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 |
|---|---|---|---|---|
| Atlanta, GA | $122.48 | $0.00 – $678.74 | 28,720 | 37 |
| Battle Creek, MI | $92.43 | $30.58 – $281.93 | 28,817 | 7 |
| Van Nuys, CA | $87.30 | $52.62 – $119.00 | 28,911 | 35 |
| San Pablo, CA | $86.41 | $55.35 – $111.75 | 28,917 | 3 |
| Auburn, ME | $92.40 | $82.71 – $97.29 | 29,052 | 4 |
| Danville, VA | $95.52 | $0.00 – $182.85 | 29,298 | 14 |
| Alhambra, CA | $105.18 | $0.00 – $161.55 | 29,366 | 11 |
| West Haven, CT | $126.10 | $107.55 – $155.53 | 29,391 | 6 |
| Fredericksburg, VA | $102.48 | $0.00 – $152.00 | 29,419 | 23 |
| Charlottesville, VA | $65.45 | $0.00 – $243.52 | 29,432 | 23 |
| Helena, MT | $101.46 | $0.00 – $144.13 | 29,611 | 13 |
| Lawrence, KS | $176.35 | $65.43 – $218.32 | 29,850 | 10 |
| Chino, CA | $78.14 | $55.55 – $119.00 | 29,984 | 12 |
| Kissimmee, FL | $105.98 | $32.84 – $148.77 | 30,063 | 9 |
| Roxbury, MA | $101.42 | $1.70 – $213.97 | 30,102 | 11 |
| Bloomfield Hills, MI | $89.16 | $35.11 – $93.07 | 30,104 | 6 |
| Union Gap, WA | $73.60 | $57.80 – $80.79 | 30,155 | 3 |
| Fall River, MA | $91.42 | $50.00 – $143.36 | 30,226 | 19 |
| Huntington Park, CA | $75.08 | $54.99 – $156.06 | 30,264 | 24 |
| Madison, WI | $52.04 | $0.00 – $125.86 | 30,363 | 38 |
| Hialeah, FL | $47.47 | $0.00 – $99.23 | 30,531 | 24 |
| Watertown, NY | $201.92 | $35.07 – $341.58 | 30,552 | 13 |
| Danville, KY | $90.44 | $45.88 – $133.06 | 30,570 | 7 |
| Merced, CA | $91.26 | $53.22 – $119.00 | 30,580 | 19 |
| Las Cruces, NM | $72.83 | $0.00 – $340.37 | 30,597 | 46 |
| San Sebastian, PR | $106.01 | $39.91 – $115.64 | 30,637 | 5 |
| Nellis Afb, NV | $76.48 | $43.82 – $130.05 | 30,713 | 7 |
| Lynn, MA | $53.72 | $0.00 – $146.19 | 30,760 | 23 |
| North Hollywood, CA | $82.26 | $54.25 – $127.65 | 30,768 | 29 |
| Des Moines, WA | $122.92 | $4.84 – $129.73 | 30,976 | 10 |
| Springfield, MO | $86.98 | $19.85 – $236.23 | 31,035 | 37 |
| Hillsboro, OR | $77.55 | $0.00 – $304.62 | 31,197 | 19 |
| Henderson, KY | $108.79 | $47.26 – $118.73 | 31,240 | 7 |
| Mooresville, NC | $119.21 | $54.36 – $142.14 | 31,278 | 15 |
| Meridian, MS | $110.79 | $0.00 – $746.71 | 31,338 | 17 |
| New Haven, CT | $81.32 | $0.00 – $199.38 | 31,413 | 42 |
| Cary, NC | $75.58 | $53.21 – $121.67 | 31,734 | 19 |
| Taunton, MA | $127.38 | $0.00 – $139.07 | 31,841 | 8 |
| Clovis, NM | $91.79 | $20.19 – $99.92 | 31,964 | 10 |
| Salt Lake City, UT | $89.49 | $0.00 – $377.66 | 32,411 | 32 |
| Lynnwood, WA | $79.62 | $31.21 – $83.65 | 32,424 | 12 |
| Schenectady, NY | $74.72 | $0.00 – $216.70 | 32,720 | 13 |
| Fort Bragg, NC | $113.94 | $0.00 – $215.66 | 32,807 | 14 |
| Amsterdam, NY | $201.59 | $67.16 – $212.11 | 32,946 | 4 |
| Hartford, CT | $53.03 | $0.00 – $143.71 | 32,959 | 35 |
| Kalispell, MT | $121.64 | $0.00 – $180.74 | 33,195 | 12 |
| Saint Paul, MN | $135.33 | $0.00 – $295.81 | 33,323 | 36 |
| Winston Salem, NC | $73.51 | $50.16 – $264.92 | 33,729 | 34 |
| Gainesville, FL | $101.37 | $11.45 – $246.66 | 33,804 | 28 |
| Wilmington, DE | $126.57 | $0.00 – $274.09 | 33,860 | 37 |
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.