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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
Kalamazoo, MI $90.15 $53.97 – $194.64 42,678 10
Montgomery, AL $94.57 $0.00 – $229.69 42,452 34
Kansas City, MO $80.22 $14.16 – $421.23 42,313 56
Pikeville, KY $99.73 $44.83 – $128.02 42,313 10
Yakima, WA $59.42 $18.59 – $145.71 42,208 41
Oakland, CA $80.09 $51.04 – $405.25 42,185 37
West Covina, CA $59.33 $0.00 – $231.00 42,080 22
Loma Linda, CA $71.89 $45.59 – $181.12 42,080 31
Stockton, CA $80.23 $0.00 – $240.00 41,983 44
Saint Louis, MO $70.62 $0.00 – $293.20 41,849 55
Peoria, IL $68.53 $44.51 – $235.88 41,770 19
Tualatin, OR $146.15 $146.15 – $146.15 41,706 1
Mesa, AZ $62.10 $0.00 – $274.18 41,635 46
Jersey City, NJ $56.06 $21.60 – $277.14 41,354 29
Bremerton, WA $93.00 $16.78 – $148.42 41,315 16
Charleston, SC $169.30 $0.00 – $340.24 41,250 36
Hilliard, OH $73.50 $18.96 – $216.07 41,031 13
Roswell, NM $94.95 $63.78 – $459.75 41,006 16
Pittsburgh, PA $91.82 $11.08 – $367.57 40,755 51
Mobile, AL $97.11 $10.26 – $253.01 40,594 29
Saginaw, MI $90.80 $0.00 – $247.87 40,572 15
Xenia, OH $88.31 $21.23 – $95.30 40,553 9
Springfield, OH $71.21 $19.47 – $857.77 40,273 18
Fitchburg, MA $122.79 $56.63 – $257.21 40,141 7
Totowa, NJ $187.25 $45.92 – $187.38 39,945 2
Westminster, CO $166.89 $15.64 – $183.54 39,481 19
Torrance, CA $118.30 $47.16 – $168.82 39,463 26
Dallas, TX $106.26 $0.00 – $280.14 39,460 89
Tigard, OR $43.18 $0.00 – $357.05 39,330 11
East Longmeadow, MA $151.96 $55.58 – $213.20 39,258 6
Winter Haven, FL $84.57 $1.87 – $92.48 39,255 6
Lowell, MA $123.87 $0.00 – $149.05 39,123 29
Knoxville, TN $76.45 $36.06 – $222.67 39,059 37
Smyrna, TN $75.77 $47.88 – $181.03 39,039 13
Victorville, CA $84.05 $53.86 – $118.25 38,986 29
Medford, OR $151.55 $0.00 – $322.08 38,889 32
Beverly Hills, CA $87.26 $16.88 – $217.36 37,880 23
Pocatello, ID $115.98 $9.53 – $216.41 37,805 11
Harrisburg, NC $108.57 $66.09 – $118.94 37,775 3
Lawton, OK $97.33 $63.42 – $198.18 37,536 15
Farmington, NM $107.01 $48.42 – $175.43 37,400 22
Redlands, CA $81.34 $54.23 – $120.97 37,362 25
Galloway, NJ $158.30 $75.05 – $159.81 37,224 3
Asheville, NC $65.31 $49.08 – $232.12 36,929 38
Danbury, CT $130.50 $1.32 – $273.49 36,697 11
Albany, NY $304.29 $44.40 – $534.39 36,586 20
Salinas, CA $59.46 $56.15 – $120.86 36,443 14
Bend, OR $61.10 $0.00 – $223.46 35,977 32
New York City, NY $11.99 $11.38 – $77.18 35,960 2
Folsom, CA $99.25 $0.00 – $169.55 35,776 14

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.