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 |
|---|---|---|---|---|
| Burgaw, NC | $51.21 | $51.21 – $51.21 | 139 | 1 |
| Greenfield, CA | $90.96 | $90.96 – $90.96 | 139 | 1 |
| Clay, WV | $66.91 | $66.91 – $66.91 | 139 | 1 |
| Mannington, WV | $69.01 | $67.20 – $75.86 | 139 | 2 |
| Royse City, TX | $62.86 | $62.86 – $62.86 | 139 | 1 |
| Barrington, IL | $59.70 | $47.87 – $67.36 | 140 | 2 |
| Cassville, MO | $107.52 | $107.52 – $107.52 | 140 | 1 |
| Minnetonka, MN | $3.90 | $3.90 – $3.90 | 141 | 1 |
| Holly Springs, NC | $77.33 | $53.88 – $135.23 | 141 | 3 |
| Winnebago, NE | $0.00 | $0.00 – $0.00 | 141 | 1 |
| Humphrey, NE | $0.00 | $0.00 – $0.00 | 141 | 1 |
| Lewes, DE | $19.32 | $14.61 – $36.88 | 142 | 2 |
| Saltville, VA | $24.78 | $0.00 – $43.99 | 142 | 2 |
| Davenport, WA | $64.92 | $64.92 – $64.92 | 142 | 1 |
| Green Lake, WI | $37.07 | $37.07 – $37.07 | 143 | 1 |
| Irvington, NY | $44.86 | $44.86 – $44.86 | 143 | 1 |
| Oakton, VA | $23.70 | $23.70 – $23.70 | 143 | 1 |
| Reidsville, NC | $59.39 | $59.39 – $59.39 | 144 | 1 |
| Huntley, IL | $99.91 | $91.67 – $104.04 | 144 | 2 |
| Superior Twp, MI | $57.60 | $57.60 – $57.60 | 144 | 1 |
| Scotch Plains, NJ | $137.93 | $137.93 – $137.93 | 145 | 1 |
| Jackson Hts, NY | $41.79 | $41.79 – $41.79 | 145 | 1 |
| Delmar, NY | $16.16 | $16.16 – $16.16 | 146 | 1 |
| Lower Burrell, PA | $64.88 | $64.88 – $64.88 | 146 | 1 |
| Hanover, MA | $102.86 | $102.86 – $102.86 | 146 | 1 |
| Middlesex, NC | $81.80 | $81.80 – $81.80 | 146 | 1 |
| Athens, GA | $58.00 | $58.00 – $58.00 | 147 | 1 |
| Fort Washington, PA | $63.68 | $63.25 – $66.41 | 147 | 2 |
| Jackson, NC | $64.15 | $64.15 – $64.15 | 147 | 1 |
| Fort Gregg Adams, VA | $77.50 | $77.50 – $77.50 | 147 | 1 |
| Balto, MD | $42.32 | $42.32 – $42.32 | 147 | 1 |
| Maidsville, WV | $169.83 | $169.83 – $169.83 | 147 | 1 |
| Moberly, MO | $107.29 | $106.44 – $107.44 | 148 | 2 |
| Elizabeth City, NC | $53.98 | $53.98 – $53.98 | 148 | 1 |
| Moorhead, MN | $103.31 | $75.63 – $111.89 | 148 | 2 |
| Warrendale, PA | $237.97 | $237.97 – $237.97 | 148 | 1 |
| Newburgh, IN | $132.54 | $124.09 – $133.93 | 149 | 2 |
| Springboro, OH | $57.12 | $57.12 – $57.12 | 149 | 1 |
| Greenville, RI | $84.18 | $84.18 – $84.18 | 149 | 1 |
| Walton, KY | $78.52 | $78.52 – $78.52 | 149 | 1 |
| Central City, NE | $59.93 | $59.93 – $59.93 | 149 | 1 |
| Cedar Hill, TX | $74.87 | $49.64 – $80.46 | 149 | 2 |
| Kyle, SD | $2.40 | $2.40 – $2.40 | 149 | 1 |
| Magnolia, MS | $73.88 | $73.88 – $73.88 | 149 | 1 |
| Wagener, SC | $76.82 | $76.82 – $76.82 | 149 | 1 |
| Little River, SC | $105.23 | $83.38 – $120.74 | 150 | 3 |
| Rock Springs, WY | $77.17 | $77.17 – $77.17 | 150 | 1 |
| Mountain Grove, MO | $92.62 | $92.62 – $92.62 | 150 | 1 |
| Bronxville, NY | $91.20 | $91.20 – $91.20 | 151 | 1 |
| Mount Olive, NC | $60.37 | $60.37 – $60.37 | 151 | 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.