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 |
|---|---|---|---|---|
| Hudson, WI | $155.78 | $31.39 – $179.11 | 209 | 2 |
| Thomasville, NC | $63.65 | $59.80 – $65.84 | 209 | 3 |
| Point Pleasant Beach, NJ | $32.06 | $32.06 – $32.06 | 209 | 1 |
| Hazelwood, MO | $118.05 | $118.05 – $118.05 | 210 | 1 |
| Northfield, OH | $58.56 | $58.56 – $58.56 | 210 | 1 |
| Orocovis, PR | $22.04 | $21.72 – $22.41 | 210 | 4 |
| Eufaula, AL | $50.50 | $50.50 – $50.50 | 210 | 1 |
| Reading, MA | $64.51 | $30.97 – $136.61 | 210 | 3 |
| Calico Rock, AR | $30.46 | $30.46 – $30.46 | 210 | 1 |
| Slaughter, LA | $5.33 | $5.33 – $5.33 | 211 | 1 |
| Pontotoc, MS | $67.87 | $67.87 – $67.87 | 211 | 1 |
| North Logan, UT | $234.85 | $234.85 – $234.85 | 211 | 1 |
| Lakeland, TN | $78.31 | $78.31 – $78.31 | 211 | 1 |
| Locust Grove, VA | $94.95 | $94.95 – $94.95 | 211 | 1 |
| Lufkin, TX | $75.67 | $75.67 – $75.67 | 212 | 1 |
| Normandy Park, WA | $41.97 | $41.97 – $41.97 | 212 | 1 |
| Marathon, FL | $99.59 | $33.24 – $105.34 | 213 | 2 |
| Lytle, TX | $65.43 | $65.43 – $65.43 | 213 | 1 |
| Inverness, FL | $25.94 | $25.94 – $25.94 | 213 | 1 |
| Mangilao, GU | $294.08 | $294.08 – $294.08 | 213 | 1 |
| Wisconsin Rapids, WI | $36.21 | $36.21 – $36.21 | 214 | 1 |
| Brockway, PA | $62.00 | $62.00 – $62.00 | 214 | 1 |
| E Palo Alto, CA | $34.87 | $34.87 – $34.87 | 214 | 1 |
| East Point, KY | $57.02 | $57.02 – $57.02 | 214 | 1 |
| Rochelle, IL | $53.49 | $53.49 – $53.49 | 215 | 1 |
| Greenville, NY | $62.57 | $62.57 – $62.57 | 215 | 1 |
| Bunnell, FL | $42.90 | $42.90 – $42.90 | 215 | 1 |
| Bishopville, SC | $59.50 | $59.50 – $59.50 | 216 | 1 |
| Wentworth, NC | $69.00 | $69.00 – $69.00 | 217 | 1 |
| Potomac, MD | $73.62 | $66.40 – $103.01 | 218 | 2 |
| Waxhaw, NC | $174.00 | $174.00 – $174.00 | 218 | 1 |
| Lehi, UT | $80.21 | $38.45 – $93.89 | 218 | 3 |
| Osage Beach, MO | $139.39 | $120.72 – $161.21 | 219 | 2 |
| Saint Clairsville, OH | $70.75 | $70.75 – $70.75 | 219 | 1 |
| Tenafly, NJ | $58.24 | $48.83 – $91.76 | 219 | 2 |
| Nipomo, CA | $127.90 | $57.40 – $135.38 | 219 | 2 |
| Sheridan, AR | $66.50 | $65.74 – $69.19 | 220 | 2 |
| Oakhurst, CA | $81.48 | $81.48 – $81.48 | 220 | 1 |
| Milford, OH | $55.60 | $55.60 – $55.60 | 221 | 1 |
| Parkland, FL | $41.23 | $41.23 – $41.23 | 221 | 1 |
| Deltona, FL | $25.07 | $24.42 – $32.94 | 222 | 2 |
| Barre, VT | $99.22 | $92.95 – $99.84 | 222 | 2 |
| Jackson, CA | $30.26 | $17.67 – $31.17 | 222 | 2 |
| Saint George, SC | $87.50 | $84.11 – $87.91 | 223 | 2 |
| Oviedo, FL | $34.19 | $34.19 – $34.19 | 224 | 1 |
| Greenville, ME | $104.82 | $104.82 – $104.82 | 224 | 1 |
| Oak Grove, MO | $94.95 | $94.95 – $94.95 | 225 | 1 |
| Alberta, VA | $0.00 | $0.00 – $0.00 | 225 | 1 |
| Justin, TX | $97.69 | $97.69 – $97.69 | 225 | 1 |
| Hyndman, PA | $0.00 | $0.00 – $0.00 | 226 | 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.