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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
Rehoboth Beach, DE $153.97 $73.95 – $170.88 3,591 3
Exeter, CA $52.35 $52.35 – $52.35 3,588 1
Waukegan, IL $59.66 $0.00 – $164.28 3,587 10
Lodi, NJ $59.94 $26.56 – $64.57 3,585 3
Kingwood, TX $50.16 $21.00 – $92.96 3,574 4
Ronkonkoma, NY $81.70 $52.76 – $103.41 3,571 4
Leavenworth, KS $78.34 $74.45 – $147.60 3,569 2
Rexburg, ID $39.80 $0.00 – $54.29 3,567 3
Batavia, OH $60.95 $51.92 – $61.24 3,566 3
Wheeling, WV $76.26 $68.71 – $89.83 3,559 5
Scarsdale, NY $102.36 $50.00 – $155.24 3,555 7
Cameron, SC $92.83 $44.41 – $97.88 3,542 2
Soquel, CA $106.42 $106.42 – $106.42 3,540 1
Dekalb, IL $72.54 $54.15 – $87.59 3,539 6
Gibbsboro, NJ $100.25 $62.10 – $111.76 3,538 2
Oradell, NJ $33.89 $33.80 – $33.91 3,534 2
Greenbelt, MD $135.06 $106.09 – $263.85 3,532 4
Oceanside, CA $55.38 $39.26 – $119.00 3,532 8
Tempe, AZ $27.36 $2.02 – $98.33 3,531 7
Greenfield, WI $79.82 $37.31 – $98.72 3,522 3
Cordova, TN $84.31 $56.67 – $116.13 3,519 4
Antioch, TN $36.07 $2.25 – $70.50 3,518 5
Thousand Oaks, CA $100.98 $19.59 – $119.00 3,517 6
Easton, MD $238.95 $102.66 – $241.88 3,510 3
Mount Vernon, WA $46.36 $41.85 – $57.17 3,503 5
Matthews, NC $66.83 $49.85 – $108.74 3,500 8
Odenton, MD $187.27 $105.24 – $190.08 3,500 2
St Charles, IL $86.67 $78.65 – $91.78 3,499 2
Newberg, OR $35.56 $0.00 – $98.82 3,489 7
Erie, CO $267.80 $267.80 – $267.80 3,476 1
Montevideo, MN $167.37 $167.37 – $167.37 3,475 1
Fleming Island, FL $24.42 $11.10 – $48.82 3,473 2
Hagerstown, MD $91.45 $0.00 – $211.81 3,468 8
Seaman, OH $34.05 $0.00 – $36.22 3,462 2
Bridgeport, WV $112.85 $72.20 – $129.33 3,455 4
Shepherdsville, KY $60.17 $20.83 – $63.46 3,452 3
Walnut, CA $73.35 $55.61 – $119.00 3,447 6
Raynham, MA $81.40 $0.00 – $101.84 3,431 4
Tamarac, FL $62.09 $19.64 – $99.09 3,430 4
Espanola, NM $83.05 $67.84 – $100.67 3,426 5
Amherst, NY $71.92 $48.62 – $101.15 3,417 8
Cranberry Twp, PA $50.28 $50.28 – $50.28 3,414 1
Russell Springs, KY $41.55 $41.55 – $41.55 3,413 1
Chesterfield, VA $60.96 $32.58 – $67.33 3,410 2
Attleboro Falls, MA $99.60 $89.72 – $128.65 3,407 2
Bradford, PA $12.43 $0.00 – $13.91 3,405 2
Garrett, KY $50.11 $50.11 – $50.11 3,403 1
Saint Joseph, MO $73.34 $41.26 – $127.82 3,402 9
New Carlisle, OH $59.32 $19.36 – $63.44 3,401 3
Council Bluffs, IA $91.97 $3.43 – $208.55 3,394 11

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.