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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
Cocoa, FL $26.67 $24.89 – $30.14 227 3
Ridgeland, SC $118.20 $118.20 – $118.20 227 1
Lindenwold, NJ $72.63 $72.63 – $72.63 227 1
Montpelier, OH $64.53 $64.53 – $64.53 227 1
Lucerne, CA $117.95 $117.95 – $117.95 227 1
Elmore, AL $47.76 $47.76 – $47.76 227 1
Sterling Hts, MI $70.19 $70.19 – $70.19 229 1
Valdosta, GA $103.76 $67.52 – $108.00 229 2
Allendale, SC $94.73 $94.73 – $94.73 229 1
Trenton, TN $65.18 $27.59 – $85.44 229 3
San Bruno, CA $59.41 $59.41 – $59.41 229 1
Roberts, WI $92.64 $92.64 – $92.64 229 1
South Boston, VA $55.47 $53.30 – $64.40 230 2
Belleville, IL $43.07 $0.00 – $46.51 230 2
Auburn, NY $216.22 $216.22 – $216.22 230 1
Spring House, PA $56.90 $56.90 – $56.90 230 1
College Park, GA $71.38 $71.38 – $71.38 230 1
Blackfoot, ID $62.98 $62.98 – $62.98 231 1
Brookings, OR $2.14 $2.14 – $2.14 233 1
West Liberty, KY $26.38 $9.50 – $34.56 233 2
Williston, FL $40.12 $39.76 – $43.55 233 2
Winona, MN $6.33 $6.33 – $6.33 234 1
Camp Springs, MD $105.13 $105.13 – $105.13 235 1
Essex Junction, VT $218.48 $218.48 – $218.48 235 1
Carmi, IL $0.00 $0.00 – $0.00 235 1
Ottawa Hills, OH $53.93 $53.93 – $53.93 235 1
Fredench, MD $152.70 $152.70 – $152.70 236 1
Holland, PA $36.97 $36.97 – $36.97 236 1
Peebles, OH $58.56 $58.56 – $58.56 236 1
Prospect Park, NJ $112.47 $48.97 – $119.00 236 2
Mira Loma, CA $96.31 $96.31 – $96.31 236 1
Springdale, WA $30.26 $30.26 – $30.26 237 1
Cliffside Park, NJ $43.93 $35.12 – $53.83 238 2
Elizabeth, WV $124.52 $124.52 – $124.52 238 1
Spring Lake Park, MN $112.81 $112.81 – $112.81 238 1
Hooksett, NH $139.00 $139.00 – $139.00 238 1
North Quincy, MA $74.60 $74.60 – $74.60 238 1
Cresskill, NJ $83.23 $71.35 – $88.56 239 2
Truckee, CA $67.84 $45.35 – $97.52 239 2
Flushing, MI $70.46 $70.46 – $70.46 239 1
Sedalia, MO $82.70 $53.00 – $105.00 240 6
San Benito, TX $50.32 $11.47 – $54.64 240 2
Lake City, IA $70.19 $70.19 – $70.19 240 1
El Reno, OK $102.30 $63.23 – $128.04 240 3
Fort Gay, WV $62.63 $0.00 – $66.51 240 2
Hershey, PA $63.80 $63.30 – $63.86 241 2
La Jolla, CA $64.55 $56.63 – $115.28 241 3
Oceanside, NY $37.22 $23.04 – $62.85 241 3
Windham, ME $115.88 $110.40 – $119.50 241 3
Laceys Spring, AL $52.96 $52.96 – $52.96 242 1

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.