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 |
|---|---|---|---|---|
| New Lisbon, NJ | $17.72 | $17.72 – $17.72 | 106 | 1 |
| Globe, AZ | $132.60 | $132.60 – $132.60 | 107 | 1 |
| Tarrytown, NY | $1.73 | $1.73 – $1.73 | 107 | 1 |
| Seven Hills, OH | $57.69 | $57.69 – $57.69 | 107 | 2 |
| Avon, NY | $93.38 | $93.38 – $93.38 | 107 | 1 |
| Ravenel, SC | $87.68 | $87.68 – $87.68 | 107 | 1 |
| Walsh, CO | $76.04 | $76.04 – $76.04 | 107 | 1 |
| Milan, MI | $88.23 | $88.23 – $88.23 | 108 | 1 |
| Fairless Hills, PA | $59.11 | $59.11 – $59.11 | 108 | 1 |
| Mc Gehee, AR | $68.86 | $68.86 – $68.86 | 108 | 1 |
| Plummer, ID | $35.08 | $0.00 – $70.15 | 108 | 3 |
| Newhall, CA | $140.99 | $140.99 – $140.99 | 108 | 1 |
| West Middlesex, PA | $63.31 | $63.31 – $63.31 | 108 | 1 |
| Rolling Meadows, IL | $49.71 | $49.71 – $49.71 | 109 | 1 |
| Flemingsburg, KY | $72.08 | $72.08 – $72.08 | 109 | 1 |
| Rocky Ford, CO | $124.59 | $124.59 – $124.59 | 109 | 1 |
| Ellisville, MO | $59.28 | $59.28 – $59.28 | 109 | 1 |
| Randallstown, MD | $135.23 | $135.23 – $135.23 | 110 | 1 |
| Dixon, IL | $70.10 | $70.10 – $70.10 | 110 | 1 |
| Manning, SC | $106.29 | $106.29 – $106.29 | 110 | 1 |
| Soledad, CA | $112.24 | $112.24 – $112.24 | 110 | 1 |
| Helena, AL | $47.45 | $47.45 – $47.45 | 110 | 1 |
| Diberville, MS | $88.81 | $88.81 – $88.81 | 110 | 1 |
| Blanco, TX | $63.86 | $63.86 – $63.86 | 111 | 1 |
| Delran, NJ | $53.01 | $53.01 – $53.01 | 111 | 1 |
| Coeur D'Alene, ID | $0.00 | $0.00 – $0.00 | 111 | 1 |
| North Conway, NH | $114.30 | $114.30 – $114.30 | 111 | 1 |
| Hibbing, MN | $111.89 | $111.89 – $111.89 | 112 | 1 |
| Oxford, NC | $39.87 | $39.87 – $39.87 | 112 | 1 |
| Montross, VA | $35.73 | $35.73 – $35.73 | 112 | 1 |
| Adelanto, CA | $115.34 | $115.34 – $115.34 | 112 | 1 |
| N Attleboro, MA | $124.46 | $124.46 – $124.46 | 112 | 1 |
| Iron River, WI | $0.00 | $0.00 – $0.00 | 112 | 1 |
| Johns Island, SC | $66.97 | $66.97 – $66.97 | 113 | 1 |
| Gansevoort, NY | $123.21 | $123.21 – $123.21 | 113 | 1 |
| South Riding, VA | $54.08 | $54.08 – $54.08 | 113 | 1 |
| Granbury, TX | $41.85 | $37.58 – $48.40 | 114 | 2 |
| Apopka, FL | $52.02 | $41.95 – $82.94 | 114 | 2 |
| Forest Hill, MD | $108.68 | $108.68 – $108.68 | 114 | 1 |
| Brookhaven, PA | $57.28 | $57.28 – $57.28 | 114 | 1 |
| Oberlin, LA | $34.49 | $34.49 – $34.49 | 114 | 1 |
| Pagosa Springs, CO | $63.32 | $63.32 – $63.32 | 115 | 1 |
| Marshfield, MO | $60.10 | $49.63 – $113.00 | 115 | 2 |
| Council, ID | $0.00 | $0.00 – $0.00 | 115 | 2 |
| Clifton, CO | $92.38 | $92.38 – $92.38 | 115 | 1 |
| East Carbon, UT | $88.70 | $88.70 – $88.70 | 115 | 1 |
| East Earl, PA | $169.26 | $169.26 – $169.26 | 115 | 1 |
| Franklin, NC | $64.24 | $61.84 – $64.83 | 116 | 2 |
| Forest Grove, OR | $0.86 | $0.86 – $0.86 | 116 | 1 |
| Pocahontas, AR | $56.13 | $56.13 – $56.13 | 116 | 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.