Skip to content
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
Hawthorne, CA $70.17 $55.51 – $135.40 34,025 19
Grand Junction, CO $124.22 $34.10 – $265.19 34,100 25
Springfield, IL $54.33 $2.36 – $684.00 34,255 21
Pomona, CA $65.39 $51.53 – $119.00 34,578 20
Boise, ID $84.17 $1.45 – $201.17 34,607 20
Salem, OR $68.24 $0.00 – $289.26 34,647 50
Ashland, OH $94.93 $56.85 – $96.52 34,758 3
Huntington, WV $77.41 $15.48 – $135.67 34,829 16
Bellingham, WA $87.22 $4.23 – $156.00 34,894 33
Providence, RI $67.61 $2.04 – $150.58 35,116 42
Hyannis, MA $71.42 $49.95 – $226.30 35,208 8
Canton, OH $58.75 $0.00 – $534.16 35,370 13
Norfolk, VA $99.92 $0.00 – $197.80 35,580 25
Silver Spring, MD $129.45 $0.00 – $248.19 35,629 40
San Juan, PR $53.12 $16.09 – $126.36 35,731 51
Greenville, NC $90.73 $34.53 – $155.95 35,737 44
Ironton, OH $61.31 $0.00 – $62.46 35,755 7
Folsom, CA $99.25 $0.00 – $169.55 35,776 14
New York City, NY $11.99 $11.38 – $77.18 35,960 2
Bend, OR $61.10 $0.00 – $223.46 35,977 32
Salinas, CA $59.46 $56.15 – $120.86 36,443 14
Albany, NY $304.29 $44.40 – $534.39 36,586 20
Danbury, CT $130.50 $1.32 – $273.49 36,697 11
Asheville, NC $65.31 $49.08 – $232.12 36,929 38
Galloway, NJ $158.30 $75.05 – $159.81 37,224 3
Redlands, CA $81.34 $54.23 – $120.97 37,362 25
Farmington, NM $107.01 $48.42 – $175.43 37,400 22
Lawton, OK $97.33 $63.42 – $198.18 37,536 15
Harrisburg, NC $108.57 $66.09 – $118.94 37,775 3
Pocatello, ID $115.98 $9.53 – $216.41 37,805 11
Beverly Hills, CA $87.26 $16.88 – $217.36 37,880 23
Medford, OR $151.55 $0.00 – $322.08 38,889 32
Victorville, CA $84.05 $53.86 – $118.25 38,986 29
Smyrna, TN $75.77 $47.88 – $181.03 39,039 13
Knoxville, TN $76.45 $36.06 – $222.67 39,059 37
Lowell, MA $123.87 $0.00 – $149.05 39,123 29
Winter Haven, FL $84.57 $1.87 – $92.48 39,255 6
East Longmeadow, MA $151.96 $55.58 – $213.20 39,258 6
Tigard, OR $43.18 $0.00 – $357.05 39,330 11
Dallas, TX $106.26 $0.00 – $280.14 39,460 89
Torrance, CA $118.30 $47.16 – $168.82 39,463 26
Westminster, CO $166.89 $15.64 – $183.54 39,481 19
Totowa, NJ $187.25 $45.92 – $187.38 39,945 2
Fitchburg, MA $122.79 $56.63 – $257.21 40,141 7
Springfield, OH $71.21 $19.47 – $857.77 40,273 18
Xenia, OH $88.31 $21.23 – $95.30 40,553 9
Saginaw, MI $90.80 $0.00 – $247.87 40,572 15
Mobile, AL $97.11 $10.26 – $253.01 40,594 29
Pittsburgh, PA $91.82 $11.08 – $367.57 40,755 51
Roswell, NM $94.95 $63.78 – $459.75 41,006 16

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.