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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
Ruther Glen, VA $112.51 $69.00 – $114.43 331 2
Pawkeye Island, SC $68.84 $68.84 – $68.84 331 1
Hampton, TN $67.50 $67.50 – $67.50 331 1
Pineville, KY $44.03 $44.03 – $44.03 330 1
Coweta, OK $69.78 $64.07 – $72.13 330 2
Aptos, CA $57.36 $57.36 – $57.36 329 1
Booneville, AR $63.49 $61.58 – $65.53 329 2
Union, SC $79.38 $79.38 – $79.38 329 1
Lowell, AR $65.55 $65.55 – $65.55 328 1
Strongsville, OH $95.53 $38.65 – $100.87 326 2
Wellsburg, WV $39.23 $39.23 – $39.23 326 1
Tucker, GA $95.28 $95.28 – $95.28 326 1
Capitol Heights, MD $80.76 $80.76 – $80.76 326 1
Herriman, UT $66.97 $61.53 – $72.09 326 2
Ellensburg, WA $39.80 $34.92 – $40.41 324 2
Schererville, IN $69.90 $51.22 – $190.41 323 5
East Aurora, NY $67.27 $42.75 – $68.89 323 2
Wise, VA $34.05 $0.00 – $43.85 322 2
Phila, PA $51.56 $46.58 – $63.94 322 4
Severna Park, MD $129.00 $129.00 – $129.00 322 1
Hillsboro, MO $161.41 $124.78 – $166.31 322 2
Petersburg, WV $62.97 $62.97 – $62.97 320 1
Berlin, NH $97.16 $90.09 – $116.11 320 2
St Cloud, MN $292.05 $292.05 – $292.05 320 1
Sunland Park, NM $57.49 $57.49 – $57.49 320 1
Ashley, PA $64.39 $64.39 – $64.39 320 1
Trophy Club, TX $219.80 $219.80 – $219.80 319 1
Oak Forest, IL $69.79 $69.79 – $69.79 318 1
Liberty, KY $34.06 $34.06 – $34.06 318 1
Monroe, OH $55.27 $55.27 – $55.27 318 1
Mililani, HI $141.15 $141.15 – $141.15 318 1
Oakland, NJ $80.95 $18.61 – $102.70 317 2
Austin, IN $22.15 $22.15 – $22.15 317 1
Hazel Crest, IL $47.61 $47.61 – $47.61 316 1
Redlake, MN $109.74 $109.74 – $109.74 315 1
Cedarhurst, NY $36.75 $34.65 – $40.70 314 2
Lamar, MO $86.18 $86.18 – $86.18 314 1
Defuniak Springs, FL $16.92 $0.00 – $22.70 314 2
Grove Hill, AL $51.47 $51.47 – $51.47 314 1
Gretna, NE $73.42 $73.42 – $73.42 314 1
Torrington, WY $41.72 $41.72 – $41.72 313 1
Waupaca, WI $0.00 $0.00 – $0.00 313 1
Ny, NY $68.00 $59.37 – $109.99 311 2
N Charleston, SC $104.76 $104.76 – $104.76 310 1
King City, CA $63.98 $63.98 – $63.98 309 1
Grethel, KY $40.70 $40.70 – $40.70 309 1
Russell, KY $92.06 $92.06 – $92.06 309 1
Fate, TX $98.37 $98.37 – $98.37 309 1
Tappan, NY $28.86 $28.86 – $28.86 308 1
Bloomfield, NM $65.10 $65.10 – $65.10 308 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.