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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
Oceanside, CA $55.38 $39.26 – $119.00 3,532 8
Oradell, NJ $33.89 $33.80 – $33.91 3,534 2
Gibbsboro, NJ $100.25 $62.10 – $111.76 3,538 2
Dekalb, IL $72.54 $54.15 – $87.59 3,539 6
Soquel, CA $106.42 $106.42 – $106.42 3,540 1
Cameron, SC $92.83 $44.41 – $97.88 3,542 2
Scarsdale, NY $102.36 $50.00 – $155.24 3,555 7
Wheeling, WV $76.26 $68.71 – $89.83 3,559 5
Batavia, OH $60.95 $51.92 – $61.24 3,566 3
Rexburg, ID $39.80 $0.00 – $54.29 3,567 3
Leavenworth, KS $78.34 $74.45 – $147.60 3,569 2
Ronkonkoma, NY $81.70 $52.76 – $103.41 3,571 4
Kingwood, TX $50.16 $21.00 – $92.96 3,574 4
Lodi, NJ $59.94 $26.56 – $64.57 3,585 3
Waukegan, IL $59.66 $0.00 – $164.28 3,587 10
Exeter, CA $52.35 $52.35 – $52.35 3,588 1
Rehoboth Beach, DE $153.97 $73.95 – $170.88 3,591 3
Ooltewah, TN $67.19 $56.49 – $70.33 3,597 5
Irvine, KY $52.99 $42.14 – $59.74 3,597 2
Forney, TX $45.67 $9.68 – $50.02 3,597 3
Dodge City, KS $79.74 $59.09 – $126.64 3,600 3
Cohoes, NY $41.16 $38.39 – $49.91 3,604 2
Mount Sterling, KY $48.66 $35.05 – $48.86 3,608 2
Fern Park, FL $43.24 $43.24 – $43.24 3,610 1
Medford, MA $124.87 $66.67 – $135.39 3,614 10
Johnstown, PA $62.01 $61.63 – $66.59 3,615 2
Ahoskie, NC $59.74 $43.40 – $63.80 3,621 5
Tarzana, CA $102.94 $20.91 – $207.20 3,625 9
Del City, OK $79.75 $61.57 – $114.86 3,630 3
Bound Brook, NJ $47.80 $21.67 – $69.23 3,633 3
Beavercreek, OH $66.06 $10.78 – $107.57 3,634 6
Stuart, FL $122.19 $29.04 – $174.03 3,635 5
Burien, WA $53.78 $35.45 – $58.18 3,648 6
Wayne, NJ $157.19 $157.19 – $157.19 3,655 1
Onalaska, WI $44.40 $44.40 – $44.40 3,669 1
Nome, AK $41.50 $0.00 – $78.75 3,672 6
Canfield, OH $56.94 $54.78 – $57.55 3,674 3
Fishkill, NY $125.89 $62.49 – $127.43 3,675 2
Beacon, NY $48.12 $48.12 – $48.12 3,677 1
Denison, TX $110.90 $110.90 – $110.90 3,682 1
Siloam Springs, AR $66.53 $65.82 – $131.17 3,686 2
Highland, IN $73.66 $6.58 – $128.05 3,688 7
Catonsville, MD $207.53 $121.44 – $232.44 3,691 5
Dublin, CA $84.27 $56.46 – $119.00 3,692 6
Arleta, CA $71.71 $57.10 – $119.00 3,692 3
Dunn, NC $23.76 $7.15 – $110.27 3,699 4
Center Line, MI $69.98 $56.62 – $91.46 3,713 2
Sac, CA $55.49 $55.49 – $55.49 3,716 1
Chaska, MN $169.13 $169.13 – $169.13 3,717 1
Avenel, NJ $79.21 $17.35 – $116.40 3,720 6

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.