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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
Benson, AZ $47.11 $47.11 – $47.11 81 1
Lakewood Ranch, FL $133.85 $133.85 – $133.85 81 1
Salem, SC $101.40 $101.40 – $101.40 81 1
Kingsville, TX $60.62 $56.73 – $64.77 82 3
Camden, NY $190.12 $190.12 – $190.12 82 1
Haverstraw, NY $10.57 $10.57 – $10.57 82 1
Cotati, CA $57.40 $57.40 – $57.40 82 1
Minden, NV $30.43 $30.43 – $30.43 83 1
Sutherlin, OR $1.20 $1.20 – $1.20 83 1
Owens Cross Roads, AL $138.52 $138.52 – $138.52 83 1
Vian, OK $72.91 $72.91 – $72.91 83 1
East Moline, IL $56.80 $56.80 – $56.80 84 1
Santa Teresa, NM $64.42 $64.42 – $64.42 84 1
Bandon, OR $27.38 $0.00 – $104.76 84 3
Port Orange, FL $49.75 $49.75 – $49.75 85 1
Monongahela, PA $76.86 $76.86 – $76.86 85 1
Blountstown, FL $38.66 $38.66 – $38.66 85 1
Spindale, NC $113.93 $113.87 – $113.97 85 2
Saint Cloud, FL $42.41 $34.19 – $44.94 85 2
La Porte, IN $109.20 $109.20 – $109.20 85 1
Crowley, LA $57.54 $55.64 – $58.43 85 2
Evergreen, CO $114.58 $98.03 – $118.13 85 2
Hudson, MA $83.86 $83.86 – $83.86 85 1
Poulsbo, WA $43.57 $43.57 – $43.57 86 1
Ainsworth, NE $37.73 $37.73 – $37.73 86 1
Talladega, AL $59.19 $59.19 – $59.19 86 1
Dania Beach, FL $22.14 $22.14 – $22.14 86 1
Haymarket, VA $0.00 $0.00 – $0.00 86 1
Willis, TX $37.75 $27.46 – $50.15 86 2
Lapwai, ID $29.29 $29.29 – $29.29 87 1
Murphy, TX $56.64 $56.64 – $56.64 87 1
Winters, CA $14.83 $0.00 – $17.67 87 2
Dobson, NC $69.59 $69.59 – $69.59 87 1
Lakeville, MA $86.98 $86.98 – $86.98 87 1
Sweetwater, TX $11.05 $11.05 – $11.05 87 1
Indian Head, MD $127.72 $127.72 – $127.72 87 1
Corry, PA $65.00 $65.00 – $65.00 88 1
San Lorenzo, CA $56.75 $56.75 – $56.75 88 1
Ft Hood, TX $113.99 $113.99 – $113.99 88 1
Turtle Lake, ND $0.00 $0.00 – $0.00 88 1
Mechanicsburg, PA $37.99 $0.00 – $69.00 89 2
Lauderdale Lakes, FL $49.32 $49.32 – $49.32 89 1
Buena Vista, CO $101.46 $101.46 – $101.46 89 1
Greenwood, AR $64.66 $64.66 – $64.66 89 1
Gorham, ME $11.20 $11.20 – $11.20 89 1
Cranford, NJ $49.72 $49.72 – $49.72 89 1
Key West, FL $28.88 $28.88 – $28.88 90 1
Wolcott, CT $0.00 $0.00 – $0.00 90 1
Canton, NC $66.27 $66.27 – $66.27 90 1
Kilgore, TX $45.41 $35.73 – $108.38 90 2

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.