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 |
|---|---|---|---|---|
| Marina Del Rey, CA | $113.54 | $113.54 – $113.54 | 98 | 1 |
| Flat Rock, NC | $39.24 | $39.24 – $39.24 | 98 | 1 |
| Damascus, OR | $15.51 | $15.51 – $15.51 | 98 | 1 |
| Pickerington, OH | $59.18 | $59.18 – $59.18 | 99 | 1 |
| Newtown, CT | $53.40 | $35.25 – $80.17 | 99 | 2 |
| Templeton, CA | $56.82 | $56.82 – $56.82 | 99 | 1 |
| Lewisburg, TN | $58.04 | $58.04 – $58.04 | 99 | 1 |
| Mcdonough, GA | $55.85 | $55.85 – $55.85 | 99 | 1 |
| Hermosa Beach, CA | $57.40 | $57.40 – $57.40 | 99 | 1 |
| Old Hickory, TN | $88.77 | $44.80 – $137.70 | 99 | 3 |
| Stevenson, AL | $53.66 | $53.66 – $53.66 | 99 | 1 |
| South Shore, KY | $19.49 | $19.49 – $19.49 | 100 | 1 |
| Pekin, IL | $70.42 | $70.42 – $70.42 | 100 | 1 |
| Alvin, TX | $5.94 | $0.00 – $10.24 | 100 | 2 |
| Hutchinson, MN | $145.87 | $145.87 – $145.87 | 100 | 1 |
| Burton, OH | $54.02 | $54.02 – $54.02 | 100 | 1 |
| Greenfield, IL | $131.66 | $131.66 – $131.66 | 100 | 1 |
| Ridgewood, NJ | $71.29 | $71.29 – $71.29 | 101 | 1 |
| Prairieville, LA | $88.45 | $86.12 – $91.13 | 101 | 2 |
| Union, MS | $72.94 | $72.94 – $72.94 | 101 | 1 |
| Playa Vista, CA | $0.00 | $0.00 – $0.00 | 101 | 1 |
| Madison, NJ | $19.62 | $0.00 – $50.94 | 101 | 3 |
| Millcreek, UT | $69.73 | $69.73 – $69.73 | 101 | 1 |
| Connellsville, PA | $63.14 | $63.14 – $63.14 | 102 | 1 |
| Ripley, TN | $65.28 | $65.28 – $65.28 | 102 | 1 |
| Boonton, NJ | $37.30 | $37.30 – $37.30 | 102 | 1 |
| Hartselle, AL | $50.40 | $50.40 – $50.40 | 102 | 1 |
| Allen Park, MI | $75.91 | $75.91 – $75.91 | 102 | 1 |
| Angel Fire, NM | $90.87 | $90.87 – $90.87 | 102 | 1 |
| Farmington, NY | $215.94 | $215.94 – $215.94 | 102 | 1 |
| Pawnee, OK | $532.80 | $66.82 – $1,351 | 102 | 2 |
| San Felipe, NM | $61.59 | $61.59 – $61.59 | 102 | 1 |
| Keokuk, IA | $54.55 | $54.55 – $54.55 | 103 | 1 |
| Paoli, PA | $257.12 | $257.12 – $257.12 | 103 | 1 |
| Dana Point, CA | $29.36 | $29.36 – $29.36 | 103 | 1 |
| Flagler Beach, FL | $19.72 | $19.72 – $19.72 | 103 | 1 |
| Wareham, MA | $101.73 | $101.73 – $101.73 | 104 | 1 |
| Tavares, FL | $157.89 | $157.89 – $157.89 | 104 | 1 |
| Oaklahoma City, OK | $56.66 | $56.66 – $56.66 | 104 | 1 |
| South Charlestown, WV | $58.38 | $58.38 – $58.38 | 104 | 1 |
| Pleasanton, CA | $94.99 | $57.40 – $119.00 | 105 | 3 |
| Sturbridge, MA | $102.86 | $64.00 – $149.00 | 105 | 2 |
| Bristow, OK | $65.71 | $65.71 – $65.71 | 105 | 1 |
| Throop, PA | $65.00 | $65.00 – $65.00 | 105 | 1 |
| Wapato, WA | $29.69 | $29.69 – $29.69 | 106 | 1 |
| Bainbridge Island, WA | $42.42 | $42.42 – $42.42 | 106 | 1 |
| Union, WV | $81.36 | $81.36 – $81.36 | 106 | 1 |
| Haddon Heights, NJ | $154.19 | $44.54 – $277.00 | 106 | 2 |
| Red Oak, IA | $45.38 | $45.38 – $45.38 | 106 | 1 |
| Bellwood, IL | $66.61 | $66.61 – $66.61 | 106 | 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.