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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
Fort Sill, OK $120.11 $37.64 – $196.10 1,084 4
Noah Brunswick, NJ $38.05 $38.05 – $38.05 1,082 1
Mattoon, IL $54.70 $37.12 – $57.42 1,081 2
Wayne, MI $38.03 $34.98 – $88.00 1,080 3
Hugo, OK $65.83 $65.83 – $65.83 1,079 1
Paintsville, KY $42.95 $34.99 – $60.49 1,078 3
Norwell, MA $95.76 $85.89 – $141.85 1,078 3
Carrollton, OH $15.52 $15.52 – $15.52 1,078 1
Jessup, MD $73.34 $73.34 – $73.34 1,077 1
Canovanas, PR $22.10 $20.17 – $34.96 1,075 6
Albert Lea, MN $127.46 $127.46 – $127.46 1,075 1
Bryn Mawr, PA $165.86 $54.17 – $248.79 1,072 7
Highland Hts, OH $44.12 $44.12 – $44.12 1,070 1
Burley, ID $22.76 $0.00 – $31.29 1,068 5
Vanceburg, KY $37.03 $36.81 – $38.65 1,068 3
Ozark, AL $50.43 $44.56 – $51.45 1,068 2
Oxford, MA $99.53 $97.72 – $99.56 1,067 2
Polson, MT $94.97 $62.31 – $103.72 1,067 3
Westford, MA $141.45 $140.22 – $174.64 1,067 2
Mexico, MO $131.53 $124.97 – $147.20 1,066 4
Lincoln, CA $55.11 $53.52 – $119.00 1,066 2
Robstown, TX $262.24 $262.24 – $262.24 1,063 1
Maple Heights, OH $93.11 $55.07 – $102.05 1,062 2
Monmouth, IL $83.08 $0.71 – $105.59 1,062 3
Dearborn Hts, MI $39.18 $38.15 – $88.00 1,062 2
Morton, WA $38.04 $38.04 – $38.04 1,061 1
Santee, CA $66.00 $41.85 – $117.92 1,060 6
La Canada, CA $166.07 $57.40 – $173.06 1,059 2
Shavano Park, TX $70.35 $70.35 – $70.35 1,055 1
Lillington, NC $67.13 $55.24 – $147.21 1,055 5
Lacombe, LA $50.65 $50.65 – $50.65 1,054 1
Cashton, WI $3.10 $0.00 – $77.23 1,049 7
Suamico, WI $84.38 $84.38 – $84.38 1,049 1
Travelers Rest, SC $85.59 $85.59 – $85.59 1,046 1
Kankakee, IL $66.73 $66.73 – $66.73 1,044 1
Oquawka, IL $3.27 $3.27 – $3.27 1,044 1
San Mateo, CA $58.17 $56.16 – $139.00 1,043 4
Crestview Hills, KY $55.66 $55.66 – $55.66 1,041 1
New Albany, MS $72.76 $67.58 – $74.16 1,040 3
Ennis, TX $43.93 $41.56 – $43.98 1,040 2
Pleasantville, NJ $116.59 $57.40 – $121.60 1,038 2
Tuscumbia, AL $47.01 $26.50 – $61.57 1,038 5
Crivitz, WI $2.79 $2.79 – $2.79 1,038 1
Morrisville, VT $83.30 $82.69 – $125.05 1,036 2
Flanders, NJ $114.30 $86.36 – $119.03 1,036 2
Aibonito, PR $83.39 $22.50 – $122.06 1,035 4
Beverly, OH $59.04 $59.04 – $59.04 1,035 1
Antigo, WI $4.41 $4.41 – $4.41 1,035 1
Cook, MN $175.66 $11.02 – $267.45 1,034 5
Beverly, MA $95.42 $46.58 – $132.77 1,033 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.