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 — 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 |
|---|---|---|---|---|
| Manchester Center, VT | $44.37 | $44.37 – $44.37 | 12 | 1 |
| Oakland Gardens, NC | $39.57 | $39.57 – $39.57 | 12 | 1 |
| Troutman, NC | $63.98 | $63.98 – $63.98 | 13 | 1 |
| Iselin, NJ | $104.00 | $104.00 – $104.00 | 13 | 1 |
| Clinton, IL | $48.15 | $48.15 – $48.15 | 13 | 1 |
| Winnsboro, LA | $79.07 | $79.07 – $79.07 | 13 | 1 |
| Hampstead, NC | $86.18 | $86.18 – $86.18 | 13 | 1 |
| Wyckoff, NJ | $63.85 | $63.85 – $63.85 | 13 | 1 |
| Knoxville, IL | $0.00 | $0.00 – $0.00 | 13 | 1 |
| Freeburg, IL | $45.14 | $45.14 – $45.14 | 13 | 1 |
| Goreville, IL | $0.00 | $0.00 – $0.00 | 13 | 1 |
| Embudo, NM | $67.35 | $67.35 – $67.35 | 13 | 1 |
| Wellsboro, PA | $0.00 | $0.00 – $0.00 | 14 | 1 |
| Newton, IA | $43.86 | $43.86 – $43.86 | 14 | 1 |
| Columbia, KY | $37.73 | $37.73 – $37.73 | 14 | 1 |
| Prairie Du Sac, WI | $0.00 | $0.00 – $0.00 | 14 | 1 |
| Rockport, ME | $84.50 | $84.50 – $84.50 | 14 | 1 |
| Bettendorf, IA | $0.00 | $0.00 – $0.00 | 14 | 1 |
| Arlington, MA | $61.43 | $61.43 – $61.43 | 14 | 1 |
| Fredericktown, PA | $52.03 | $52.03 – $52.03 | 14 | 1 |
| Emeryville, CA | $57.40 | $57.40 – $57.40 | 14 | 1 |
| Center, TX | $64.06 | $64.06 – $64.06 | 14 | 1 |
| Charleston, IL | $0.00 | $0.00 – $0.00 | 14 | 1 |
| Amityville, NY | $97.00 | $97.00 – $97.00 | 14 | 1 |
| Mcintosh, AL | $64.00 | $64.00 – $64.00 | 14 | 1 |
| Williston, SC | $88.18 | $88.18 – $88.18 | 14 | 1 |
| Clute, TX | $74.29 | $74.29 – $74.29 | 14 | 1 |
| Deal, NJ | $56.18 | $56.18 – $56.18 | 14 | 1 |
| Schofield Barracks, HI | $43.97 | $43.97 – $43.97 | 14 | 1 |
| Crystal River, FL | $112.61 | $112.61 – $112.61 | 15 | 1 |
| Sandy, OR | $7.15 | $7.15 – $7.15 | 15 | 1 |
| Taos, NM | $67.43 | $67.43 – $67.43 | 15 | 1 |
| Molalla, OR | $0.00 | $0.00 – $0.00 | 15 | 1 |
| Middletown, CA | $91.00 | $91.00 – $91.00 | 15 | 1 |
| Curwensville, PA | $65.22 | $65.22 – $65.22 | 15 | 1 |
| Aztec, NM | $67.22 | $67.22 – $67.22 | 15 | 1 |
| Benson, NC | $60.94 | $60.94 – $60.94 | 15 | 1 |
| Harwood Heights, IL | $229.60 | $229.60 – $229.60 | 15 | 1 |
| Winnetka, IL | $52.16 | $52.16 – $52.16 | 15 | 1 |
| Ft. Leavenworth, KS | $60.57 | $60.57 – $60.57 | 15 | 1 |
| Midway City, CA | $57.40 | $57.40 – $57.40 | 15 | 1 |
| Brookshire, TX | $49.75 | $49.75 – $49.75 | 15 | 1 |
| Adams Center, NY | $74.23 | $74.23 – $74.23 | 15 | 1 |
| Mount Laurel Township, NJ | $60.00 | $60.00 – $60.00 | 15 | 1 |
| Hillside, NJ | $93.30 | $93.30 – $93.30 | 16 | 1 |
| Lake Havasu City, AZ | $51.32 | $51.32 – $51.32 | 16 | 1 |
| Plainfield, IN | $136.29 | $136.29 – $136.29 | 16 | 1 |
| Clarksville, AR | $8.75 | $8.75 – $8.75 | 16 | 1 |
| Lockport, IL | $41.56 | $41.56 – $41.56 | 16 | 1 |
| Woodruff, SC | $82.83 | $82.83 – $82.83 | 16 | 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.