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 |
|---|---|---|---|---|
| Morris, IL | $39.12 | $39.12 – $39.12 | 18 | 1 |
| Richmond, IN | $120.00 | $120.00 – $120.00 | 18 | 1 |
| Laverne, OK | $67.07 | $67.07 – $67.07 | 18 | 1 |
| Pleasanton, TX | $9.56 | $9.56 – $9.56 | 18 | 1 |
| Islandia, NY | $100.00 | $100.00 – $100.00 | 18 | 1 |
| Natchitoches, LA | $57.32 | $57.32 – $57.32 | 18 | 1 |
| Baraboo, WI | $39.76 | $39.76 – $39.76 | 18 | 1 |
| Elkins Park, PA | $52.52 | $52.52 – $52.52 | 18 | 1 |
| Fordland, MO | $71.78 | $71.78 – $71.78 | 18 | 1 |
| Marceline, MO | $189.06 | $189.06 – $189.06 | 18 | 1 |
| Inver Grove Heights, MN | $86.89 | $86.89 – $86.89 | 18 | 1 |
| Lakeville, MN | $8.92 | $8.92 – $8.92 | 18 | 1 |
| Russellville, AL | $60.07 | $60.07 – $60.07 | 18 | 1 |
| Rosharon, TX | $62.67 | $62.67 – $62.67 | 18 | 1 |
| Midland Park, NJ | $42.78 | $42.78 – $42.78 | 18 | 1 |
| Pink Hill, NC | $86.28 | $86.28 – $86.28 | 18 | 1 |
| Wahiawa, HI | $131.34 | $131.34 – $131.34 | 18 | 1 |
| Bonita, CA | $57.40 | $57.40 – $57.40 | 18 | 1 |
| Ovid, NY | $64.09 | $64.09 – $64.09 | 18 | 1 |
| Mangham, LA | $43.93 | $43.93 – $43.93 | 18 | 1 |
| Athens, TN | $66.29 | $66.29 – $66.29 | 19 | 1 |
| North Tonawanda, NY | $0.00 | $0.00 – $0.00 | 19 | 1 |
| Port Lavaca, TX | $10.26 | $10.26 – $10.26 | 19 | 1 |
| Harrison, NJ | $32.00 | $32.00 – $32.00 | 19 | 1 |
| Glen Cove, NY | $93.05 | $93.05 – $93.05 | 19 | 1 |
| Marion, IA | $0.01 | $0.01 – $0.01 | 19 | 1 |
| Ithaca, MI | $93.25 | $93.25 – $93.25 | 19 | 1 |
| Plainsboro, NJ | $50.00 | $50.00 – $50.00 | 19 | 1 |
| Miles City, MT | $49.61 | $49.61 – $49.61 | 19 | 1 |
| Owego, NY | $59.74 | $59.74 – $59.74 | 19 | 1 |
| Algona, IA | $51.17 | $51.17 – $51.17 | 19 | 1 |
| Edgewood, NM | $0.00 | $0.00 – $0.00 | 19 | 1 |
| Half Moon Bay, CA | $57.40 | $57.40 – $57.40 | 19 | 1 |
| Sulphur, OK | $127.00 | $127.00 – $127.00 | 19 | 1 |
| Jamesburg, NJ | $80.00 | $80.00 – $80.00 | 19 | 1 |
| Freeport, FL | $27.71 | $27.71 – $27.71 | 19 | 1 |
| Warren, IN | $181.58 | $181.58 – $181.58 | 19 | 1 |
| Rural Retreat, VA | $69.00 | $69.00 – $69.00 | 19 | 1 |
| Okolona, MS | $82.91 | $82.91 – $82.91 | 19 | 1 |
| Lonetree, CO | $160.52 | $160.52 – $160.52 | 19 | 1 |
| Clover, SC | $87.55 | $87.55 – $87.55 | 19 | 1 |
| Ponderay, ID | $0.00 | $0.00 – $0.00 | 19 | 1 |
| Hillman, MI | $39.61 | $39.61 – $39.61 | 19 | 1 |
| Mt Vernon, WA | $57.65 | $57.65 – $57.65 | 19 | 1 |
| Seward, AK | $60.43 | $60.43 – $60.43 | 19 | 1 |
| Stanley, ND | $0.00 | $0.00 – $0.00 | 19 | 1 |
| Splendora, TX | $57.40 | $57.40 – $57.40 | 19 | 1 |
| Round Mountain, CA | $0.00 | $0.00 – $0.00 | 19 | 1 |
| Wartburg, TN | $63.65 | $63.65 – $63.65 | 20 | 1 |
| Sylva, NC | $59.20 | $59.20 – $59.20 | 20 | 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.