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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
East Greenbush, NY $98.65 $75.62 – $99.84 346 2
Caldwell, OH $18.57 $18.57 – $18.57 347 1
Howard, PA $66.41 $66.41 – $66.41 347 1
Goshen, IN $119.53 $115.03 – $130.59 348 3
Rock Island, IL $0.00 $0.00 – $0.00 348 1
St Augustine, FL $75.40 $9.90 – $86.90 348 4
Canton, IL $50.56 $50.56 – $50.56 348 1
Bloomfield, KY $46.62 $46.62 – $46.62 348 1
Margate, FL $29.38 $0.00 – $69.00 349 5
Helena, AR $61.72 $40.13 – $66.03 349 2
Branford, CT $137.71 $137.71 – $137.71 350 1
Gloversville, NY $552.81 $552.81 – $552.81 350 1
Indian Land, SC $98.98 $45.16 – $138.21 351 4
Porter, TX $61.24 $61.24 – $61.24 351 1
Buda, TX $51.99 $51.99 – $51.99 352 1
Oakland Park, FL $73.71 $24.68 – $80.13 354 2
Ridgeway, SC $84.08 $83.87 – $84.35 354 2
Delhi, LA $6.91 $6.91 – $6.91 355 1
Fairmount Heights, MD $103.01 $103.01 – $103.01 355 1
South Russell, OH $53.27 $53.27 – $53.27 356 1
Savannah, TN $63.97 $59.68 – $72.99 357 2
Snellville, GA $65.17 $55.19 – $75.70 357 3
Pawleys Island, SC $83.76 $39.73 – $87.07 357 2
Gosport, IN $168.09 $168.09 – $168.09 357 1
Dillingham, AK $150.89 $77.66 – $330.75 358 3
Mt Pleasant, SC $109.76 $87.50 – $123.49 359 2
Luquillo, PR $22.96 $22.96 – $22.96 359 1
Tse Bonito, NM $71.17 $71.17 – $71.17 360 1
Winter Garden, FL $49.31 $43.30 – $110.39 361 3
Rochester, NH $97.91 $81.99 – $125.00 361 4
Pacific Grove, CA $55.27 $55.27 – $55.27 361 1
Ocean Isle Beach, NC $42.17 $42.17 – $42.17 362 1
Limon, CO $179.98 $179.98 – $179.98 363 1
Billerica, MA $128.19 $122.95 – $159.38 363 3
Aurora, OH $17.96 $0.00 – $53.42 363 3
New City, NY $42.74 $38.23 – $77.35 364 2
Langley, KY $32.32 $32.32 – $32.32 364 1
Country Club Hills, IL $56.08 $56.08 – $56.08 364 1
Arab, AL $51.30 $47.11 – $52.50 365 2
Estero, FL $19.06 $10.31 – $20.81 366 2
West Hempstead, NY $26.53 $24.33 – $52.00 366 2
Ceiba, PR $23.46 $21.73 – $26.78 366 2
Somerset, PA $67.33 $67.33 – $67.33 367 1
Guttenberg, NJ $24.61 $23.45 – $29.71 367 2
Central Point, OR $29.09 $0.00 – $82.91 367 4
Bear, DE $181.85 $178.97 – $198.88 367 2
Round Lake Beach, IL $26.33 $0.00 – $54.90 367 2
Hawthorne, NV $47.93 $39.16 – $57.35 367 2
Universal City, TX $89.07 $89.07 – $89.07 367 1
New Canton, VA $64.98 $64.98 – $64.98 368 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.