
Cedar Rapids, IA $58.55 $2.32 – $190.46 28,522 15
Hemet, CA $146.21 $52.62 – $166.79 28,540 14
Irvine, CA $80.70 $37.75 – $174.90 28,540 31
Stoneham, MA $151.18 $76.46 – $161.19 28,682 5
Lancaster, OH $68.97 $53.34 – $95.33 28,710 7

Cost Components

National averages for each billing code in this procedure category. Sorted by claim volume.

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 averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.