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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
Selma, AL $55.31 $15.24 – $73.68 10,410 3
Murrieta, CA $59.89 $54.37 – $207.41 10,380 8
Manitowoc, WI $82.58 $51.04 – $102.83 10,358 6
Scottsdale, AZ $46.15 $0.00 – $214.65 10,342 19
Rosemead, CA $67.18 $56.12 – $119.00 10,325 12
Warren, OH $35.64 $0.00 – $58.09 10,321 8
Silverdale, WA $81.45 $31.80 – $112.46 10,312 7
Burlington, MA $88.79 $39.76 – $94.62 10,250 4
Fairfax, VA $118.26 $0.00 – $184.58 10,246 16
Hesperia, CA $85.59 $55.40 – $127.34 10,226 11
Livonia, MI $64.00 $0.00 – $197.13 10,220 9
Anna, IL $10.23 $1.93 – $72.14 10,208 4
Monument, CO $199.52 $52.05 – $201.80 10,193 3
Savage, MN $125.48 $105.46 – $131.98 10,182 10
Chino Hills, CA $130.13 $0.01 – $218.30 10,148 7
Rego Park, NY $67.45 $24.03 – $102.69 10,137 17
Tinley Park, IL $70.20 $49.22 – $70.26 10,108 2
Du Bois, PA $68.46 $68.46 – $68.46 10,079 1
Baldwin, MI $88.90 $88.90 – $88.90 10,078 1
Hazleton, PA $75.96 $57.62 – $235.21 10,065 4
Bossier City, LA $70.97 $14.77 – $159.14 10,058 10
Alabaster, AL $175.25 $48.67 – $243.65 10,054 4
Grove City, OH $62.58 $51.54 – $92.30 10,048 6
Hackensack, NJ $118.65 $0.00 – $332.76 10,027 16
New Britain, CT $65.37 $0.00 – $110.65 10,008 14
Edmonton, KY $48.67 $34.90 – $49.21 10,005 2
Bartlesville, OK $124.46 $55.38 – $172.21 10,001 10
North Augusta, SC $98.15 $83.89 – $106.94 9,999 3
Dumfries, VA $35.38 $14.66 – $135.46 9,993 6
Morgan Hill, CA $56.81 $55.80 – $119.00 9,989 4
Whitesburg, KY $44.04 $33.83 – $48.34 9,958 4
Summerfield, NC $141.70 $141.70 – $141.70 9,943 1
Florence, KY $48.88 $37.54 – $79.21 9,905 8
Elizabethtown, KY $59.32 $33.67 – $133.37 9,901 16
Oak Harbor, WA $61.25 $30.44 – $115.54 9,875 10
Irving, TX $116.09 $35.43 – $269.75 9,873 13
Jamaica, NY $48.66 $24.37 – $100.30 9,864 18
Monsey, NY $44.53 $35.35 – $67.31 9,843 9
Williamsburg, VA $167.95 $27.46 – $293.52 9,840 8
Miami Gardens, FL $40.81 $0.00 – $41.20 9,840 3
Concord, CA $70.90 $54.26 – $118.44 9,838 7
San Gabriel, CA $60.00 $41.35 – $119.00 9,829 13
Gallup, NM $74.32 $63.04 – $90.57 9,817 7
Manhattan, KS $204.70 $204.70 – $204.70 9,816 1
White Plains, NY $49.30 $38.33 – $67.69 9,812 8
West Warwick, RI $0.95 $0.00 – $25.08 9,801 6
Mason, OH $59.18 $35.21 – $113.36 9,788 8
Voorhees, NJ $55.48 $15.10 – $107.64 9,712 9
Mccomb, MS $112.24 $61.89 – $350.85 9,698 6
Endicott, NY $60.39 $53.91 – $102.92 9,683 5

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.