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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
Bayamin, PR $44.52 $44.52 – $44.52 593 1
Palmview, TX $124.91 $124.91 – $124.91 594 1
Canton, MA $91.55 $73.34 – $139.00 594 4
Berlin, CT $122.93 $122.93 – $122.93 596 1
Hutto, TX $61.92 $56.24 – $103.25 596 2
Piqua, OH $51.14 $50.77 – $56.25 597 2
Alexander City, AL $52.75 $52.75 – $52.75 597 1
Groves, TX $55.13 $55.13 – $55.13 598 1
Brunswick, GA $45.46 $45.46 – $45.46 599 1
Stronghurst, IL $4.24 $4.24 – $4.24 599 1
Copper Center, AK $220.44 $220.44 – $220.44 599 1
Flowery Branch, GA $78.12 $78.12 – $78.12 600 1
Middlebury, VT $131.33 $88.20 – $251.35 601 3
Mount Laurel, NJ $51.81 $51.59 – $54.84 601 2
Pikeville, TN $78.24 $78.24 – $78.24 601 1
Pipestone, MN $135.10 $135.10 – $135.10 602 1
South Boston, MA $54.05 $49.26 – $131.66 602 2
Fort Drum, NY $30.96 $30.96 – $30.96 605 1
New Albany, OH $34.03 $34.03 – $34.03 606 1
Edenton, NC $89.61 $89.61 – $89.61 608 1
Spotsylvania, VA $58.89 $58.89 – $58.89 608 1
Marianna, FL $42.03 $42.03 – $42.03 609 1
Saint Ignace, MI $195.95 $195.95 – $195.95 609 1
Socorro, NM $68.90 $67.04 – $107.52 610 2
Beaver, PA $61.30 $61.29 – $61.59 614 2
Mount Vernon, IL $62.81 $62.81 – $62.81 615 1
Chadron, NE $0.00 $0.00 – $0.00 615 1
Eau Claire, MI $101.92 $101.92 – $101.92 615 1
Chester, SC $109.27 $85.02 – $118.94 617 2
Gaylord, MI $160.99 $160.99 – $160.99 617 1
Cleveland Hts, OH $77.38 $77.38 – $77.38 617 1
Seymour, TN $58.99 $58.99 – $58.99 619 1
Seekonk, MA $45.56 $45.56 – $45.56 620 1
Salem, VA $42.92 $0.00 – $62.82 621 3
Grenada, MS $68.92 $55.24 – $80.14 621 4
Milton, FL $9.41 $7.89 – $9.49 623 2
Pittsfield, IL $61.45 $0.00 – $90.03 624 4
Paso Robles, CA $80.97 $55.09 – $100.80 624 3
El Rito, NM $62.56 $62.56 – $62.56 625 1
Worthington, MN $115.88 $110.16 – $149.95 626 2
Killen, AL $51.69 $51.69 – $51.69 626 1
Manti, UT $55.65 $55.65 – $55.65 626 1
Hawaiian Gardens, CA $81.31 $81.31 – $81.31 627 1
La Place, LA $103.51 $90.20 – $111.77 627 2
Cambridge, MD $46.63 $0.00 – $77.95 627 4
Claymont, DE $154.37 $154.37 – $154.37 627 1
Trinidad, CO $58.41 $58.41 – $58.41 628 1
Murphysboro, IL $54.10 $53.40 – $57.11 629 2
West St Paul, MN $110.55 $110.14 – $110.95 629 3
Oswego, IL $70.58 $70.58 – $70.58 630 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.