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 |
|---|---|---|---|---|
| Seneca, MO | $75.51 | $75.51 – $75.51 | 475 | 1 |
| Massapequa Park, NY | $40.20 | $40.20 – $40.20 | 476 | 1 |
| Lac Du Flambeau, WI | $70.13 | $50.25 – $92.11 | 476 | 3 |
| Windsor, NC | $106.82 | $106.82 – $106.82 | 476 | 1 |
| Chelan, WA | $34.37 | $34.37 – $34.37 | 477 | 1 |
| Millbrae, CA | $73.93 | $57.40 – $76.40 | 477 | 2 |
| Whitefish, MT | $48.76 | $0.29 – $77.69 | 477 | 3 |
| Rainier, OR | $5.61 | $5.61 – $5.61 | 478 | 1 |
| Saint Charles, MO | $94.01 | $43.51 – $152.69 | 479 | 3 |
| Kingston, TN | $61.81 | $57.35 – $62.20 | 479 | 2 |
| Oakwood, GA | $46.15 | $46.15 – $46.15 | 479 | 1 |
| Delevan, NY | $71.30 | $71.30 – $71.30 | 481 | 1 |
| Thomaston, ME | $96.73 | $96.73 – $96.73 | 483 | 1 |
| South Euclid, OH | $59.52 | $55.20 – $59.69 | 484 | 2 |
| Lindsay, OK | $62.68 | $62.68 – $62.68 | 484 | 1 |
| Georgetown, TX | $45.31 | $0.00 – $63.83 | 485 | 7 |
| Fulton, MD | $100.80 | $100.80 – $100.80 | 485 | 1 |
| Star, ID | $14.08 | $10.11 – $64.13 | 485 | 3 |
| Ingleside, IL | $65.49 | $65.49 – $65.49 | 486 | 1 |
| Secacus, NJ | $58.23 | $58.23 – $58.23 | 486 | 1 |
| Ozone Park, NY | $45.61 | $27.69 – $46.25 | 487 | 2 |
| Kennebunk, ME | $92.31 | $92.31 – $92.31 | 488 | 1 |
| Port Charlotte, FL | $47.14 | $35.29 – $232.85 | 488 | 3 |
| Marvin, NC | $74.84 | $74.84 – $74.84 | 488 | 1 |
| Lincoln, ME | $7.29 | $2.20 – $91.00 | 489 | 2 |
| Livermore, CA | $107.42 | $107.42 – $107.42 | 489 | 1 |
| Franklin, WI | $55.56 | $49.08 – $58.53 | 490 | 3 |
| North Huntingdon, PA | $68.92 | $68.92 – $68.92 | 490 | 1 |
| Quinter, KS | $88.70 | $88.70 – $88.70 | 490 | 1 |
| Pensacola Naval Air Station, FL | $52.61 | $52.61 – $52.61 | 490 | 1 |
| South Kingstown, RI | $1.72 | $1.72 – $1.72 | 490 | 1 |
| Fort George G Meade, MD | $192.54 | $192.54 – $192.54 | 490 | 1 |
| Central Falls, RI | $1.28 | $0.00 – $2.88 | 491 | 2 |
| Clatskanie, OR | $1.99 | $0.76 – $4.07 | 491 | 3 |
| Toledo, OR | $15.31 | $15.31 – $15.31 | 492 | 1 |
| Middleburg Hts, OH | $58.25 | $58.25 – $58.25 | 493 | 1 |
| Rancho Santa Margarita, CA | $17.01 | $4.89 – $57.40 | 494 | 2 |
| Federal Heights, CO | $138.88 | $95.63 – $153.27 | 494 | 4 |
| Belle Vernon, PA | $58.57 | $58.57 – $58.57 | 495 | 1 |
| Newbern, TN | $67.19 | $67.19 – $67.19 | 495 | 1 |
| Glendive, MT | $60.32 | $38.19 – $62.05 | 497 | 2 |
| Joshua Tree, CA | $107.37 | $107.37 – $107.37 | 498 | 1 |
| Acworth, GA | $94.29 | $83.76 – $100.35 | 501 | 2 |
| Jasper, TN | $58.90 | $55.91 – $59.26 | 501 | 2 |
| Parker, AZ | $48.58 | $0.00 – $55.93 | 502 | 3 |
| Kerman, CA | $69.82 | $56.87 – $102.97 | 502 | 2 |
| Amherst, MA | $97.83 | $97.83 – $97.83 | 503 | 1 |
| Lewisville, TX | $49.00 | $40.12 – $84.50 | 504 | 4 |
| Maryville, MO | $98.13 | $98.13 – $98.13 | 505 | 1 |
| Chestnut Hill, MA | $56.50 | $39.00 – $57.18 | 505 | 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.