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 |
|---|---|---|---|---|
| Schererville, IN | $69.90 | $51.22 – $190.41 | 323 | 5 |
| East Aurora, NY | $67.27 | $42.75 – $68.89 | 323 | 2 |
| Ellensburg, WA | $39.80 | $34.92 – $40.41 | 324 | 2 |
| Strongsville, OH | $95.53 | $38.65 – $100.87 | 326 | 2 |
| Wellsburg, WV | $39.23 | $39.23 – $39.23 | 326 | 1 |
| Tucker, GA | $95.28 | $95.28 – $95.28 | 326 | 1 |
| Capitol Heights, MD | $80.76 | $80.76 – $80.76 | 326 | 1 |
| Herriman, UT | $66.97 | $61.53 – $72.09 | 326 | 2 |
| Lowell, AR | $65.55 | $65.55 – $65.55 | 328 | 1 |
| Aptos, CA | $57.36 | $57.36 – $57.36 | 329 | 1 |
| Booneville, AR | $63.49 | $61.58 – $65.53 | 329 | 2 |
| Union, SC | $79.38 | $79.38 – $79.38 | 329 | 1 |
| Pineville, KY | $44.03 | $44.03 – $44.03 | 330 | 1 |
| Coweta, OK | $69.78 | $64.07 – $72.13 | 330 | 2 |
| Windsor Heights, IA | $62.68 | $62.68 – $62.68 | 331 | 1 |
| Ruther Glen, VA | $112.51 | $69.00 – $114.43 | 331 | 2 |
| Pawkeye Island, SC | $68.84 | $68.84 – $68.84 | 331 | 1 |
| Hampton, TN | $67.50 | $67.50 – $67.50 | 331 | 1 |
| Fremont, NE | $33.73 | $3.36 – $71.50 | 332 | 2 |
| Saint Anthony, ID | $38.18 | $38.18 – $38.18 | 332 | 1 |
| Sheffield Village, OH | $59.08 | $59.08 – $59.08 | 333 | 1 |
| Canandaigua, NY | $103.72 | $51.19 – $267.49 | 336 | 3 |
| Wadsworth, IL | $47.97 | $47.97 – $47.97 | 336 | 1 |
| La Salle, CO | $153.55 | $153.55 – $153.55 | 336 | 1 |
| Hobart, IN | $132.99 | $132.99 – $132.99 | 337 | 1 |
| Greensboro, PA | $1.57 | $1.57 – $1.57 | 337 | 1 |
| Algood, TN | $81.20 | $81.20 – $81.20 | 337 | 1 |
| Inman, SC | $61.14 | $49.95 – $133.56 | 338 | 3 |
| Stansbury Park, UT | $71.75 | $55.83 – $74.58 | 338 | 2 |
| Kotzebue, AK | $11.57 | $0.00 – $195.53 | 338 | 3 |
| El Mirage, AZ | $48.89 | $39.31 – $57.93 | 338 | 2 |
| Lakewood, CA | $63.80 | $19.19 – $110.02 | 340 | 5 |
| Hayesville, NC | $67.35 | $67.35 – $67.35 | 340 | 1 |
| New Caney, TX | $59.67 | $59.67 – $59.67 | 340 | 1 |
| Ripon, CA | $96.91 | $96.91 – $96.91 | 341 | 1 |
| Livingston, TN | $53.24 | $44.66 – $63.07 | 341 | 2 |
| Floral Park, NY | $55.20 | $55.20 – $55.20 | 341 | 1 |
| Vallejo, CA | $62.92 | $54.00 – $119.00 | 342 | 4 |
| Warr Acres, OK | $64.39 | $64.39 – $64.39 | 342 | 1 |
| Romulus, MI | $85.77 | $85.77 – $85.77 | 342 | 1 |
| Cottonwood Heights, UT | $46.76 | $39.21 – $121.95 | 343 | 3 |
| East Los Angeles, CA | $79.31 | $38.41 – $119.00 | 344 | 3 |
| Knightdale, NC | $83.93 | $64.36 – $119.40 | 345 | 3 |
| Eaton, OH | $26.39 | $26.39 – $26.39 | 345 | 1 |
| Prince George, VA | $38.70 | $38.25 – $39.71 | 345 | 2 |
| Bixby, OK | $82.66 | $64.25 – $99.74 | 345 | 2 |
| Clifton, VA | $149.29 | $149.29 – $149.29 | 345 | 1 |
| Fernandina Beach, FL | $197.30 | $197.30 – $197.30 | 346 | 1 |
| Clinton, AR | $70.30 | $70.23 – $70.73 | 346 | 2 |
| Fort Leonard Wood, MO | $75.00 | $75.00 – $75.00 | 346 | 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.