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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
Trinity, FL $8.24 $8.24 – $8.24 4,306 1
Laurens, SC $113.75 $88.34 – $114.92 4,306 2
West Valley City, UT $47.13 $23.81 – $64.98 4,294 6
Northbrook, IL $43.37 $0.00 – $63.35 4,284 3
Redmond, OR $35.98 $0.00 – $95.46 4,283 9
Phelan, CA $61.27 $59.31 – $115.78 4,283 2
Mt Washington, KY $45.60 $45.56 – $49.20 4,281 2
Wayland, MA $94.14 $94.14 – $94.14 4,279 1
Apple Valley, MN $169.24 $65.25 – $170.54 4,279 3
Baytown, TX $270.77 $11.47 – $277.23 4,263 5
Wright Patterson Afb, OH $62.94 $49.95 – $87.46 4,258 3
Bethel, OH $61.92 $61.92 – $61.92 4,250 1
Oconomowoc, WI $56.83 $24.51 – $57.21 4,247 3
Newberry, SC $150.98 $122.30 – $155.28 4,244 2
New Boston, TX $59.24 $58.69 – $59.45 4,241 2
Madison, AL $101.91 $33.37 – $250.73 4,228 7
Cypress, CA $73.14 $55.97 – $119.00 4,226 7
Buffalo Grove, IL $58.57 $46.74 – $87.04 4,221 7
Elkhorn City, KY $53.14 $52.29 – $64.31 4,218 2
Suwanee, GA $37.79 $19.12 – $69.03 4,212 5
Nashua, NH $114.60 $64.53 – $144.51 4,207 11
Christopher, IL $4.90 $0.00 – $54.71 4,205 2
Bowling Green, OH $109.70 $93.26 – $113.18 4,204 3
Mchenry, IL $87.64 $57.15 – $88.81 4,202 4
Evanston, IL $56.39 $0.00 – $141.67 4,196 10
Ironwood, MI $59.85 $55.41 – $86.37 4,195 2
Baltimore, OH $65.67 $65.67 – $65.67 4,192 1
Rochester Hills, MI $75.06 $13.67 – $202.47 4,192 5
Anderson, IN $94.34 $55.38 – $229.95 4,183 9
Lakeview, OR $5.23 $5.23 – $5.23 4,182 1
Orange, CT $65.29 $56.86 – $65.52 4,180 2
Coral Springs, FL $50.47 $35.29 – $81.74 4,179 12
Lake Forest, CA $74.18 $10.78 – $118.51 4,177 10
South Burlington, VT $106.39 $55.53 – $111.09 4,174 5
Southington, CT $94.82 $66.78 – $106.06 4,174 3
Springvale, ME $1.30 $1.30 – $1.30 4,171 1
Hermitage, PA $76.17 $46.75 – $88.85 4,152 4
Burton, MI $95.42 $95.42 – $95.42 4,146 1
Simi Valley, CA $68.35 $41.80 – $114.94 4,143 3
Buckhannon, WV $107.24 $60.22 – $109.60 4,134 3
Lincroft, NJ $99.74 $99.74 – $99.74 4,126 1
Greenville, MS $68.90 $29.87 – $73.55 4,113 6
Moca, PR $43.94 $18.62 – $48.57 4,113 6
Brighton, CO $95.83 $20.57 – $174.54 4,103 10
Saipan, MP $54.91 $0.00 – $55.14 4,100 2
Minnie, KY $54.73 $54.20 – $55.42 4,098 2
Mayfield, KY $42.87 $42.87 – $42.87 4,092 1
Carson, CA $62.40 $56.88 – $134.79 4,084 10
University Place, WA $46.42 $30.49 – $57.44 4,084 5
Virginia, IL $7.36 $4.14 – $117.38 4,084 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.