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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
Daytona Beach, FL $43.30 $10.92 – $77.15 3,725 7
Canyon Country, CA $68.35 $56.19 – $112.39 3,725 7
Maumee, OH $58.01 $57.69 – $58.02 3,728 2
Duncan, SC $116.29 $99.47 – $213.22 3,734 4
Liberty Lake, WA $44.14 $30.19 – $75.30 3,738 5
Sulphur, LA $82.89 $72.15 – $231.96 3,740 3
Newport, KY $41.88 $34.46 – $48.90 3,744 3
Rockwall, TX $47.89 $45.38 – $105.19 3,746 3
North Liberty, IA $53.38 $53.24 – $60.95 3,752 2
Greenville, OH $36.72 $18.20 – $97.14 3,756 6
Fredonia, NY $60.48 $57.49 – $62.36 3,759 2
Carthage, NY $102.90 $60.03 – $122.34 3,776 4
Sun Prairie, WI $51.79 $0.00 – $79.79 3,802 4
Columbia Heights, MN $122.50 $122.13 – $123.54 3,810 2
Fair Oaks, CA $78.70 $57.40 – $79.29 3,816 2
Long Island City, NY $41.31 $41.28 – $41.31 3,820 2
New Haven, MI $71.04 $59.54 – $173.50 3,830 3
Bogalusa, LA $60.72 $57.46 – $64.01 3,835 3
Astoria, NY $74.71 $41.00 – $82.60 3,837 7
Bourbonnais, IL $58.88 $51.81 – $85.42 3,843 5
Poland, OH $58.28 $58.28 – $58.29 3,854 2
Liberty, NY $53.09 $53.09 – $53.09 3,855 1
Canton, MS $254.98 $37.37 – $450.13 3,864 6
Encinitas, CA $63.88 $56.63 – $117.63 3,865 4
Oakland, MD $101.34 $101.30 – $103.49 3,871 2
Washington, PA $84.28 $54.45 – $95.18 3,882 5
Superior, WI $69.09 $0.00 – $180.48 3,892 5
Reedley, CA $88.81 $0.00 – $93.10 3,896 5
Murrells Inlet, SC $90.65 $87.40 – $92.58 3,897 3
Commerce City, CO $51.79 $27.32 – $174.54 3,899 8
Desert Hot Springs, CA $112.07 $108.73 – $115.28 3,903 3
Clifton, NJ $32.25 $15.72 – $79.12 3,904 10
Lathrup Village, MI $44.75 $33.08 – $65.12 3,909 4
Neillsville, WI $37.65 $35.98 – $38.19 3,914 4
Wayland, MI $79.67 $36.39 – $129.62 3,914 2
Greer, SC $129.08 $80.25 – $211.42 3,915 7
Brookline, MA $93.93 $44.07 – $104.45 3,916 8
Okanogan, WA $51.09 $32.79 – $129.14 3,917 7
Middleboro, MA $182.15 $117.87 – $185.33 3,920 2
Riverdale, MD $116.43 $109.94 – $116.81 3,921 2
Terre Haute, IN $128.09 $0.00 – $196.29 3,925 15
Hollywood, FL $38.88 $19.04 – $63.88 3,928 6
Irvington, NJ $68.02 $0.00 – $88.41 3,940 9
Brookfield, WI $37.71 $0.00 – $64.64 3,945 5
Salyersville, KY $58.93 $57.28 – $60.73 3,951 2
Danville, PA $82.75 $30.40 – $129.25 3,952 10
Lebanon, OH $58.11 $58.11 – $58.11 3,964 1
Santa Clara, CA $96.52 $10.54 – $119.00 3,970 8
Imlay City, MI $96.25 $96.25 – $96.25 3,989 1
Sewell, NJ $72.04 $64.67 – $72.61 4,001 2

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.