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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
Bridgeport, CT $64.25 $0.00 – $367.50 8,828 20
Banning, CA $113.30 $81.93 – $118.18 8,804 4
Chester, VA $133.01 $45.81 – $190.11 8,793 6
Harrisburg, PA $106.16 $0.00 – $271.81 8,766 24
Newark, DE $176.33 $0.00 – $261.13 8,765 17
Oak Lawn, IL $81.36 $52.42 – $92.19 8,763 10
Searcy, AR $127.67 $46.61 – $218.00 8,758 5
Camden, NJ $37.63 $23.18 – $81.32 8,756 13
Saint Cloud, MN $162.23 $68.01 – $194.99 8,753 9
Grand Blanc, MI $90.97 $52.00 – $205.66 8,739 8
Daly City, CA $59.78 $0.00 – $114.22 8,738 7
Clarkston, WA $41.76 $0.00 – $72.12 8,729 9
Corona Del Mar, CA $63.03 $57.16 – $140.82 8,728 2
Georgetown, SC $147.44 $45.04 – $187.61 8,724 6
St Thomas, VI $263.99 $263.99 – $263.99 8,720 1
Lincoln Park, MI $83.66 $77.17 – $86.32 8,716 5
Manchester, KY $47.64 $37.78 – $77.64 8,673 4
Owensboro, KY $49.93 $36.05 – $198.87 8,668 10
Zephyrhills, FL $36.38 $10.88 – $56.26 8,665 5
Temecula, CA $69.81 $21.00 – $119.00 8,659 11
Fresh Meadows, NY $156.57 $44.63 – $217.27 8,654 5
Madera, CA $64.47 $48.90 – $119.00 8,650 11
Aguadilla, PR $89.79 $22.50 – $158.10 8,612 6
Boardman, OH $84.45 $45.74 – $104.83 8,611 8
Schaumburg, IL $69.39 $45.64 – $155.79 8,609 15
Ashland, KY $67.85 $45.13 – $210.67 8,606 6
Milton, WI $101.29 $101.29 – $101.29 8,597 1
Annandale, VA $188.56 $58.00 – $247.00 8,579 6
Montclair, CA $68.90 $55.84 – $119.00 8,578 9
Indio, CA $77.40 $54.53 – $119.00 8,536 12
San Luis Obispo, CA $70.50 $56.90 – $98.92 8,523 6
Pittsburg, KS $72.38 $68.04 – $114.40 8,489 4
Columbia, TN $97.38 $48.18 – $226.97 8,457 8
Jasper, AL $52.70 $51.45 – $59.86 8,446 4
Alton, IL $89.40 $57.76 – $112.86 8,446 5
Canton Township, MI $49.51 $49.51 – $49.51 8,441 1
North Hills, CA $91.37 $57.33 – $117.91 8,436 4
Canon City, CO $97.41 $18.27 – $98.78 8,434 4
Brentwood, TN $58.17 $53.70 – $62.19 8,430 4
Tryon, NC $73.42 $73.42 – $73.42 8,425 1
Huber Heights, OH $63.37 $25.11 – $118.82 8,397 5
Lone Tree, CO $153.14 $94.11 – $163.69 8,397 5
South Bend, IN $190.20 $44.98 – $239.78 8,371 14
Gig Harbor, WA $116.98 $27.68 – $180.32 8,371 7
American Canyon, CA $129.21 $129.21 – $129.21 8,363 1
Hoover, AL $77.38 $37.92 – $231.31 8,359 10
Circleville, OH $62.22 $52.99 – $113.36 8,356 6
Waterford, MI $91.54 $51.24 – $107.70 8,354 6
Brentwood, CA $59.46 $34.93 – $98.21 8,346 6
Chicopee, MA $91.31 $37.44 – $128.35 8,344 8

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.