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 |
|---|---|---|---|---|
| Northbergen, NJ | $0.00 | $0.00 – $0.00 | 66 | 1 |
| Millington, TN | $65.99 | $65.99 – $65.99 | 67 | 1 |
| Santa Isabel, PR | $22.30 | $22.30 – $22.30 | 67 | 1 |
| Berkeley Heights, NJ | $49.78 | $49.78 – $49.78 | 67 | 1 |
| Eldersburg, MD | $112.69 | $112.69 – $112.69 | 67 | 1 |
| Cadiz, OH | $55.80 | $55.80 – $55.80 | 67 | 1 |
| Commerce, CA | $115.45 | $115.45 – $115.45 | 67 | 1 |
| Foster City, CA | $55.04 | $45.00 – $59.31 | 67 | 2 |
| Chinle, AZ | $32.15 | $0.00 – $68.32 | 68 | 2 |
| Trujillo Alto, PR | $25.82 | $22.49 – $33.28 | 68 | 2 |
| Blountville, TN | $65.76 | $65.76 – $65.76 | 68 | 1 |
| Sparta, NC | $59.74 | $59.74 – $59.74 | 68 | 1 |
| Innis, LA | $2.33 | $0.00 – $3.16 | 68 | 2 |
| Hardinsburg, KY | $37.70 | $37.70 – $37.70 | 69 | 1 |
| Brooksville, KY | $66.96 | $66.96 – $66.96 | 69 | 1 |
| Mt. Orab, OH | $45.63 | $45.63 – $45.63 | 69 | 1 |
| Warrenton, MO | $158.57 | $158.57 – $158.57 | 69 | 1 |
| Lawrenceburg, KY | $79.17 | $79.17 – $79.17 | 69 | 1 |
| Spring Lake, NC | $101.52 | $101.52 – $101.52 | 69 | 1 |
| Shinnston, WV | $72.70 | $72.70 – $72.70 | 69 | 1 |
| Biggsville, IL | $38.96 | $38.96 – $38.96 | 69 | 1 |
| Venice, CA | $82.29 | $36.11 – $119.00 | 70 | 2 |
| The Villages, FL | $57.40 | $57.40 – $57.40 | 70 | 1 |
| Vidor, TX | $32.88 | $32.88 – $32.88 | 70 | 1 |
| Oswego, NY | $68.95 | $68.95 – $68.95 | 70 | 1 |
| Wood Dale, IL | $68.88 | $68.88 – $68.88 | 70 | 1 |
| N Royalton, OH | $111.70 | $111.70 – $111.70 | 70 | 1 |
| Brenham, TX | $57.67 | $57.67 – $57.67 | 71 | 1 |
| Glen Carbon, IL | $67.28 | $67.28 – $67.28 | 71 | 1 |
| Independence, LA | $125.24 | $125.24 – $125.24 | 71 | 1 |
| Walnut Ridge, AR | $31.51 | $31.51 – $31.51 | 71 | 1 |
| Colebrook, NH | $63.30 | $63.30 – $63.30 | 71 | 1 |
| Advance, MO | $38.16 | $38.16 – $38.16 | 71 | 1 |
| Bakersville, NC | $63.29 | $61.58 – $65.64 | 71 | 2 |
| Gallipolis, OH | $59.73 | $59.73 – $59.73 | 72 | 1 |
| Willowbrook, IL | $85.08 | $85.08 – $85.08 | 72 | 1 |
| Ava, MO | $0.00 | $0.00 – $0.00 | 72 | 1 |
| Setauket, NY | $86.76 | $86.76 – $86.76 | 72 | 1 |
| Wyoming, PA | $83.09 | $83.09 – $83.09 | 72 | 1 |
| Norwood, PA | $62.66 | $46.43 – $76.40 | 72 | 2 |
| Olivette, MO | $44.01 | $44.01 – $44.01 | 72 | 1 |
| Bigfork, MN | $258.63 | $250.01 – $297.73 | 72 | 2 |
| Midwest City, Ok 73110, OK | $62.02 | $62.02 – $62.02 | 72 | 1 |
| Warrenville, IL | $44.23 | $44.23 – $44.23 | 73 | 1 |
| Greenup, KY | $67.40 | $67.40 – $67.40 | 73 | 1 |
| Matteson, IL | $61.21 | $61.21 – $61.21 | 73 | 1 |
| Johnsburg, IL | $136.69 | $126.51 – $179.59 | 73 | 2 |
| Williamstown, MA | $97.18 | $97.18 – $97.18 | 74 | 1 |
| Okemos, MI | $12.64 | $12.64 – $12.64 | 74 | 1 |
| Shawsville, VA | $0.00 | $0.00 – $0.00 | 74 | 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.