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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
Laredo, TX $212.88 $10.59 – $271.46 9,371 15
Hanahan, SC $89.96 $50.79 – $144.00 9,372 12
San Leandro, CA $91.54 $50.30 – $119.00 9,403 13
Valhalla, NY $81.42 $64.61 – $95.40 9,447 3
Lakewood, OH $100.57 $32.62 – $103.02 9,475 4
Bristol, CT $89.03 $36.00 – $142.76 9,485 12
Deerwood, MN $114.39 $109.67 – $116.02 9,489 5
Bountiful, UT $53.72 $35.22 – $140.10 9,491 5
Marquette, MI $235.46 $93.83 – $240.49 9,497 2
Gretna, LA $152.78 $5.25 – $175.80 9,512 5
Englewood, NJ $53.11 $1.47 – $164.47 9,538 6
Hutchinson, KS $96.01 $85.73 – $116.77 9,547 5
London, KY $47.33 $35.10 – $91.31 9,604 10
Huntsville, AL $105.57 $22.61 – $204.46 9,638 19
Lynwood, CA $84.60 $34.73 – $119.00 9,646 11
Sanford, NC $62.82 $57.70 – $79.04 9,649 9
Palm Springs, FL $105.35 $7.53 – $185.44 9,667 7
Endicott, NY $60.39 $53.91 – $102.92 9,683 5
Mccomb, MS $112.24 $61.89 – $350.85 9,698 6
Voorhees, NJ $55.48 $15.10 – $107.64 9,712 9
Mason, OH $59.18 $35.21 – $113.36 9,788 8
West Warwick, RI $0.95 $0.00 – $25.08 9,801 6
White Plains, NY $49.30 $38.33 – $67.69 9,812 8
Manhattan, KS $204.70 $204.70 – $204.70 9,816 1
Gallup, NM $74.32 $63.04 – $90.57 9,817 7
San Gabriel, CA $60.00 $41.35 – $119.00 9,829 13
Concord, CA $70.90 $54.26 – $118.44 9,838 7
Williamsburg, VA $167.95 $27.46 – $293.52 9,840 8
Miami Gardens, FL $40.81 $0.00 – $41.20 9,840 3
Monsey, NY $44.53 $35.35 – $67.31 9,843 9
Jamaica, NY $48.66 $24.37 – $100.30 9,864 18
Irving, TX $116.09 $35.43 – $269.75 9,873 13
Oak Harbor, WA $61.25 $30.44 – $115.54 9,875 10
Elizabethtown, KY $59.32 $33.67 – $133.37 9,901 16
Florence, KY $48.88 $37.54 – $79.21 9,905 8
Summerfield, NC $141.70 $141.70 – $141.70 9,943 1
Whitesburg, KY $44.04 $33.83 – $48.34 9,958 4
Morgan Hill, CA $56.81 $55.80 – $119.00 9,989 4
Dumfries, VA $35.38 $14.66 – $135.46 9,993 6
North Augusta, SC $98.15 $83.89 – $106.94 9,999 3
Bartlesville, OK $124.46 $55.38 – $172.21 10,001 10
Edmonton, KY $48.67 $34.90 – $49.21 10,005 2
New Britain, CT $65.37 $0.00 – $110.65 10,008 14
Hackensack, NJ $118.65 $0.00 – $332.76 10,027 16
Grove City, OH $62.58 $51.54 – $92.30 10,048 6
Alabaster, AL $175.25 $48.67 – $243.65 10,054 4
Bossier City, LA $70.97 $14.77 – $159.14 10,058 10
Hazleton, PA $75.96 $57.62 – $235.21 10,065 4
Baldwin, MI $88.90 $88.90 – $88.90 10,078 1
Du Bois, PA $68.46 $68.46 – $68.46 10,079 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.