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 |
|---|---|---|---|---|
| Hilton Head, SC | $79.30 | $79.30 – $79.30 | 166 | 1 |
| Veneta, OR | $33.24 | $33.24 – $33.24 | 166 | 1 |
| Carmel, IN | $121.80 | $36.67 – $200.08 | 167 | 2 |
| Angleton, TX | $44.26 | $36.35 – $47.63 | 167 | 2 |
| El Campo, TX | $52.46 | $52.46 – $52.46 | 167 | 1 |
| Laurel Springs, NJ | $68.72 | $45.22 – $99.74 | 167 | 3 |
| Mont Belvieu, TX | $78.51 | $8.60 – $90.24 | 167 | 2 |
| Lockport, NY | $58.35 | $57.59 – $60.65 | 168 | 2 |
| Northborough, MA | $95.84 | $73.21 – $128.77 | 168 | 3 |
| Frenchburg, KY | $46.21 | $46.21 – $46.21 | 168 | 1 |
| Sweetwater, TN | $60.70 | $60.70 – $60.70 | 169 | 1 |
| Homestead, PA | $52.62 | $52.62 – $52.62 | 169 | 1 |
| Ellijay, GA | $62.29 | $62.29 – $62.29 | 169 | 1 |
| Graham, TX | $131.27 | $131.27 – $131.27 | 170 | 1 |
| Waseca, MN | $115.36 | $111.03 – $116.83 | 170 | 3 |
| Coto Laurel, PR | $30.19 | $30.19 – $30.19 | 170 | 1 |
| Halfmoon, NY | $49.03 | $49.03 – $49.03 | 170 | 1 |
| Montgomery Village, MD | $125.09 | $103.01 – $135.23 | 170 | 3 |
| Vidalia, LA | $90.17 | $90.17 – $90.17 | 170 | 1 |
| Santo Domingo Pueblo, NM | $84.32 | $84.32 – $84.32 | 170 | 1 |
| Manila, AR | $69.45 | $69.45 – $69.45 | 170 | 1 |
| East Peoria, IL | $75.60 | $46.16 – $118.82 | 170 | 5 |
| Briarcliff Manor, NY | $109.93 | $81.62 – $164.58 | 170 | 2 |
| Ephrata, PA | $108.07 | $74.88 – $140.13 | 171 | 2 |
| Fletcher, NC | $62.63 | $62.63 – $62.63 | 171 | 1 |
| Yabucoa, PR | $36.92 | $36.92 – $36.92 | 171 | 1 |
| Sudbury, MA | $144.83 | $144.83 – $144.83 | 171 | 1 |
| Poteau, OK | $97.03 | $97.03 – $97.03 | 171 | 1 |
| Saint Petersburg, FL | $49.96 | $49.96 – $49.96 | 172 | 1 |
| Perry, FL | $41.15 | $28.55 – $43.81 | 172 | 2 |
| New Baltimore, MI | $58.68 | $58.68 – $58.68 | 172 | 1 |
| Port Clinton, OH | $38.81 | $38.81 – $38.81 | 173 | 1 |
| Lake Ozark, MO | $119.29 | $119.29 – $119.29 | 173 | 1 |
| Mckeesport, PA | $50.18 | $50.18 – $50.18 | 173 | 1 |
| Ft Lauderdale, FL | $151.54 | $151.54 – $151.54 | 174 | 1 |
| Converse, TX | $57.32 | $57.32 – $57.32 | 174 | 1 |
| Hadley, MA | $99.63 | $99.63 – $99.63 | 174 | 1 |
| Suisun City, CA | $118.32 | $118.32 – $118.32 | 174 | 1 |
| Delafield, WI | $4.23 | $4.23 – $4.23 | 175 | 1 |
| Salem, MO | $45.90 | $45.90 – $45.90 | 175 | 1 |
| Millville, NJ | $82.83 | $80.00 – $84.23 | 175 | 2 |
| Ft Stewart, GA | $161.18 | $161.18 – $161.18 | 175 | 1 |
| Waynesboro, MS | $58.71 | $58.71 – $58.71 | 175 | 1 |
| Holbrook, NY | $91.10 | $91.10 – $91.10 | 175 | 1 |
| Whitmire, SC | $88.47 | $88.47 – $88.47 | 175 | 1 |
| Mc Guire Afb, NJ | $60.37 | $60.37 – $60.37 | 176 | 1 |
| Villa Grove, IL | $59.09 | $59.09 – $59.09 | 176 | 1 |
| Manor, TX | $56.02 | $56.02 – $56.02 | 176 | 1 |
| Satellite Beach, FL | $48.41 | $48.41 – $48.41 | 176 | 1 |
| Desoto, TX | $54.86 | $54.06 – $57.40 | 177 | 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.