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 |
|---|---|---|---|---|
| Pleasant Grove, UT | $19.08 | $19.08 – $19.08 | 59 | 1 |
| Springfield, KY | $34.94 | $34.94 – $34.94 | 59 | 1 |
| Sherwood, OR | $140.87 | $140.87 – $140.87 | 59 | 1 |
| Pampa, TX | $64.56 | $64.56 – $64.56 | 59 | 1 |
| Franklin, WV | $53.73 | $53.73 – $53.73 | 59 | 1 |
| Dover, PA | $65.22 | $65.22 – $65.22 | 59 | 1 |
| Madawaska, ME | $0.00 | $0.00 – $0.00 | 59 | 1 |
| Salem, IL | $37.17 | $37.17 – $37.17 | 60 | 1 |
| Worthington, MA | $42.23 | $42.23 – $42.23 | 60 | 1 |
| Polacca, AZ | $0.00 | $0.00 – $0.00 | 60 | 1 |
| Sachse, TX | $45.58 | $31.41 – $61.77 | 60 | 2 |
| Hermitage, MO | $131.10 | $131.10 – $131.10 | 60 | 1 |
| Kentwood, MI | $63.00 | $63.00 – $63.00 | 61 | 1 |
| Clarksville, MD | $135.23 | $135.23 – $135.23 | 61 | 1 |
| Palmetto Bay, FL | $22.37 | $22.37 – $22.37 | 61 | 1 |
| Lewisport, KY | $35.03 | $35.03 – $35.03 | 61 | 1 |
| Connersville, IN | $181.39 | $181.39 – $181.39 | 61 | 1 |
| Tohatchi, NM | $72.20 | $72.20 – $72.20 | 61 | 1 |
| La Conner, WA | $35.40 | $35.40 – $35.40 | 61 | 1 |
| Porter, ME | $4.58 | $4.58 – $4.58 | 61 | 1 |
| Phillipsburg, KS | $78.47 | $78.47 – $78.47 | 62 | 1 |
| Purcellville, VA | $62.11 | $62.11 – $62.11 | 62 | 1 |
| Newport, OR | $0.00 | $0.00 – $0.00 | 62 | 2 |
| Tiburon, CA | $119.00 | $119.00 – $119.00 | 62 | 1 |
| Warrensburg, NY | $51.03 | $51.03 – $51.03 | 62 | 1 |
| Muldrow, OK | $63.88 | $63.88 – $63.88 | 62 | 1 |
| Lemoore, CA | $57.40 | $57.40 – $57.40 | 62 | 1 |
| Scotia, NY | $88.62 | $88.62 – $88.62 | 62 | 1 |
| Livingston, CA | $57.40 | $57.40 – $57.40 | 62 | 1 |
| Providence, KY | $16.23 | $16.23 – $16.23 | 63 | 1 |
| Lajas, PR | $30.54 | $26.61 – $41.18 | 63 | 2 |
| Kensington, CT | $93.05 | $93.05 – $93.05 | 63 | 1 |
| Iowa, LA | $65.83 | $65.83 – $65.83 | 63 | 1 |
| Chino Valley, AZ | $0.00 | $0.00 – $0.00 | 64 | 1 |
| Harahan, LA | $96.55 | $96.55 – $96.55 | 64 | 1 |
| Fellsmere, FL | $19.70 | $19.70 – $19.70 | 64 | 1 |
| Magee, MS | $424.31 | $79.31 – $617.85 | 64 | 2 |
| Westfield, NJ | $49.62 | $49.62 – $49.62 | 65 | 1 |
| Mt. Vernon, IL | $82.02 | $82.02 – $82.02 | 65 | 1 |
| Monroeville, PA | $366.34 | $366.34 – $366.34 | 65 | 1 |
| Lithia, FL | $44.74 | $44.74 – $44.74 | 65 | 1 |
| Cibolo, TX | $60.31 | $60.31 – $60.31 | 65 | 1 |
| Lenexa, KS | $72.72 | $72.72 – $72.72 | 66 | 1 |
| Stanford, KY | $33.47 | $33.47 – $33.47 | 66 | 1 |
| Lock Haven, PA | $56.93 | $56.93 – $56.93 | 66 | 1 |
| Winslow, AZ | $69.13 | $45.17 – $87.91 | 66 | 2 |
| Fairhaven, MA | $73.03 | $73.03 – $73.03 | 66 | 1 |
| East Falmouth, MA | $76.68 | $76.68 – $76.68 | 66 | 1 |
| Tucumcari, NM | $3.98 | $3.98 – $3.98 | 66 | 1 |
| Homer Glen, IL | $61.66 | $61.66 – $61.66 | 66 | 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.