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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
Wausau, WI $100.17 $0.00 – $184.01 7,769 15
Cairo, IL $4.99 $3.54 – $47.87 7,745 2
Fair Lawn, NJ $58.74 $0.00 – $156.10 7,738 7
Oshkosh, WI $2.71 $0.00 – $47.10 7,733 5
Lakewood, NJ $68.39 $30.68 – $124.86 7,709 15
Pine Bluff, AR $72.89 $65.70 – $90.14 7,693 5
Canonsburg, PA $74.10 $74.10 – $74.10 7,687 1
Frankfort, KY $64.32 $27.34 – $103.88 7,681 9
Newport Coast, CA $142.84 $142.84 – $142.84 7,681 1
Hastings On Hudson, NY $49.79 $49.79 – $49.79 7,677 1
Radcliff, KY $64.07 $37.56 – $69.00 7,675 3
Longview, TX $114.53 $32.03 – $267.22 7,638 11
Ravenna, OH $61.33 $45.55 – $61.80 7,618 4
College Park, MD $202.06 $62.92 – $265.40 7,614 5
Burlington, NC $60.07 $43.19 – $76.22 7,582 13
Provo, UT $70.62 $0.00 – $208.54 7,558 10
Findlay, OH $57.19 $35.60 – $58.73 7,541 3
Brookpark, OH $71.06 $71.06 – $71.06 7,535 1
Skokie, IL $65.85 $34.85 – $96.96 7,524 11
Mt Pleasant, WI $189.88 $67.38 – $222.23 7,511 2
Glenwood Springs, CO $97.70 $87.22 – $154.78 7,505 9
Harleysville, PA $195.47 $195.47 – $195.47 7,504 1
Mashpee, MA $47.18 $45.08 – $70.09 7,493 2
Blackwell, OK $85.25 $82.47 – $119.17 7,492 3
Falmouth, ME $95.18 $91.00 – $95.49 7,439 3
Ontario, CA $88.61 $54.38 – $119.00 7,439 26
Mcminnville, OR $1.02 $0.00 – $80.85 7,437 5
Woodhaven, MI $63.16 $38.80 – $158.12 7,434 7
Meriden, CT $59.28 $0.00 – $112.47 7,417 5
Lincolnton, NC $64.07 $43.18 – $103.50 7,410 6
East Bernstadt, KY $59.51 $59.51 – $59.51 7,406 1
Nampa, ID $67.75 $21.63 – $215.09 7,398 15
Petersburg, VA $118.38 $0.00 – $131.44 7,389 5
Duarte, CA $57.40 $54.34 – $113.78 7,387 3
Sleepy Hollow, NY $49.99 $29.16 – $210.53 7,384 4
Sunnyside, NY $63.21 $63.21 – $63.21 7,370 1
Covina, CA $57.98 $47.50 – $119.00 7,342 8
Niles, MI $90.49 $62.80 – $159.09 7,338 4
Yorba Linda, CA $109.45 $56.76 – $119.00 7,333 6
Golden, CO $97.24 $95.48 – $111.52 7,322 3
Golden Valley, MN $167.32 $167.32 – $167.32 7,312 1
Villa Park, IL $92.98 $77.20 – $98.41 7,304 7
Mayfield Hts, OH $54.86 $51.20 – $61.83 7,299 5
Sugar Land, TX $133.99 $11.47 – $272.32 7,278 12
Lexington, SC $119.75 $77.07 – $277.17 7,272 7
Ft Myers, FL $219.32 $219.32 – $219.32 7,269 1
Dededo, GU $146.38 $142.15 – $165.39 7,249 3
Marion, VA $60.41 $38.38 – $213.76 7,231 5
Shiprock, NM $140.71 $12.26 – $156.12 7,231 4
Atlanta, MI $84.18 $84.18 – $84.18 7,220 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.