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 |
|---|---|---|---|---|
| Ojai, CA | $116.95 | $116.95 – $116.95 | 116 | 1 |
| Defiance, OH | $56.21 | $56.21 – $56.21 | 117 | 1 |
| Abington, PA | $7.58 | $0.00 – $18.10 | 117 | 2 |
| Sewickley, PA | $38.77 | $38.77 – $38.77 | 117 | 1 |
| Pennsauken, NJ | $48.71 | $33.52 – $65.84 | 117 | 2 |
| Siletz, OR | $0.01 | $0.01 – $0.01 | 117 | 1 |
| Old Westbury, NY | $60.97 | $60.97 – $60.97 | 117 | 1 |
| Okatie, SC | $94.68 | $94.68 – $94.68 | 118 | 1 |
| Macclenny, FL | $40.10 | $40.10 – $40.10 | 118 | 1 |
| Windsor, CA | $55.45 | $55.45 – $55.45 | 118 | 1 |
| Sugar Hill, GA | $68.84 | $68.84 – $68.84 | 118 | 1 |
| Atlantic Beach, NC | $75.34 | $75.34 – $75.34 | 118 | 1 |
| Salem, OH | $44.33 | $17.95 – $52.08 | 119 | 2 |
| Herndon, VA | $39.43 | $0.00 – $53.32 | 119 | 2 |
| Ratcliff, AR | $67.35 | $67.35 – $67.35 | 119 | 1 |
| Dermott, AR | $102.79 | $102.79 – $102.79 | 119 | 1 |
| Laplata, MD | $113.18 | $113.18 – $113.18 | 119 | 1 |
| Holland, NY | $58.49 | $58.49 – $58.49 | 119 | 1 |
| Peotone, IL | $80.51 | $80.51 – $80.51 | 119 | 1 |
| Bedford, IN | $144.35 | $0.00 – $166.56 | 120 | 2 |
| Wabasha, MN | $146.69 | $146.69 – $146.69 | 120 | 1 |
| Prince Frederick, MD | $101.01 | $101.01 – $101.01 | 120 | 1 |
| Iron River, MI | $90.44 | $90.44 – $90.44 | 120 | 1 |
| Chesterton, IN | $54.42 | $54.42 – $54.42 | 120 | 1 |
| Fountain Hill, PA | $42.58 | $36.38 – $65.00 | 120 | 2 |
| Midvale, UT | $15.37 | $10.91 – $31.52 | 120 | 2 |
| Morris Plains, NJ | $109.12 | $109.12 – $109.12 | 120 | 1 |
| Wiscasset, ME | $84.98 | $84.98 – $84.98 | 121 | 1 |
| Petal, MS | $66.93 | $66.93 – $66.93 | 121 | 1 |
| West Brookfield, MA | $67.52 | $67.52 – $67.52 | 121 | 1 |
| Piedmont, SC | $73.76 | $73.76 – $73.76 | 121 | 1 |
| Indian Harbour Beach, FL | $25.22 | $25.22 – $25.22 | 121 | 1 |
| Delta, CO | $30.29 | $12.55 – $102.72 | 122 | 2 |
| Hendersonville, NC | $80.95 | $59.98 – $167.19 | 122 | 4 |
| Mission Viejo, CA | $81.52 | $0.00 – $119.00 | 122 | 5 |
| New Augusta, MS | $77.83 | $77.83 – $77.83 | 122 | 1 |
| Lamoni, IA | $46.98 | $46.98 – $46.98 | 122 | 1 |
| Frankfort, IN | $136.76 | $111.88 – $151.53 | 122 | 3 |
| Naples, NY | $66.23 | $66.23 – $66.23 | 122 | 1 |
| Silver Creek, NY | $65.91 | $64.22 – $80.15 | 122 | 2 |
| Rosiclare, IL | $25.18 | $25.18 – $25.18 | 123 | 1 |
| Hawesville, KY | $48.17 | $48.17 – $48.17 | 123 | 1 |
| La Grange Park, IL | $0.00 | $0.00 – $0.00 | 123 | 1 |
| Island Park, NY | $180.97 | $180.97 – $180.97 | 123 | 1 |
| Osceola, WI | $101.09 | $99.19 – $117.14 | 123 | 2 |
| Dulce, NM | $50.63 | $50.63 – $50.63 | 124 | 1 |
| Catskill, NY | $115.96 | $115.96 – $115.96 | 124 | 1 |
| Chagrin Falls, OH | $54.93 | $54.93 – $54.93 | 124 | 1 |
| Muscle Shoals, AL | $60.60 | $60.60 – $60.60 | 124 | 1 |
| St Albans, WV | $56.20 | $56.20 – $56.20 | 124 | 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.