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 |
|---|---|---|---|---|
| Hudson, NY | $50.36 | $50.36 – $50.36 | 550 | 1 |
| Norcross, GA | $147.62 | $147.62 – $147.62 | 550 | 1 |
| Coppell, TX | $155.46 | $23.31 – $284.62 | 550 | 3 |
| Burlington, WA | $41.21 | $41.21 – $41.21 | 550 | 1 |
| Parksley, VA | $68.63 | $68.63 – $68.63 | 552 | 1 |
| Wilkesboro, NC | $53.92 | $51.28 – $61.22 | 552 | 3 |
| Huntington, MA | $45.03 | $45.03 – $45.03 | 552 | 1 |
| Huntington, IN | $132.98 | $132.98 – $132.98 | 553 | 1 |
| Jacksonville Beach, FL | $21.39 | $21.39 – $21.39 | 554 | 1 |
| Harwood Hts, IL | $71.54 | $71.54 – $71.54 | 554 | 1 |
| Monahans, TX | $68.23 | $68.23 – $68.23 | 555 | 1 |
| Winchester, MA | $147.24 | $134.92 – $168.00 | 556 | 2 |
| Elkton, MD | $31.31 | $21.59 – $74.72 | 558 | 2 |
| Greenville, KY | $44.11 | $36.15 – $57.06 | 559 | 3 |
| Troy, IL | $40.92 | $37.31 – $55.67 | 559 | 2 |
| Loveland, OH | $60.45 | $50.16 – $113.36 | 560 | 4 |
| Hamden, CT | $79.24 | $53.08 – $104.01 | 561 | 3 |
| Lebanon, PA | $0.00 | $0.00 – $0.00 | 562 | 1 |
| Springfield, PA | $78.10 | $72.10 – $99.73 | 562 | 2 |
| Talihina, OK | $69.87 | $69.87 – $69.87 | 563 | 1 |
| Danville, CA | $83.73 | $82.65 – $107.80 | 564 | 3 |
| Gloucester, MA | $78.73 | $65.48 – $127.42 | 565 | 4 |
| Kennesaw, GA | $74.22 | $46.13 – $109.80 | 566 | 3 |
| Juncos, PR | $33.24 | $23.53 – $34.62 | 566 | 4 |
| Washougal, WA | $35.95 | $35.95 – $35.95 | 566 | 1 |
| Bellevue, PA | $65.98 | $65.00 – $66.14 | 568 | 2 |
| Arlington, MN | $116.77 | $116.77 – $116.77 | 568 | 1 |
| Flemington, NJ | $75.47 | $49.78 – $285.00 | 569 | 3 |
| Dade City, FL | $34.62 | $0.00 – $39.60 | 569 | 4 |
| Shafter, CA | $55.69 | $54.24 – $56.58 | 570 | 2 |
| Shawano, WI | $11.86 | $0.00 – $13.77 | 570 | 2 |
| Broussard, LA | $108.18 | $108.18 – $108.18 | 573 | 1 |
| Blytheville, AR | $66.83 | $66.69 – $72.20 | 574 | 2 |
| Mt Pleasant, IA | $11.34 | $11.34 – $11.34 | 574 | 1 |
| Kelso, WA | $30.33 | $30.33 – $30.33 | 574 | 1 |
| Meadows Place, TX | $59.05 | $59.05 – $59.05 | 574 | 1 |
| Lexington, MS | $72.88 | $67.45 – $74.77 | 575 | 3 |
| Somersworth, NH | $93.76 | $92.65 – $106.30 | 576 | 3 |
| Fort Liberty, NC | $188.24 | $113.52 – $192.20 | 577 | 2 |
| Fort Irwin, CA | $115.38 | $79.54 – $119.00 | 580 | 3 |
| Hardin, MT | $70.66 | $68.78 – $74.38 | 580 | 3 |
| Concord, MA | $97.33 | $97.33 – $97.33 | 581 | 1 |
| Unalaska, AK | $87.03 | $23.13 – $92.77 | 582 | 2 |
| Pelion, SC | $81.98 | $81.83 – $85.01 | 582 | 2 |
| Locust Grove, GA | $77.40 | $77.40 – $77.40 | 583 | 1 |
| Kailua, HI | $64.78 | $47.33 – $108.58 | 583 | 3 |
| Stephens City, VA | $41.23 | $41.23 – $41.23 | 584 | 1 |
| Dallas, PA | $66.10 | $66.10 – $66.10 | 584 | 1 |
| Silverton, OR | $95.31 | $95.31 – $95.31 | 590 | 1 |
| Rio Grande, NJ | $79.97 | $79.97 – $79.97 | 590 | 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.