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 |
|---|---|---|---|---|
| Luling, TX | $74.75 | $74.75 – $74.75 | 177 | 1 |
| Mustang, OK | $92.57 | $92.57 – $92.57 | 178 | 1 |
| Center Point, IA | $46.74 | $46.74 – $46.74 | 178 | 1 |
| Manassas Park, VA | $120.92 | $120.92 – $120.92 | 178 | 1 |
| Taylors, SC | $85.52 | $82.28 – $96.36 | 179 | 3 |
| Holmdel, NJ | $77.60 | $77.60 – $77.60 | 179 | 1 |
| Antelope, CA | $89.86 | $89.86 – $89.86 | 179 | 1 |
| Canby, OR | $1.66 | $1.66 – $1.66 | 180 | 1 |
| Mitchellville, MD | $103.83 | $103.83 – $103.83 | 180 | 1 |
| Greenville, AL | $54.55 | $54.55 – $54.55 | 180 | 1 |
| Brewer, ME | $86.45 | $86.45 – $86.45 | 180 | 1 |
| Swanton, VT | $65.67 | $45.56 – $94.12 | 180 | 3 |
| Washington, UT | $54.44 | $11.65 – $99.16 | 180 | 2 |
| Mountain City, TN | $63.09 | $63.09 – $63.09 | 181 | 1 |
| Emporia, VA | $68.24 | $68.16 – $69.00 | 181 | 2 |
| Ardmore, PA | $48.82 | $48.82 – $48.82 | 181 | 1 |
| Ellsworth, KS | $65.90 | $65.90 – $65.90 | 182 | 1 |
| Snow Hill, NC | $63.65 | $62.69 – $63.97 | 182 | 2 |
| Fort Scott, KS | $82.58 | $82.58 – $82.58 | 182 | 1 |
| Park City, UT | $85.21 | $85.21 – $85.21 | 182 | 1 |
| Idabel, OK | $68.64 | $68.64 – $68.64 | 182 | 1 |
| Hales Corners, WI | $8.07 | $0.00 – $36.70 | 182 | 2 |
| Hinesville, GA | $74.35 | $74.35 – $74.35 | 182 | 1 |
| Catawba, NC | $52.05 | $52.05 – $52.05 | 182 | 1 |
| Landover, MD | $122.44 | $122.44 – $122.44 | 182 | 1 |
| Hallandale Beach, FL | $15.28 | $15.28 – $15.28 | 183 | 1 |
| Cairo, GA | $53.56 | $52.56 – $56.43 | 183 | 2 |
| Elmwood Park, IL | $53.09 | $53.09 – $53.09 | 184 | 1 |
| South Lyon, MI | $88.53 | $83.12 – $92.42 | 184 | 2 |
| Maitland, FL | $78.46 | $78.46 – $78.46 | 185 | 1 |
| Ponchatoula, LA | $62.49 | $62.49 – $62.49 | 185 | 1 |
| Bicknell, IN | $176.24 | $92.18 – $201.69 | 185 | 2 |
| Princeton, TX | $52.52 | $48.12 – $59.26 | 185 | 2 |
| Roxboro, NC | $68.10 | $68.10 – $68.10 | 186 | 1 |
| Dunedin, FL | $84.78 | $84.78 – $84.78 | 186 | 1 |
| Mangum, OK | $80.50 | $73.31 – $93.57 | 186 | 2 |
| Fort Pierce, FL | $5.66 | $0.00 – $47.83 | 186 | 2 |
| Mendenhall, MS | $80.92 | $80.92 – $80.92 | 186 | 1 |
| Brownwood, TX | $59.22 | $59.22 – $59.22 | 187 | 1 |
| Logan, WV | $100.25 | $66.09 – $116.89 | 187 | 4 |
| Howell, NJ | $72.86 | $60.39 – $79.35 | 187 | 2 |
| Coraopolis, PA | $62.50 | $60.09 – $65.64 | 187 | 2 |
| Lake Hopatcong, NJ | $80.25 | $80.25 – $80.25 | 187 | 1 |
| Centralia, IL | $56.20 | $56.20 – $56.20 | 188 | 1 |
| Norristown, PA | $50.94 | $49.35 – $60.41 | 188 | 2 |
| Haines City, FL | $39.58 | $39.58 – $39.58 | 188 | 1 |
| Deer Park, TX | $15.82 | $11.47 – $56.94 | 188 | 2 |
| Centerville, GA | $60.82 | $60.82 – $60.82 | 188 | 1 |
| South Fallsburg, NY | $57.16 | $57.16 – $57.16 | 188 | 1 |
| Glastonbury, CT | $67.89 | $67.89 – $67.89 | 189 | 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.