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 |
|---|---|---|---|---|
| Pt Jefferson Stn, NY | $102.02 | $102.02 – $102.02 | 124 | 1 |
| Canyon, TX | $45.07 | $45.07 – $45.07 | 125 | 1 |
| Richfield, UT | $0.00 | $0.00 – $0.00 | 125 | 1 |
| Oak Brook, IL | $72.61 | $72.61 – $72.61 | 125 | 1 |
| Middletown, DE | $185.12 | $176.93 – $195.64 | 125 | 3 |
| Lutcher, LA | $223.11 | $223.11 – $223.11 | 126 | 1 |
| Seven Fields, PA | $87.66 | $87.66 – $87.66 | 126 | 1 |
| Clinton, NJ | $115.31 | $115.31 – $115.31 | 126 | 1 |
| Edgewater, NJ | $58.63 | $58.63 – $58.63 | 127 | 1 |
| Wentzville, MO | $152.06 | $149.86 – $157.00 | 127 | 2 |
| The Dalles, OR | $4.12 | $0.00 – $7.37 | 127 | 2 |
| Burns, OR | $0.87 | $0.87 – $0.87 | 127 | 1 |
| Catano, PR | $37.25 | $37.25 – $37.25 | 127 | 1 |
| Cottage Grove, MN | $140.16 | $111.15 – $161.62 | 127 | 2 |
| Grosse Pointe, MI | $41.71 | $41.71 – $41.71 | 127 | 1 |
| London, OH | $58.64 | $58.64 – $58.64 | 128 | 1 |
| Newland, NC | $62.27 | $62.27 – $62.27 | 128 | 1 |
| Westminster, SC | $86.17 | $85.47 – $86.43 | 128 | 2 |
| Tysons, VA | $68.64 | $54.42 – $108.08 | 129 | 3 |
| Lorton, VA | $80.04 | $66.24 – $89.70 | 129 | 4 |
| Mansfield, MA | $95.52 | $64.47 – $103.66 | 130 | 2 |
| Sealy, TX | $55.86 | $55.86 – $55.86 | 130 | 1 |
| Jonestown, PA | $68.10 | $68.10 – $68.10 | 130 | 1 |
| Kerrville, TX | $52.93 | $52.93 – $52.93 | 131 | 1 |
| New Port Richey, FL | $184.65 | $12.88 – $208.55 | 131 | 2 |
| Arcadia, FL | $53.39 | $0.00 – $60.82 | 131 | 2 |
| Tinley Pk, IL | $92.54 | $92.54 – $92.54 | 131 | 1 |
| Lubec, ME | $0.61 | $0.61 – $0.61 | 132 | 1 |
| Fort Kent, ME | $27.62 | $27.62 – $27.62 | 132 | 1 |
| Little Neck, NY | $43.85 | $33.47 – $64.54 | 132 | 3 |
| Palatka, FL | $28.16 | $24.48 – $39.21 | 132 | 2 |
| Clarion, IA | $1.77 | $1.77 – $1.77 | 132 | 1 |
| Dexter, MI | $86.06 | $86.06 – $86.06 | 132 | 1 |
| Wappingers Falls, NY | $74.11 | $46.18 – $90.16 | 133 | 4 |
| Charlotte, MI | $180.95 | $180.95 – $180.95 | 133 | 1 |
| Monticello, AR | $63.52 | $63.52 – $63.52 | 134 | 1 |
| Franklin Square, NY | $52.79 | $52.79 – $52.79 | 134 | 1 |
| Winnsboro, SC | $74.29 | $74.29 – $74.29 | 134 | 1 |
| Haworth, NJ | $12.09 | $12.09 – $12.09 | 134 | 1 |
| Biscoe, NC | $28.95 | $22.22 – $65.15 | 134 | 2 |
| Truman, MN | $113.14 | $113.14 – $113.14 | 134 | 1 |
| Boiling Springs, SC | $88.80 | $88.80 – $88.80 | 135 | 1 |
| Happy Valley, OR | $0.98 | $0.98 – $0.98 | 135 | 1 |
| Eminence, KY | $46.85 | $46.85 – $46.85 | 135 | 1 |
| Brooklyn Center, MN | $154.21 | $116.28 – $175.57 | 136 | 2 |
| Ellwood City, PA | $62.52 | $62.52 – $62.52 | 136 | 1 |
| Kenai, AK | $61.97 | $61.97 – $61.97 | 137 | 1 |
| Roosevelt, UT | $61.78 | $61.78 – $61.78 | 138 | 1 |
| West Point, NY | $109.41 | $109.41 – $109.41 | 138 | 1 |
| Miramar, FL | $51.16 | $41.62 – $119.64 | 139 | 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.