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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
Gold River, CA $80.24 $56.40 – $82.02 3,201 2
Orange, MA $42.85 $3.85 – $79.30 3,198 2
Farmington, MO $46.41 $2.35 – $194.63 3,189 4
Camden, TN $57.79 $48.29 – $67.35 3,180 2
Mentor, OH $85.85 $50.87 – $113.36 3,177 11
Manchester, OH $28.74 $0.00 – $31.20 3,177 3
Utica, NY $118.59 $3.26 – $2,023 3,176 5
Robinson, IL $70.27 $49.60 – $165.88 3,174 2
Clairton, PA $91.90 $91.90 – $91.90 3,174 1
Reston, VA $88.98 $0.00 – $108.28 3,167 5
Hope, AR $68.31 $68.02 – $68.48 3,166 2
Ravenswood, WV $81.62 $81.62 – $81.62 3,157 1
Prescott Valley, AZ $29.27 $0.00 – $135.66 3,154 6
Port Arthur, TX $56.29 $29.08 – $77.83 3,151 5
Lawndale, CA $80.03 $62.27 – $118.04 3,149 7
Clackamas, OR $32.17 $0.00 – $142.85 3,148 5
Orange City, FL $38.21 $34.71 – $46.42 3,142 3
Medford, WI $34.88 $25.95 – $40.07 3,142 3
Highlands Ranch, CO $202.81 $0.00 – $240.38 3,140 5
Cidra, PR $34.72 $24.13 – $55.95 3,132 7
Kirtland, NM $93.62 $66.55 – $97.67 3,129 5
Salina, KS $81.98 $46.54 – $147.41 3,127 6
Cornelius, OR $107.27 $0.00 – $140.43 3,121 3
Vivian, LA $60.64 $60.64 – $60.64 3,117 1
Salida, CO $96.31 $0.00 – $99.10 3,116 3
Eustis, FL $16.44 $8.56 – $26.83 3,114 2
Prosper, TX $52.82 $33.03 – $57.02 3,113 2
Newport, AR $80.32 $65.93 – $81.41 3,109 3
Sherwood, AR $63.25 $63.25 – $63.25 3,108 1
Hillsboro, OH $57.58 $57.48 – $60.57 3,107 3
Sunny Isles Beach, FL $161.56 $161.56 – $161.56 3,106 1
La, CA $102.32 $86.42 – $109.45 3,104 4
Boynton Beach, FL $32.24 $1.93 – $57.40 3,103 8
Woodstock, VA $59.30 $59.30 – $59.30 3,101 1
Monterey Park, CA $106.89 $34.94 – $230.87 3,098 13
Brownsville, TX $48.86 $7.50 – $286.16 3,092 11
Hebron, OH $57.45 $47.09 – $64.24 3,091 3
Streamwood, IL $59.22 $44.72 – $78.24 3,081 6
Overland Park, KS $72.57 $40.84 – $104.86 3,063 6
Piscataway, NJ $43.37 $36.02 – $103.12 3,062 6
Pascagoula, MS $72.06 $33.09 – $80.00 3,055 4
Derby, CT $75.93 $34.81 – $89.74 3,055 3
Colchester, VT $153.20 $109.75 – $164.77 3,053 2
Moncks Corner, SC $98.32 $75.96 – $105.41 3,053 3
Owasso, OK $75.14 $56.85 – $77.42 3,041 4
Fort Atkinson, WI $49.87 $49.87 – $49.87 3,039 1
Palatine, IL $49.10 $37.42 – $87.97 3,033 11
Macomb, MI $91.76 $87.05 – $118.58 3,032 4
Pismo Beach, CA $57.30 $57.30 – $57.30 3,028 1
Wheaton, IL $105.97 $0.00 – $115.39 3,027 4

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.