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Removal Of Baby Tooth Root Remnant

Utah rates for HCPCS D7111

Removal of the leftover crown fragments of a baby (primary) tooth after the root has already dissolved on its own, which commonly happens as the permanent tooth underneath grows in. Because the root is already gone or nearly gone, this is typically a very quick and simple procedure. It applies only to baby teeth, not adult teeth.

Rates data updated July 2026.

Facilitymedian $38 · 10th–90th $38$380%50%$38Professionalmedian $54 · 10th–90th $37$850%20%10th90th$54$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$50.12
Typical High
$61.66
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$77.62
Select Health
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Select Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$89.13