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 |
|---|---|---|---|---|
| Fort Sam Houston, TX | $189.54 | $189.54 – $189.54 | 302 | 1 |
| Eunice, LA | $27.00 | $27.00 – $27.00 | 303 | 1 |
| Natick, MA | $17.03 | $13.57 – $59.13 | 303 | 2 |
| Buckner, MO | $130.81 | $51.34 – $137.03 | 303 | 2 |
| Powhatan, VA | $55.15 | $55.15 – $55.15 | 304 | 1 |
| Fairborn, OH | $43.13 | $43.13 – $43.13 | 305 | 1 |
| Killeen, TX | $69.68 | $58.90 – $92.32 | 305 | 3 |
| Brigham City, UT | $174.45 | $174.45 – $174.45 | 305 | 1 |
| Cherokee, OK | $71.98 | $71.98 – $71.98 | 305 | 1 |
| Graham, WA | $84.37 | $57.05 – $104.91 | 305 | 3 |
| Seabrook, MD | $104.13 | $104.13 – $104.13 | 305 | 1 |
| Cuba, NY | $90.61 | $90.61 – $90.61 | 306 | 1 |
| La Junta, CO | $95.82 | $95.82 – $95.82 | 306 | 1 |
| Vandenberg Afb, CA | $261.46 | $261.46 – $261.46 | 306 | 1 |
| Granville, OH | $60.40 | $60.40 – $60.40 | 307 | 1 |
| Bemidji, MN | $102.42 | $51.20 – $136.20 | 307 | 3 |
| Tocoma, WA | $136.82 | $136.82 – $136.82 | 307 | 1 |
| Tappan, NY | $28.86 | $28.86 – $28.86 | 308 | 1 |
| Bloomfield, NM | $65.10 | $65.10 – $65.10 | 308 | 1 |
| King City, CA | $63.98 | $63.98 – $63.98 | 309 | 1 |
| Grethel, KY | $40.70 | $40.70 – $40.70 | 309 | 1 |
| Russell, KY | $92.06 | $92.06 – $92.06 | 309 | 1 |
| Fate, TX | $98.37 | $98.37 – $98.37 | 309 | 1 |
| N Charleston, SC | $104.76 | $104.76 – $104.76 | 310 | 1 |
| Ny, NY | $68.00 | $59.37 – $109.99 | 311 | 2 |
| Torrington, WY | $41.72 | $41.72 – $41.72 | 313 | 1 |
| Waupaca, WI | $0.00 | $0.00 – $0.00 | 313 | 1 |
| Cedarhurst, NY | $36.75 | $34.65 – $40.70 | 314 | 2 |
| Lamar, MO | $86.18 | $86.18 – $86.18 | 314 | 1 |
| Defuniak Springs, FL | $16.92 | $0.00 – $22.70 | 314 | 2 |
| Grove Hill, AL | $51.47 | $51.47 – $51.47 | 314 | 1 |
| Gretna, NE | $73.42 | $73.42 – $73.42 | 314 | 1 |
| Redlake, MN | $109.74 | $109.74 – $109.74 | 315 | 1 |
| Hazel Crest, IL | $47.61 | $47.61 – $47.61 | 316 | 1 |
| Oakland, NJ | $80.95 | $18.61 – $102.70 | 317 | 2 |
| Austin, IN | $22.15 | $22.15 – $22.15 | 317 | 1 |
| Oak Forest, IL | $69.79 | $69.79 – $69.79 | 318 | 1 |
| Liberty, KY | $34.06 | $34.06 – $34.06 | 318 | 1 |
| Monroe, OH | $55.27 | $55.27 – $55.27 | 318 | 1 |
| Mililani, HI | $141.15 | $141.15 – $141.15 | 318 | 1 |
| Trophy Club, TX | $219.80 | $219.80 – $219.80 | 319 | 1 |
| Petersburg, WV | $62.97 | $62.97 – $62.97 | 320 | 1 |
| Berlin, NH | $97.16 | $90.09 – $116.11 | 320 | 2 |
| St Cloud, MN | $292.05 | $292.05 – $292.05 | 320 | 1 |
| Sunland Park, NM | $57.49 | $57.49 – $57.49 | 320 | 1 |
| Ashley, PA | $64.39 | $64.39 – $64.39 | 320 | 1 |
| Wise, VA | $34.05 | $0.00 – $43.85 | 322 | 2 |
| Phila, PA | $51.56 | $46.58 – $63.94 | 322 | 4 |
| Severna Park, MD | $129.00 | $129.00 – $129.00 | 322 | 1 |
| Hillsboro, MO | $161.41 | $124.78 – $166.31 | 322 | 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.