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 |
|---|---|---|---|---|
| Clarks Summit, PA | $71.19 | $65.00 – $78.00 | 506 | 6 |
| Park City, KS | $81.80 | $81.80 – $81.80 | 506 | 1 |
| Marshville, NC | $95.62 | $95.62 – $95.62 | 506 | 1 |
| Apo Ae, NY | $58.33 | $40.27 – $63.11 | 507 | 2 |
| Syracuse, UT | $43.31 | $43.31 – $43.31 | 508 | 1 |
| Wilton Manors, FL | $20.65 | $20.65 – $20.65 | 510 | 1 |
| Collins, MS | $68.84 | $67.15 – $77.72 | 510 | 3 |
| Southgate, MI | $100.66 | $85.79 – $151.76 | 510 | 5 |
| Chester, NJ | $27.13 | $27.13 – $27.13 | 510 | 1 |
| Princeton, ME | $2.78 | $2.78 – $2.78 | 511 | 1 |
| Glenview, IL | $0.00 | $0.00 – $0.00 | 513 | 1 |
| Millinocket, ME | $6.55 | $6.55 – $6.55 | 515 | 1 |
| Lomita, CA | $118.48 | $117.29 – $119.00 | 515 | 2 |
| Portsmouth, NH | $106.53 | $97.04 – $135.59 | 516 | 5 |
| Cumming, GA | $79.86 | $59.88 – $87.24 | 516 | 3 |
| Eagle, ID | $34.51 | $34.51 – $34.51 | 516 | 1 |
| Leland, MS | $99.98 | $99.98 – $99.98 | 517 | 1 |
| Garnet Valley, PA | $51.44 | $51.44 – $51.44 | 521 | 1 |
| Lennox, CA | $84.28 | $57.06 – $97.46 | 524 | 2 |
| Westlake, OH | $66.96 | $64.63 – $91.18 | 525 | 2 |
| Coto De Caza, CA | $56.21 | $56.21 – $56.21 | 525 | 1 |
| Hamburg, NJ | $102.41 | $101.35 – $124.79 | 527 | 2 |
| Milton, PA | $46.52 | $42.56 – $64.32 | 528 | 2 |
| Algonquin, IL | $51.06 | $50.86 – $51.08 | 529 | 2 |
| Houghton Lake, MI | $122.29 | $122.29 – $122.29 | 529 | 1 |
| Bellevue, OH | $55.27 | $55.27 – $55.27 | 530 | 1 |
| Monaca, PA | $105.05 | $62.59 – $107.33 | 530 | 2 |
| Wells, ME | $95.49 | $95.49 – $95.49 | 530 | 1 |
| Ceres, CA | $74.32 | $0.00 – $117.93 | 530 | 2 |
| Pelahatchie, MS | $49.19 | $48.62 – $63.65 | 530 | 2 |
| Bristol, VT | $88.11 | $88.11 – $88.11 | 531 | 1 |
| Altadena, CA | $112.24 | $112.24 – $112.24 | 533 | 1 |
| Pittsford, NY | $52.38 | $48.75 – $55.53 | 534 | 3 |
| Grand Ronde, OR | $0.85 | $0.85 – $0.85 | 534 | 1 |
| Marengo, IL | $55.55 | $55.55 – $55.55 | 534 | 1 |
| Sheridan, OR | $1.97 | $1.97 – $1.97 | 534 | 1 |
| Whiteville, NC | $85.43 | $59.13 – $111.37 | 535 | 4 |
| Collinsville, OK | $117.88 | $117.88 – $117.88 | 538 | 1 |
| East Orange, NJ | $41.14 | $29.76 – $57.75 | 539 | 5 |
| Clinton Township, MI | $105.12 | $76.83 – $301.26 | 539 | 3 |
| Palos Hills, IL | $79.95 | $79.95 – $79.95 | 542 | 1 |
| Corsicana, TX | $54.23 | $54.23 – $54.23 | 543 | 1 |
| Charlotte Court House, VA | $67.41 | $67.41 – $67.41 | 543 | 1 |
| Lanoka Harbor, NJ | $92.86 | $92.86 – $92.86 | 543 | 1 |
| Morton, IL | $0.00 | $0.00 – $0.00 | 544 | 1 |
| Alexandria, NH | $100.74 | $100.74 – $100.74 | 544 | 1 |
| Englewood, OH | $55.01 | $55.01 – $55.01 | 546 | 1 |
| Hayward, WI | $0.00 | $0.00 – $0.00 | 547 | 1 |
| Hilo, HI | $71.11 | $69.85 – $72.59 | 548 | 3 |
| Richford, VT | $72.69 | $71.80 – $72.76 | 548 | 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.