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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
Lady Lake, FL $31.21 $31.21 – $31.21 37 1
Cabot, PA $110.59 $110.59 – $110.59 37 1
Texas City, TX $40.74 $40.74 – $40.74 37 1
East Point, GA $53.94 $0.00 – $105.04 37 2
Acoma, NM $65.47 $65.47 – $65.47 37 1
Bay Harbor Islands, FL $0.00 $0.00 – $0.00 37 1
Leoti, KS $133.57 $133.57 – $133.57 37 1
Fort Yates, ND $0.00 $0.00 – $0.00 37 1
Harriet, AR $72.20 $72.20 – $72.20 37 1
Plymouth Meeting, PA $40.79 $40.79 – $40.79 36 1
Carrolltown, PA $59.81 $59.81 – $59.81 36 1
Hinsdale, IL $47.81 $47.81 – $47.81 36 1
Jamestown, NC $105.26 $105.26 – $105.26 36 1
Fremont, MI $62.62 $62.62 – $62.62 36 1
Batesburg, SC $88.52 $88.52 – $88.52 36 1
Morton, MS $82.91 $82.91 – $82.91 36 1
Arcola, IL $39.12 $39.12 – $39.12 36 1
Cordele, GA $69.60 $69.60 – $69.60 35 1
Rumford, ME $91.00 $91.00 – $91.00 35 1
Wall, NJ $69.09 $69.09 – $69.09 35 1
Riverview, MI $87.94 $87.94 – $87.94 35 1
Ferriday, LA $200.26 $200.26 – $200.26 35 1
Rohnert Park, CA $115.60 $115.60 – $115.60 35 1
Columbiana, AL $51.49 $51.49 – $51.49 35 1
Spencerport, NY $47.51 $47.51 – $47.51 35 1
Searchy, AR $72.20 $72.20 – $72.20 35 1
Vienna, WV $10.35 $10.35 – $10.35 34 1
Highland, IL $36.85 $36.85 – $36.85 34 1
Silver City, NM $42.62 $42.62 – $42.62 34 1
Sedan, KS $36.16 $36.16 – $36.16 34 1
Pleasant View, TN $67.25 $67.25 – $67.25 34 1
Crescent City, CA $86.46 $86.46 – $86.46 34 1
Lewistown, MT $59.80 $59.80 – $59.80 34 1
Fostoria, OH $47.44 $47.44 – $47.44 34 1
West Jefferson, NC $66.44 $66.44 – $66.44 34 1
Creve Coeur, IL $46.63 $46.63 – $46.63 34 1
Rio Rico, AZ $0.00 $0.00 – $0.00 33 1
Estherville, IA $35.60 $35.60 – $35.60 33 1
Saint Albans, VT $53.18 $53.18 – $53.18 33 1
Arverne, NY $50.42 $50.42 – $50.42 33 1
Sun City, CA $57.40 $57.40 – $57.40 33 1
Falmouth, MA $127.58 $127.58 – $127.58 33 1
Saint Robert, MO $60.90 $37.26 – $80.60 33 2
Maysville, NC $68.97 $68.97 – $68.97 33 1
Conifer, CO $34.68 $34.68 – $34.68 33 1
Collinsville, VA $69.00 $69.00 – $69.00 33 1
Sicily Island, LA $0.00 $0.00 – $0.00 33 1
Kew Gardens, NY $61.82 $61.82 – $61.82 32 1
Sanford, FL $25.35 $25.35 – $25.35 32 1
Cortlandt Manor, NY $6.46 $6.46 – $6.46 32 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.