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 |
|---|---|---|---|---|
| Santa Ana, CA | $85.58 | $0.00 – $206.39 | 77,967 | 62 |
| Dayton, OH | $80.63 | $0.00 – $532.60 | 78,136 | 32 |
| Jacksonville, FL | $114.65 | $11.29 – $289.43 | 78,170 | 49 |
| Fayetteville, NC | $98.36 | $7.48 – $151.78 | 78,313 | 40 |
| New Orleans, LA | $79.64 | $0.00 – $281.53 | 79,259 | 76 |
| Grand Rapids, MI | $93.00 | $40.79 – $272.80 | 79,415 | 41 |
| Denver, CO | $126.47 | $0.00 – $285.96 | 79,593 | 118 |
| Shreveport, LA | $59.84 | $0.00 – $297.24 | 80,118 | 45 |
| Akron, OH | $84.08 | $30.19 – $543.52 | 81,024 | 38 |
| Eugene, OR | $34.37 | $0.00 – $313.07 | 81,820 | 43 |
| Durham, NC | $93.64 | $42.52 – $314.07 | 82,051 | 38 |
| Greensboro, NC | $83.62 | $0.00 – $145.45 | 85,485 | 47 |
| Wichita, KS | $121.22 | $36.85 – $191.40 | 86,106 | 44 |
| Somerset, KY | $96.53 | $30.79 – $119.48 | 86,133 | 16 |
| Charlevoix, MI | $63.44 | $63.38 – $84.90 | 86,821 | 2 |
| Pueblo, CO | $145.84 | $0.00 – $267.79 | 88,884 | 39 |
| San Jose, CA | $63.45 | $11.02 – $217.45 | 89,937 | 85 |
| Houston, TX | $86.03 | $0.00 – $283.30 | 93,791 | 141 |
| Memphis, TN | $80.41 | $20.72 – $216.80 | 95,250 | 71 |
| Ann Arbor, MI | $80.94 | $0.00 – $210.22 | 97,077 | 38 |
| Tacoma, WA | $100.38 | $0.00 – $328.97 | 97,797 | 49 |
| Orange, CA | $108.18 | $0.00 – $219.61 | 98,250 | 45 |
| Spokane Valley, WA | $91.94 | $0.00 – $144.53 | 99,077 | 26 |
| Hattiesburg, MS | $118.41 | $26.41 – $897.53 | 99,375 | 35 |
| Tulsa, OK | $117.59 | $53.73 – $198.56 | 100,721 | 64 |
| Washington, DC | $126.01 | $0.00 – $303.04 | 101,080 | 114 |
| Iowa City, IA | $84.79 | $0.00 – $172.21 | 101,532 | 37 |
| Raleigh, NC | $96.22 | $6.33 – $202.08 | 103,823 | 67 |
| Birmingham, AL | $140.65 | $0.00 – $260.82 | 107,006 | 52 |
| Portland, OR | $72.33 | $0.00 – $303.62 | 109,028 | 116 |
| San Francisco, CA | $82.99 | $0.00 – $473.00 | 112,201 | 76 |
| Hickory, NC | $120.92 | $58.86 – $140.48 | 113,071 | 13 |
| Milwaukee, WI | $64.21 | $0.00 – $452.05 | 116,256 | 92 |
| Flint, MI | $77.64 | $23.91 – $216.74 | 117,287 | 34 |
| Spokane, WA | $69.81 | $0.00 – $206.03 | 127,658 | 77 |
| Baltimore, MD | $91.44 | $0.00 – $260.47 | 128,990 | 123 |
| San Diego, CA | $93.58 | $0.00 – $231.00 | 138,254 | 127 |
| Tampa, FL | $89.68 | $0.00 – $174.08 | 140,607 | 59 |
| Bowling Green, KY | $92.53 | $29.32 – $167.27 | 140,736 | 24 |
| Lexington, KY | $82.63 | $0.00 – $365.30 | 142,185 | 84 |
| Phoenix, AZ | $59.10 | $0.00 – $250.02 | 144,168 | 127 |
| Charlotte, NC | $97.75 | $19.25 – $212.06 | 145,308 | 118 |
| Nashville, TN | $123.84 | $0.00 – $233.21 | 145,655 | 66 |
| Sacramento, CA | $70.61 | $0.00 – $437.39 | 151,006 | 135 |
| Mt Sterling, KY | $107.17 | $71.13 – $269.52 | 155,513 | 5 |
| Newark, NJ | $59.41 | $0.00 – $260.45 | 167,532 | 58 |
| Richmond, VA | $79.74 | $0.00 – $201.17 | 172,591 | 81 |
| Bakersfield, CA | $90.16 | $35.22 – $184.06 | 174,385 | 104 |
| High Point, NC | $125.76 | $51.09 – $132.24 | 182,138 | 13 |
| Philadelphia, PA | $93.38 | $0.00 – $445.65 | 182,611 | 234 |
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.