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 |
|---|---|---|---|---|
| Longmeadow, MA | $150.88 | $150.88 – $150.88 | 16 | 1 |
| Frisco, CO | $46.34 | $46.34 – $46.34 | 16 | 1 |
| Burgettstown, PA | $119.50 | $119.50 – $119.50 | 16 | 1 |
| Montrose, CA | $111.56 | $111.56 – $111.56 | 16 | 1 |
| Monticello, MS | $81.61 | $81.61 – $81.61 | 16 | 1 |
| Vernon Hills, IL | $84.06 | $84.06 – $84.06 | 16 | 1 |
| South Pasadena, FL | $27.12 | $27.12 – $27.12 | 16 | 1 |
| Centereach, NY | $61.88 | $61.88 – $61.88 | 16 | 1 |
| Weeki Wachee, FL | $60.24 | $60.24 – $60.24 | 16 | 1 |
| Estes Park, CO | $0.00 | $0.00 – $0.00 | 16 | 1 |
| Wadesboro, NC | $89.54 | $89.54 – $89.54 | 16 | 1 |
| Poplarville, MS | $83.04 | $83.04 – $83.04 | 16 | 1 |
| Campbellsburg, KY | $37.10 | $37.10 – $37.10 | 16 | 1 |
| Itasca, IL | $68.46 | $68.46 – $68.46 | 16 | 1 |
| Leon, IA | $0.01 | $0.01 – $0.01 | 16 | 1 |
| Cut Bank, MT | $0.00 | $0.00 – $0.00 | 16 | 1 |
| Lincoln Heights, OH | $50.48 | $50.48 – $50.48 | 16 | 1 |
| Twain Harte, CA | $404.00 | $404.00 – $404.00 | 16 | 1 |
| Granite Falls, WA | $64.19 | $64.19 – $64.19 | 16 | 1 |
| Roanoke, TX | $53.79 | $53.79 – $53.79 | 16 | 1 |
| Healdton, OK | $60.98 | $60.98 – $60.98 | 16 | 1 |
| Mason, MI | $66.73 | $66.73 – $66.73 | 16 | 1 |
| Pinson, AL | $60.00 | $60.00 – $60.00 | 16 | 1 |
| Brocktom, MA | $73.75 | $73.75 – $73.75 | 16 | 1 |
| Arabi, LA | $47.73 | $47.73 – $47.73 | 16 | 1 |
| Pineville, LA | $60.70 | $60.70 – $60.70 | 17 | 1 |
| Rockledge, FL | $32.27 | $32.27 – $32.27 | 17 | 1 |
| Lawrenceville, NJ | $83.76 | $83.76 – $83.76 | 17 | 1 |
| Jennings, LA | $60.47 | $60.47 – $60.47 | 17 | 1 |
| Arden, NC | $101.33 | $101.33 – $101.33 | 17 | 1 |
| Clinton, UT | $79.03 | $79.03 – $79.03 | 17 | 1 |
| Ogdensburg, NY | $84.71 | $84.71 – $84.71 | 17 | 1 |
| Lancaster, WI | $56.16 | $56.16 – $56.16 | 17 | 1 |
| Hereford, TX | $11.47 | $11.47 – $11.47 | 17 | 1 |
| Manistique, MI | $54.30 | $54.30 – $54.30 | 17 | 1 |
| Mc Kee, KY | $49.40 | $49.40 – $49.40 | 17 | 1 |
| Woodbridge, CT | $79.53 | $79.53 – $79.53 | 17 | 1 |
| Sauk Rapids, MN | $97.36 | $97.36 – $97.36 | 17 | 1 |
| Archbold, OH | $57.69 | $57.69 – $57.69 | 17 | 1 |
| Greenfield, IA | $0.00 | $0.00 – $0.00 | 17 | 1 |
| Pittsboro, NC | $63.54 | $63.54 – $63.54 | 17 | 1 |
| Indiantown, FL | $40.49 | $40.49 – $40.49 | 17 | 1 |
| Hot Springs, SD | $0.00 | $0.00 – $0.00 | 17 | 1 |
| Kingston, NH | $100.00 | $100.00 – $100.00 | 17 | 1 |
| Haledon, NJ | $50.00 | $50.00 – $50.00 | 17 | 1 |
| Davidsville, PA | $49.71 | $49.71 – $49.71 | 17 | 1 |
| Alamo, NM | $37.65 | $37.65 – $37.65 | 17 | 1 |
| Orland Hills, IL | $119.00 | $119.00 – $119.00 | 17 | 1 |
| Glover, VT | $158.68 | $158.68 – $158.68 | 17 | 1 |
| Pinehurst, NC | $65.33 | $65.33 – $65.33 | 18 | 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.