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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
Narragansett, RI $79.32 $79.32 – $79.32 2,563 1
Mineral Wells, WV $73.05 $73.05 – $73.05 2,562 1
Issaquah, WA $72.18 $56.99 – $108.76 2,548 5
Sikeston, MO $91.98 $48.01 – $181.39 2,542 4
Trenton, FL $40.20 $39.08 – $52.95 2,538 3
Hicksville, NY $49.72 $35.15 – $53.14 2,537 2
Redmond, WA $52.10 $26.54 – $114.70 2,535 10
Grand Haven, MI $85.10 $84.96 – $89.00 2,522 2
Oakbrook Terrace, IL $76.41 $53.45 – $81.15 2,522 4
Weston, FL $23.83 $13.26 – $69.00 2,521 6
Chamblee, GA $189.15 $189.15 – $189.15 2,520 1
Claremont, NC $95.15 $95.15 – $95.15 2,516 1
Guayama, PR $28.27 $22.24 – $28.91 2,515 5
Robbinsville, NC $62.63 $62.63 – $62.63 2,515 1
Bedford, PA $71.99 $71.99 – $71.99 2,512 1
Lexington, NC $63.48 $59.85 – $69.43 2,511 5
Los Lunas, NM $86.43 $66.61 – $102.53 2,507 5
New Lexington, OH $49.81 $0.00 – $74.09 2,497 6
Clermont, FL $30.93 $7.97 – $56.37 2,489 7
Mountain Home, ID $0.35 $0.00 – $35.87 2,488 3
Enterprise, AL $46.11 $0.00 – $55.93 2,487 6
Lompoc, CA $85.41 $56.57 – $115.33 2,486 6
Johns Creek, GA $77.99 $63.87 – $259.98 2,485 2
Payette, ID $44.59 $0.00 – $62.82 2,481 3
Mc Lean, VA $117.59 $0.00 – $177.47 2,481 4
New Rochelle, NY $40.43 $27.79 – $100.38 2,478 9
Old Saybrook, CT $35.23 $13.20 – $82.65 2,473 4
Jacksonville, AL $44.70 $44.70 – $44.70 2,467 1
Bozeman, MT $93.79 $73.10 – $220.95 2,466 7
Eupora, MS $67.45 $67.45 – $67.45 2,463 1
Chesterfield, MO $115.09 $38.75 – $151.48 2,459 5
Franklin, MA $102.97 $68.53 – $104.57 2,459 2
Rapid City, SD $107.78 $49.09 – $201.35 2,457 5
Moon Twp, PA $62.08 $62.08 – $62.08 2,451 1
Saratoga Springs, NY $73.44 $34.43 – $127.46 2,451 4
Longmont, CO $85.48 $0.00 – $205.02 2,449 10
Nevada, MO $75.35 $72.49 – $106.83 2,444 2
Tecumseh, MI $84.65 $81.86 – $84.98 2,441 2
Estill Springs, TN $67.34 $67.34 – $67.34 2,437 1
Casselberry, FL $55.93 $49.90 – $57.99 2,435 3
Norco, CA $34.98 $28.34 – $118.08 2,434 3
Sunnyvale, TX $59.79 $57.24 – $75.48 2,434 2
Arcadia, LA $3.72 $3.72 – $3.72 2,433 1
Westbury, NY $63.17 $44.00 – $80.80 2,430 3
Madison Heights, VA $47.73 $0.00 – $50.36 2,417 3
Bentleyville, PA $60.96 $56.49 – $63.76 2,416 2
Hammond, IN $82.25 $66.96 – $183.15 2,411 3
Weatherford, OK $81.97 $63.19 – $121.75 2,409 4
South Williamson, KY $43.87 $43.87 – $43.87 2,409 1
Calera, AL $62.56 $62.56 – $62.56 2,408 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.