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 |
|---|---|---|---|---|
| Ft Carson, CO | $31.08 | $31.08 – $31.08 | 47 | 1 |
| Mount Sinai, NY | $54.49 | $54.49 – $54.49 | 47 | 1 |
| Leoma, TN | $70.93 | $70.93 – $70.93 | 47 | 1 |
| Englewood Cliffs, PR | $6.04 | $6.04 – $6.04 | 47 | 1 |
| Levittown, PA | $50.74 | $50.74 – $50.74 | 48 | 1 |
| Milton, WV | $0.00 | $0.00 – $0.00 | 48 | 1 |
| Lake Katrine, NY | $191.67 | $182.35 – $214.29 | 48 | 2 |
| West Simsbury, CT | $50.12 | $50.12 – $50.12 | 48 | 1 |
| Mill Valley, CA | $57.40 | $57.40 – $57.40 | 48 | 1 |
| Bronson, FL | $46.88 | $43.31 – $56.49 | 48 | 2 |
| Auburndale, MA | $80.67 | $80.67 – $80.67 | 48 | 1 |
| Vine Grove, KY | $54.71 | $54.71 – $54.71 | 48 | 1 |
| Union, MO | $158.47 | $158.47 – $158.47 | 49 | 1 |
| Goshen, NY | $57.26 | $57.26 – $57.26 | 49 | 1 |
| Port St Lucie, FL | $70.23 | $64.03 – $80.00 | 49 | 2 |
| Roeland Park, KS | $129.67 | $129.67 – $129.67 | 49 | 1 |
| Clarksville, IN | $200.86 | $200.86 – $200.86 | 49 | 1 |
| Forsyth, MT | $0.00 | $0.00 – $0.00 | 49 | 1 |
| Bayfield, WI | $0.00 | $0.00 – $0.00 | 49 | 1 |
| Acampo, CA | $114.14 | $114.14 – $114.14 | 49 | 1 |
| Jayuya, PR | $22.33 | $22.33 – $22.33 | 50 | 1 |
| Live Oak, CA | $57.90 | $57.40 – $58.29 | 50 | 2 |
| Lutherville, MD | $135.23 | $135.23 – $135.23 | 50 | 1 |
| Tomball, TX | $31.47 | $31.47 – $31.47 | 50 | 1 |
| Elk Grove Village, IL | $55.27 | $51.08 – $65.05 | 50 | 2 |
| Winston, OR | $0.00 | $0.00 – $0.00 | 50 | 1 |
| Edgewater, MD | $135.23 | $135.23 – $135.23 | 50 | 1 |
| Broadview Hts, OH | $31.15 | $31.15 – $31.15 | 50 | 1 |
| Manhattan, NY | $30.36 | $30.36 – $30.36 | 50 | 1 |
| Oak Creek, CO | $46.80 | $46.80 – $46.80 | 50 | 1 |
| North Lake, WI | $38.46 | $38.46 – $38.46 | 50 | 1 |
| Florham Park, NJ | $85.00 | $85.00 – $85.00 | 51 | 1 |
| Saint John, IN | $132.20 | $132.20 – $132.20 | 51 | 1 |
| Paradise, CA | $57.40 | $57.40 – $57.40 | 51 | 1 |
| Fort Gibson, OK | $116.67 | $116.67 – $116.67 | 51 | 1 |
| Greenville, TX | $70.20 | $70.20 – $70.20 | 51 | 1 |
| Mountain Brk, AL | $34.29 | $34.29 – $34.29 | 51 | 1 |
| Hohenwald, TN | $58.41 | $58.41 – $58.41 | 51 | 1 |
| Brownsburg, IN | $126.39 | $126.39 – $126.39 | 51 | 1 |
| Claremore, OK | $124.59 | $112.76 – $129.52 | 51 | 2 |
| New Madrid, MO | $51.98 | $51.98 – $51.98 | 51 | 1 |
| Northvale, NJ | $59.84 | $59.84 – $59.84 | 51 | 1 |
| Carlisle, AR | $72.20 | $72.20 – $72.20 | 51 | 1 |
| Beachwood, OH | $50.71 | $50.71 – $50.71 | 52 | 1 |
| Champlin, MN | $123.44 | $123.44 – $123.44 | 52 | 1 |
| Booneville, MS | $66.10 | $66.10 – $66.10 | 52 | 1 |
| Excelsior, MN | $170.41 | $170.41 – $170.41 | 52 | 1 |
| Chandler, OK | $66.92 | $66.76 – $67.07 | 52 | 2 |
| West Berlin, NJ | $66.41 | $66.41 – $66.41 | 52 | 1 |
| Lodi, OH | $58.84 | $58.84 – $58.84 | 52 | 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.