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 |
|---|---|---|---|---|
| Orrville, OH | $119.03 | $119.03 – $119.03 | 75 | 1 |
| Los Banos, CA | $55.21 | $53.30 – $57.40 | 75 | 2 |
| Mount Gilead, OH | $0.00 | $0.00 – $0.00 | 75 | 1 |
| Wurtsboro, NY | $80.82 | $80.82 – $80.82 | 75 | 1 |
| Carrboro, NC | $16.74 | $16.74 – $16.74 | 75 | 1 |
| Mission Hills, CA | $119.00 | $119.00 – $119.00 | 76 | 1 |
| Rockingham, NC | $100.29 | $100.29 – $100.29 | 76 | 1 |
| Clive, IA | $51.17 | $51.17 – $51.17 | 76 | 1 |
| Fort Lupton, CO | $79.87 | $79.87 – $79.87 | 76 | 1 |
| Columbia Falls, MT | $66.20 | $65.25 – $67.65 | 76 | 2 |
| Amherst, VA | $67.18 | $67.18 – $67.18 | 76 | 1 |
| Keansburg, NJ | $79.41 | $79.41 – $79.41 | 76 | 1 |
| Troy, MO | $163.13 | $163.13 – $163.13 | 77 | 1 |
| Jb Andrews, MD | $0.00 | $0.00 – $0.00 | 77 | 1 |
| Woodville, MS | $53.98 | $53.98 – $53.98 | 77 | 1 |
| Mays Landing, NJ | $125.00 | $125.00 – $125.00 | 77 | 1 |
| Temple, PA | $95.57 | $95.57 – $95.57 | 77 | 1 |
| Delano, MN | $110.71 | $110.71 – $110.71 | 77 | 1 |
| Lapush, WA | $45.93 | $45.93 – $45.93 | 77 | 1 |
| Greer (Greer, Sc), SC | $84.71 | $84.71 – $84.71 | 77 | 1 |
| Kingston, NY | $56.00 | $56.00 – $56.00 | 78 | 1 |
| Allen, TX | $107.92 | $68.64 – $133.83 | 78 | 2 |
| Macon, MO | $112.13 | $112.13 – $112.13 | 78 | 1 |
| Usaf Academy, CO | $113.36 | $113.36 – $113.36 | 78 | 1 |
| Greentown, IN | $139.01 | $139.01 – $139.01 | 78 | 1 |
| Radium Springs, NM | $107.53 | $107.53 – $107.53 | 78 | 1 |
| Hawkins, TX | $247.67 | $247.67 – $247.67 | 78 | 1 |
| Hudson, NH | $109.88 | $98.28 – $133.54 | 79 | 2 |
| Cedar Park, TX | $80.22 | $55.10 – $109.33 | 79 | 3 |
| Dequincy, LA | $0.00 | $0.00 – $0.00 | 79 | 1 |
| Pueblo West, CO | $254.41 | $108.22 – $359.28 | 79 | 2 |
| West Linn, OR | $41.52 | $0.00 – $76.28 | 79 | 2 |
| Van Buren, AR | $70.37 | $70.37 – $70.37 | 79 | 1 |
| Barberton, OH | $0.00 | $0.00 – $0.00 | 79 | 1 |
| Carver, MA | $130.23 | $130.23 – $130.23 | 79 | 1 |
| Highland Heights, OH | $59.52 | $59.52 – $59.52 | 80 | 1 |
| Ashland, WI | $0.00 | $0.00 – $0.00 | 80 | 1 |
| Meeker, CO | $152.50 | $152.50 – $152.50 | 80 | 1 |
| Stony Point, NY | $52.25 | $52.25 – $52.25 | 80 | 1 |
| Ft Worth, TX | $31.91 | $31.91 – $31.91 | 80 | 1 |
| Anaconda, MT | $25.09 | $25.09 – $25.09 | 80 | 1 |
| Aberdeen, NJ | $80.00 | $80.00 – $80.00 | 80 | 1 |
| Malta, OH | $2.27 | $0.00 – $7.90 | 80 | 2 |
| New, NY | $24.87 | $24.87 – $24.87 | 80 | 1 |
| Wailuku, HI | $66.18 | $61.30 – $67.57 | 81 | 2 |
| Crown Point, IN | $47.81 | $36.82 – $50.73 | 81 | 2 |
| Lees Summit, MO | $47.77 | $47.77 – $47.77 | 81 | 1 |
| Griffin, GA | $80.37 | $80.37 – $80.37 | 81 | 1 |
| Lambertville, MI | $106.00 | $106.00 – $106.00 | 81 | 1 |
| Putnam, CT | $0.00 | $0.00 – $0.00 | 81 | 2 |
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.