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 |
|---|---|---|---|---|
| Dayton, TN | $66.29 | $66.29 – $66.29 | 20 | 1 |
| Gold Beach, OR | $0.00 | $0.00 – $0.00 | 20 | 1 |
| San Marcos, TX | $41.64 | $41.64 – $41.64 | 20 | 1 |
| Green Cove Springs, FL | $227.78 | $227.78 – $227.78 | 20 | 1 |
| Clinton, IN | $94.63 | $94.63 – $94.63 | 20 | 1 |
| South Holland, IL | $88.00 | $88.00 – $88.00 | 20 | 1 |
| La Grange, NC | $112.41 | $112.41 – $112.41 | 20 | 1 |
| Choctaw, MS | $78.76 | $78.76 – $78.76 | 20 | 1 |
| Little Falls, MN | $124.87 | $124.87 – $124.87 | 20 | 1 |
| Levelland, TX | $49.81 | $49.81 – $49.81 | 20 | 1 |
| Eagar, AZ | $61.93 | $61.93 – $61.93 | 20 | 1 |
| Roebuck, SC | $142.38 | $142.38 – $142.38 | 20 | 1 |
| Bayville, NJ | $0.00 | $0.00 – $0.00 | 20 | 1 |
| Dunbar, PA | $65.39 | $65.39 – $65.39 | 20 | 1 |
| Grayson, GA | $70.50 | $70.50 – $70.50 | 20 | 1 |
| Horace, ND | $111.38 | $111.38 – $111.38 | 20 | 1 |
| Hawthorne, NJ | $3.63 | $3.63 – $3.63 | 21 | 1 |
| Waynesboro, PA | $70.57 | $70.57 – $70.57 | 21 | 1 |
| Warsaw, NY | $88.83 | $88.83 – $88.83 | 21 | 1 |
| Lewiston, ID | $0.00 | $0.00 – $0.00 | 21 | 1 |
| Red Bud, IL | $155.90 | $155.90 – $155.90 | 21 | 1 |
| Evanston, WY | $62.13 | $62.13 – $62.13 | 21 | 1 |
| Enterprise, OR | $0.00 | $0.00 – $0.00 | 21 | 1 |
| Johnson City, NY | $45.26 | $45.26 – $45.26 | 21 | 1 |
| Yarmouth, ME | $91.00 | $91.00 – $91.00 | 21 | 1 |
| Lansing, KS | $42.86 | $42.86 – $42.86 | 21 | 1 |
| Levittown, PR | $44.25 | $44.25 – $44.25 | 21 | 1 |
| Stateline, NV | $119.00 | $119.00 – $119.00 | 21 | 1 |
| Woodstock, IL | $31.93 | $31.93 – $31.93 | 21 | 1 |
| Laurel, DE | $104.54 | $104.54 – $104.54 | 21 | 1 |
| Fort Leavenworth, KS | $48.39 | $48.39 – $48.39 | 21 | 1 |
| Fillmore, CA | $57.40 | $57.40 – $57.40 | 21 | 1 |
| Holloman Afb, NM | $69.43 | $69.43 – $69.43 | 21 | 1 |
| Orbisonia, PA | $0.00 | $0.00 – $0.00 | 21 | 1 |
| Barto, PA | $0.00 | $0.00 – $0.00 | 21 | 1 |
| Hoodsport, WA | $85.43 | $85.43 – $85.43 | 21 | 1 |
| Huto, TX | $57.96 | $57.96 – $57.96 | 21 | 1 |
| Blue Bell, PA | $58.78 | $58.78 – $58.78 | 22 | 1 |
| Long Beach, NY | $43.39 | $43.39 – $43.39 | 22 | 1 |
| Warrensburg, MO | $105.00 | $105.00 – $105.00 | 22 | 1 |
| Dillon, MT | $69.42 | $69.42 – $69.42 | 22 | 1 |
| Tehachapi, CA | $119.00 | $119.00 – $119.00 | 22 | 1 |
| Laveen, AZ | $69.19 | $69.19 – $69.19 | 22 | 1 |
| Afton, WY | $63.81 | $63.81 – $63.81 | 22 | 1 |
| Highland Village, TX | $37.78 | $37.78 – $37.78 | 22 | 1 |
| Carroll, IA | $34.30 | $34.30 – $34.30 | 22 | 1 |
| Forked River, NJ | $27.27 | $27.27 – $27.27 | 22 | 1 |
| Pgh, PA | $85.08 | $85.08 – $85.08 | 22 | 1 |
| Cuba, NM | $85.91 | $85.91 – $85.91 | 22 | 1 |
| Fowler, CA | $119.00 | $119.00 – $119.00 | 22 | 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.