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 |
|---|---|---|---|---|
| Metuchen, NJ | $18.05 | $18.05 – $18.05 | 394 | 1 |
| Prairie Village, KS | $72.46 | $58.60 – $78.90 | 394 | 2 |
| Nettleton, MS | $54.52 | $54.52 – $54.52 | 394 | 1 |
| Bridgeton, MO | $81.37 | $62.02 – $221.27 | 395 | 2 |
| Lowville, NY | $86.05 | $86.05 – $86.05 | 396 | 1 |
| Aston, PA | $72.66 | $72.66 – $72.66 | 396 | 1 |
| Perkins, OK | $67.32 | $65.96 – $69.96 | 396 | 2 |
| Lisle, NY | $49.94 | $49.94 – $49.94 | 396 | 1 |
| Rutherford, NJ | $61.95 | $61.95 – $61.95 | 397 | 1 |
| Lihue, HI | $119.50 | $113.46 – $152.80 | 397 | 2 |
| Mineral Wells, TX | $139.68 | $139.68 – $139.68 | 397 | 1 |
| Port Royal, SC | $114.07 | $114.07 – $114.07 | 397 | 1 |
| Bunkie, LA | $59.45 | $59.45 – $59.45 | 398 | 1 |
| Red Lake, MN | $387.70 | $387.70 – $387.70 | 398 | 1 |
| Connell, WA | $57.27 | $57.27 – $57.27 | 398 | 1 |
| Chatham, NJ | $29.20 | $29.20 – $29.20 | 398 | 1 |
| Beaumont, CA | $66.53 | $56.87 – $118.48 | 399 | 3 |
| Raytown, MO | $89.69 | $67.18 – $104.65 | 399 | 3 |
| Gainesville, TX | $53.92 | $53.92 – $53.92 | 400 | 1 |
| Topsham, ME | $99.08 | $99.08 – $99.08 | 401 | 1 |
| Auburn Hills, MI | $119.27 | $119.27 – $119.27 | 401 | 1 |
| Auburn, CA | $65.06 | $56.19 – $84.40 | 402 | 3 |
| Coopersville, MI | $152.67 | $152.67 – $152.67 | 402 | 1 |
| Davnille, OH | $59.60 | $59.60 – $59.60 | 402 | 1 |
| Hockessin, DE | $165.08 | $139.39 – $172.05 | 403 | 2 |
| South Norwalk, CT | $22.00 | $22.00 – $22.00 | 403 | 1 |
| Palisades Park, NJ | $15.39 | $9.57 – $46.33 | 404 | 2 |
| Highland, UT | $179.78 | $69.09 – $232.11 | 405 | 2 |
| Johnsonburg, PA | $0.00 | $0.00 – $0.00 | 405 | 1 |
| Pawhuska, OK | $46.50 | $46.50 – $46.50 | 408 | 1 |
| Everett, PA | $141.69 | $141.69 – $141.69 | 408 | 1 |
| Tujunga, CA | $57.26 | $57.26 – $57.26 | 409 | 1 |
| Ukiah, CA | $43.96 | $27.13 – $59.84 | 410 | 2 |
| Portland, CT | $71.41 | $57.38 – $73.63 | 410 | 2 |
| Bayshore, NY | $56.20 | $56.20 – $56.20 | 410 | 1 |
| Pharr, TX | $64.43 | $25.79 – $97.91 | 411 | 3 |
| Wadena, MN | $112.89 | $112.89 – $112.89 | 412 | 1 |
| Austell, GA | $63.45 | $58.69 – $67.14 | 413 | 3 |
| Mount Joy, PA | $66.50 | $66.50 – $66.50 | 414 | 1 |
| Dresher, PA | $185.18 | $185.18 – $185.18 | 414 | 1 |
| Lewisburg, KY | $38.06 | $38.06 – $38.06 | 414 | 1 |
| Peekskill, NY | $47.49 | $47.49 – $47.49 | 415 | 1 |
| Washington, NC | $56.86 | $56.86 – $56.86 | 416 | 1 |
| Calumet City, IL | $79.74 | $78.30 – $79.79 | 416 | 2 |
| Atchison, KS | $83.51 | $83.51 – $83.51 | 417 | 1 |
| Destin, FL | $105.74 | $105.74 – $105.74 | 418 | 1 |
| Coventry Township, PA | $65.44 | $65.44 – $65.44 | 418 | 1 |
| Palm City, FL | $159.31 | $159.31 – $159.31 | 419 | 1 |
| North Miami, FL | $42.89 | $28.25 – $43.77 | 420 | 3 |
| Newtown, PA | $180.24 | $70.13 – $191.19 | 420 | 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.