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 |
|---|---|---|---|---|
| Sheridan, MT | $60.65 | $60.65 – $60.65 | 52 | 1 |
| Sunbury, OH | $56.58 | $56.58 – $56.58 | 52 | 1 |
| Glencoe, IL | $51.91 | $51.91 – $51.91 | 52 | 1 |
| Summerfield, LA | $70.47 | $70.47 – $70.47 | 52 | 1 |
| Milton, MA | $129.26 | $129.26 – $129.26 | 53 | 1 |
| Bay Village, OH | $57.51 | $57.51 – $57.51 | 53 | 1 |
| Ellisville, MS | $77.73 | $77.73 – $77.73 | 53 | 1 |
| Covington, TN | $62.90 | $62.90 – $62.90 | 53 | 1 |
| Granite Bay, CA | $17.52 | $17.52 – $17.52 | 53 | 1 |
| Ulysses, KS | $71.08 | $55.53 – $96.75 | 53 | 2 |
| Ennis, MT | $4.72 | $4.72 – $4.72 | 53 | 1 |
| Inchelium, WA | $25.64 | $25.64 – $25.64 | 53 | 1 |
| Seaford, DE | $153.47 | $153.47 – $153.47 | 54 | 1 |
| Eldorado, IL | $29.86 | $29.86 – $29.86 | 54 | 1 |
| Harrisburg, IL | $0.00 | $0.00 – $0.00 | 54 | 1 |
| Bay Shore, NY | $38.13 | $38.13 – $38.13 | 55 | 1 |
| Petaluma, CA | $116.84 | $116.84 – $116.84 | 55 | 1 |
| Albany, CA | $57.40 | $57.40 – $57.40 | 55 | 2 |
| Bonners Ferry, ID | $71.37 | $71.37 – $71.37 | 55 | 1 |
| Washington, NJ | $85.00 | $85.00 – $85.00 | 55 | 1 |
| Cave City, AR | $72.20 | $72.20 – $72.20 | 55 | 1 |
| Lisbon, MD | $55.90 | $55.90 – $55.90 | 55 | 1 |
| Mound View, MN | $102.58 | $102.58 – $102.58 | 55 | 1 |
| Croton On Hudson, NY | $152.39 | $92.77 – $193.94 | 56 | 2 |
| Price, UT | $79.15 | $79.15 – $79.15 | 56 | 1 |
| Moravia, NY | $60.81 | $60.81 – $60.81 | 56 | 1 |
| Aloha, OR | $79.09 | $79.09 – $79.09 | 56 | 1 |
| Gridley, KS | $78.68 | $78.68 – $78.68 | 56 | 1 |
| Nixa, MO | $54.00 | $54.00 – $54.00 | 56 | 1 |
| Rosamond, CA | $0.00 | $0.00 – $0.00 | 56 | 1 |
| Pottsville, PA | $65.00 | $65.00 – $65.00 | 57 | 1 |
| Burlington, NJ | $95.00 | $95.00 – $95.00 | 57 | 1 |
| Keshena, WI | $42.07 | $36.50 – $50.93 | 57 | 2 |
| Marshall, TX | $28.10 | $10.92 – $38.12 | 57 | 2 |
| Great Falls, VA | $112.69 | $112.69 – $112.69 | 57 | 1 |
| Garfield, NJ | $49.82 | $49.82 – $49.82 | 57 | 1 |
| Bklyn, NY | $12.67 | $12.67 – $12.67 | 57 | 1 |
| Brookeland, TX | $51.61 | $51.61 – $51.61 | 57 | 1 |
| Chugiak, AK | $245.63 | $245.63 – $245.63 | 57 | 1 |
| Surveyor, WV | $90.55 | $90.55 – $90.55 | 57 | 1 |
| Orange Park, FL | $122.36 | $101.91 – $136.79 | 58 | 2 |
| Peru, IL | $63.81 | $52.56 – $102.75 | 58 | 2 |
| Lincolnwood, IL | $54.69 | $54.69 – $54.69 | 58 | 1 |
| Dawson, MN | $117.72 | $117.72 – $117.72 | 58 | 1 |
| Atmore, AL | $53.73 | $53.73 – $53.73 | 58 | 1 |
| South El Monte, CA | $107.72 | $107.72 – $107.72 | 58 | 1 |
| Chester, CT | $0.00 | $0.00 – $0.00 | 58 | 1 |
| Geneva, NE | $82.90 | $82.90 – $82.90 | 58 | 1 |
| Piedmont, OK | $73.51 | $73.51 – $73.51 | 58 | 1 |
| Leakesville, MS | $67.49 | $67.49 – $67.49 | 59 | 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.