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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
Lawrenceburg, KY $79.17 $79.17 – $79.17 69 1
Spring Lake, NC $101.52 $101.52 – $101.52 69 1
Shinnston, WV $72.70 $72.70 – $72.70 69 1
Biggsville, IL $38.96 $38.96 – $38.96 69 1
Chinle, AZ $32.15 $0.00 – $68.32 68 2
Trujillo Alto, PR $25.82 $22.49 – $33.28 68 2
Blountville, TN $65.76 $65.76 – $65.76 68 1
Sparta, NC $59.74 $59.74 – $59.74 68 1
Innis, LA $2.33 $0.00 – $3.16 68 2
Millington, TN $65.99 $65.99 – $65.99 67 1
Santa Isabel, PR $22.30 $22.30 – $22.30 67 1
Berkeley Heights, NJ $49.78 $49.78 – $49.78 67 1
Eldersburg, MD $112.69 $112.69 – $112.69 67 1
Cadiz, OH $55.80 $55.80 – $55.80 67 1
Commerce, CA $115.45 $115.45 – $115.45 67 1
Foster City, CA $55.04 $45.00 – $59.31 67 2
Lenexa, KS $72.72 $72.72 – $72.72 66 1
Stanford, KY $33.47 $33.47 – $33.47 66 1
Lock Haven, PA $56.93 $56.93 – $56.93 66 1
Winslow, AZ $69.13 $45.17 – $87.91 66 2
Fairhaven, MA $73.03 $73.03 – $73.03 66 1
East Falmouth, MA $76.68 $76.68 – $76.68 66 1
Tucumcari, NM $3.98 $3.98 – $3.98 66 1
Homer Glen, IL $61.66 $61.66 – $61.66 66 1
Northbergen, NJ $0.00 $0.00 – $0.00 66 1
Westfield, NJ $49.62 $49.62 – $49.62 65 1
Mt. Vernon, IL $82.02 $82.02 – $82.02 65 1
Monroeville, PA $366.34 $366.34 – $366.34 65 1
Lithia, FL $44.74 $44.74 – $44.74 65 1
Cibolo, TX $60.31 $60.31 – $60.31 65 1
Chino Valley, AZ $0.00 $0.00 – $0.00 64 1
Harahan, LA $96.55 $96.55 – $96.55 64 1
Fellsmere, FL $19.70 $19.70 – $19.70 64 1
Magee, MS $424.31 $79.31 – $617.85 64 2
Providence, KY $16.23 $16.23 – $16.23 63 1
Lajas, PR $30.54 $26.61 – $41.18 63 2
Kensington, CT $93.05 $93.05 – $93.05 63 1
Iowa, LA $65.83 $65.83 – $65.83 63 1
Phillipsburg, KS $78.47 $78.47 – $78.47 62 1
Purcellville, VA $62.11 $62.11 – $62.11 62 1
Newport, OR $0.00 $0.00 – $0.00 62 2
Tiburon, CA $119.00 $119.00 – $119.00 62 1
Warrensburg, NY $51.03 $51.03 – $51.03 62 1
Muldrow, OK $63.88 $63.88 – $63.88 62 1
Lemoore, CA $57.40 $57.40 – $57.40 62 1
Scotia, NY $88.62 $88.62 – $88.62 62 1
Livingston, CA $57.40 $57.40 – $57.40 62 1
Kentwood, MI $63.00 $63.00 – $63.00 61 1
Clarksville, MD $135.23 $135.23 – $135.23 61 1
Palmetto Bay, FL $22.37 $22.37 – $22.37 61 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.