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 |
|---|---|---|---|---|
| Firestone, CO | $148.29 | $99.01 – $153.38 | 632 | 3 |
| Hato Rey, PR | $77.59 | $31.94 – $160.84 | 634 | 3 |
| Middleton, WI | $0.00 | $0.00 – $0.00 | 635 | 2 |
| Delta, OH | $55.39 | $55.39 – $55.39 | 635 | 1 |
| Denton, MD | $0.00 | $0.00 – $0.00 | 636 | 4 |
| Dunkirk, MD | $121.92 | $65.97 – $209.81 | 637 | 6 |
| Millsboro, DE | $181.62 | $181.62 – $181.62 | 638 | 1 |
| Broken Bow, OK | $62.43 | $62.00 – $63.27 | 639 | 2 |
| Houlton, ME | $12.45 | $0.00 – $67.41 | 639 | 2 |
| Stuttgart, AR | $65.69 | $65.69 – $65.69 | 640 | 1 |
| Pickens, SC | $57.61 | $57.61 – $57.61 | 641 | 1 |
| Weston, MA | $57.40 | $57.40 – $57.40 | 643 | 1 |
| Independence, KY | $71.22 | $27.62 – $85.79 | 643 | 2 |
| Waldorf, MD | $149.10 | $88.43 – $303.04 | 644 | 5 |
| Whitehall, OH | $57.87 | $52.49 – $65.74 | 646 | 4 |
| Fort Riley, KS | $121.41 | $49.75 – $257.80 | 647 | 4 |
| Chipley, FL | $36.29 | $36.17 – $37.55 | 647 | 2 |
| Rotterdam, NY | $59.76 | $59.76 – $59.76 | 647 | 1 |
| Sellersburg, IN | $40.30 | $40.30 – $40.30 | 649 | 1 |
| Sault Sainte Marie, MI | $186.91 | $186.91 – $186.91 | 650 | 1 |
| Dublin, NC | $63.89 | $63.89 – $63.89 | 650 | 1 |
| Island Pond, VT | $89.91 | $89.91 – $89.91 | 651 | 1 |
| Upper Darby, PA | $55.92 | $46.40 – $56.85 | 652 | 2 |
| Bensalem, PA | $57.80 | $46.49 – $81.78 | 652 | 2 |
| Arlington, WA | $32.06 | $30.85 – $32.53 | 653 | 3 |
| Eagle Mountain, UT | $86.07 | $86.07 – $86.07 | 654 | 1 |
| Gibsonton, FL | $36.93 | $24.61 – $39.34 | 654 | 2 |
| Fort Duchesne, UT | $98.41 | $91.91 – $108.76 | 654 | 2 |
| Leesburg, VA | $82.40 | $37.73 – $195.78 | 655 | 7 |
| Hornell, NY | $55.46 | $55.46 – $55.46 | 656 | 1 |
| Camuy, PR | $28.36 | $20.76 – $29.26 | 656 | 3 |
| Atlantic City, NJ | $58.10 | $7.20 – $68.03 | 657 | 3 |
| Phenix City, AL | $56.82 | $49.10 – $66.35 | 657 | 3 |
| Parrish, FL | $100.64 | $100.64 – $100.64 | 658 | 1 |
| North Attleboro, MA | $136.08 | $133.81 – $138.25 | 658 | 2 |
| Lares, PR | $56.35 | $32.51 – $71.36 | 659 | 3 |
| Galveston, TX | $64.65 | $17.69 – $138.40 | 660 | 3 |
| Fort Hood, TX | $60.72 | $26.65 – $108.11 | 660 | 3 |
| Wellington, KS | $90.24 | $90.24 – $90.24 | 661 | 1 |
| St Clair Shores, MI | $39.94 | $39.94 – $39.94 | 663 | 1 |
| Burkesville, KY | $56.16 | $35.32 – $60.45 | 663 | 4 |
| Steamboat Springs, CO | $63.88 | $36.23 – $98.38 | 665 | 3 |
| Powder Springs, GA | $83.33 | $83.33 – $83.33 | 666 | 1 |
| Cranberry Township, PA | $63.87 | $63.87 – $63.87 | 667 | 1 |
| Colusa, CA | $107.01 | $107.01 – $107.01 | 667 | 1 |
| Boaz, AL | $42.93 | $42.93 – $42.93 | 668 | 1 |
| Kearney, NE | $73.45 | $60.92 – $75.14 | 671 | 4 |
| Crestview, FL | $0.00 | $0.00 – $0.00 | 671 | 1 |
| Hughson, CA | $56.89 | $56.89 – $56.89 | 671 | 1 |
| Martins Ferry, OH | $64.65 | $56.05 – $109.17 | 673 | 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.