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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
Murray, UT $65.23 $36.40 – $91.90 1,295 6
Hudson, NC $52.56 $48.40 – $90.50 1,295 2
Hemingway, SC $86.16 $86.16 – $86.16 1,297 1
Weatogue, CT $105.76 $105.06 – $105.85 1,302 2
Bluffton, SC $93.52 $89.44 – $107.84 1,307 2
Pelham, NY $28.00 $28.00 – $28.00 1,307 1
Fountain, CO $99.06 $97.01 – $99.85 1,307 2
Glen Burnie, MO $106.93 $106.93 – $106.93 1,307 1
Danvers, MA $81.17 $74.14 – $136.68 1,308 5
Homewood, AL $35.72 $30.74 – $80.37 1,308 3
Clinton, MO $164.09 $136.48 – $238.42 1,308 5
Miamisburg, OH $55.18 $37.31 – $67.74 1,309 2
Union, NJ $55.94 $0.00 – $58.89 1,313 3
Mcloud, OK $69.97 $69.97 – $69.97 1,313 1
Blacksburg, SC $45.30 $42.73 – $74.14 1,313 3
Warrior, AL $102.39 $102.39 – $102.39 1,315 1
Hill Afb, UT $50.47 $50.47 – $50.47 1,316 1
Locust, NC $61.96 $59.52 – $62.14 1,320 2
Holbrook, MA $93.94 $93.94 – $93.94 1,324 1
Bloomington, MN $119.30 $113.04 – $124.14 1,328 3
Chesterfield, MI $63.87 $55.27 – $92.05 1,329 3
Clarksdale, MS $74.04 $66.63 – $84.68 1,330 3
Melbourne, FL $46.70 $14.24 – $219.06 1,334 12
Beaver Dam, WI $50.42 $50.42 – $50.42 1,335 1
Bingham, ME $1.76 $1.76 – $1.76 1,338 1
Waynesville, OH $59.44 $59.44 – $59.44 1,339 1
Anahuac, TX $8.60 $8.60 – $8.60 1,341 1
Corinth, TX $61.06 $10.96 – $63.77 1,345 2
Purcell, OK $107.64 $70.88 – $125.11 1,347 2
Jefferson, NC $66.80 $60.84 – $67.28 1,347 3
Zachary, LA $71.86 $66.43 – $72.31 1,348 2
Whittier, CA $45.62 $0.00 – $119.00 1,351 9
East Windsor, CT $104.71 $104.71 – $104.71 1,351 1
Harvey, IL $2.83 $0.00 – $89.65 1,353 3
Havertown, PA $61.52 $54.65 – $77.67 1,355 5
Oak Creek, WI $59.71 $31.92 – $62.22 1,355 2
Stayton, OR $1.35 $0.44 – $2.43 1,358 4
Ozark, MO $148.09 $88.70 – $153.74 1,358 2
Calumet Park, IL $59.71 $59.71 – $59.71 1,358 1
Debary, FL $30.29 $30.29 – $30.29 1,360 1
Madison, CT $102.89 $102.89 – $102.89 1,362 1
Latta, SC $86.65 $86.65 – $86.65 1,364 1
Uniontown, PA $108.73 $108.73 – $108.73 1,365 1
Niles, IL $56.29 $47.36 – $98.22 1,365 5
Evergreen, AL $56.09 $56.09 – $56.09 1,366 1
Studio City, CA $70.54 $57.14 – $119.00 1,370 4
Sturtevant, WI $134.15 $134.15 – $134.15 1,372 1
Stone Mountain, GA $101.91 $54.88 – $127.47 1,373 3
Aliso Viejo, CA $56.94 $55.88 – $57.34 1,375 2
Monroe, WA $50.67 $42.33 – $78.07 1,376 3

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.