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 |
|---|---|---|---|---|
| Hilliard, OH | $73.50 | $18.96 – $216.07 | 41,031 | 13 |
| Charleston, SC | $169.30 | $0.00 – $340.24 | 41,250 | 36 |
| Bremerton, WA | $93.00 | $16.78 – $148.42 | 41,315 | 16 |
| Jersey City, NJ | $56.06 | $21.60 – $277.14 | 41,354 | 29 |
| Mesa, AZ | $62.10 | $0.00 – $274.18 | 41,635 | 46 |
| Tualatin, OR | $146.15 | $146.15 – $146.15 | 41,706 | 1 |
| Peoria, IL | $68.53 | $44.51 – $235.88 | 41,770 | 19 |
| Saint Louis, MO | $70.62 | $0.00 – $293.20 | 41,849 | 55 |
| Stockton, CA | $80.23 | $0.00 – $240.00 | 41,983 | 44 |
| West Covina, CA | $59.33 | $0.00 – $231.00 | 42,080 | 22 |
| Loma Linda, CA | $71.89 | $45.59 – $181.12 | 42,080 | 31 |
| Oakland, CA | $80.09 | $51.04 – $405.25 | 42,185 | 37 |
| Yakima, WA | $59.42 | $18.59 – $145.71 | 42,208 | 41 |
| Kansas City, MO | $80.22 | $14.16 – $421.23 | 42,313 | 56 |
| Pikeville, KY | $99.73 | $44.83 – $128.02 | 42,313 | 10 |
| Montgomery, AL | $94.57 | $0.00 – $229.69 | 42,452 | 34 |
| Kalamazoo, MI | $90.15 | $53.97 – $194.64 | 42,678 | 10 |
| Jackson, MS | $134.78 | $31.73 – $559.46 | 42,743 | 41 |
| Lansing, MI | $87.28 | $31.17 – $232.83 | 42,815 | 15 |
| Cherry Hill, NJ | $122.82 | $53.04 – $141.18 | 43,039 | 14 |
| Holyoke, MA | $74.75 | $43.85 – $139.00 | 43,261 | 25 |
| Milford, MA | $202.23 | $75.51 – $211.82 | 43,671 | 8 |
| Marietta, GA | $125.10 | $56.78 – $273.05 | 44,851 | 10 |
| Winchester, KY | $102.65 | $50.78 – $120.07 | 44,976 | 7 |
| Union City, NJ | $134.08 | $11.18 – $201.62 | 45,129 | 24 |
| Peoria, AZ | $138.50 | $0.00 – $231.70 | 45,279 | 17 |
| Honolulu, HI | $145.14 | $32.59 – $216.03 | 45,434 | 33 |
| Lakeland, FL | $73.54 | $3.42 – $307.43 | 45,493 | 14 |
| Morgantown, WV | $79.01 | $45.98 – $143.35 | 45,887 | 14 |
| Jackson, MI | $77.07 | $33.37 – $108.69 | 46,644 | 9 |
| Greenville, SC | $127.87 | $0.00 – $281.99 | 47,125 | 45 |
| Albany, OR | $15.17 | $0.00 – $228.60 | 47,792 | 14 |
| Muskegon, MI | $95.77 | $65.10 – $100.80 | 47,926 | 10 |
| Fayetteville, AR | $149.08 | $50.88 – $240.66 | 48,049 | 21 |
| Selma, CA | $152.23 | $57.01 – $169.40 | 48,232 | 4 |
| Toms River, NJ | $78.70 | $34.62 – $100.06 | 48,366 | 15 |
| Middletown, NY | $163.45 | $14.87 – $328.41 | 48,806 | 11 |
| Lincoln, NE | $124.84 | $0.00 – $254.14 | 49,722 | 27 |
| Southfield, MI | $61.48 | $25.62 – $186.63 | 49,755 | 20 |
| Rockford, IL | $154.59 | $0.00 – $564.51 | 50,106 | 33 |
| Modesto, CA | $76.35 | $3.32 – $119.00 | 50,323 | 38 |
| Redding, CA | $102.41 | $0.00 – $162.90 | 50,912 | 13 |
| Little Rock, AR | $138.44 | $5.28 – $257.90 | 51,054 | 32 |
| Virginia Beach, VA | $113.99 | $0.00 – $172.54 | 51,340 | 29 |
| San Marcos, CA | $90.44 | $18.91 – $180.89 | 51,762 | 11 |
| Vineland, NJ | $107.19 | $52.29 – $1,428 | 51,900 | 20 |
| Wauwatosa, WI | $76.84 | $23.03 – $76.90 | 52,748 | 3 |
| Norwalk, CT | $154.25 | $46.67 – $356.74 | 52,799 | 13 |
| Portsmouth, VA | $54.45 | $0.00 – $237.20 | 52,957 | 23 |
| Missoula, MT | $119.58 | $0.00 – $172.33 | 52,994 | 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.