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 |
|---|---|---|---|---|
| Patten, ME | $0.35 | $0.35 – $0.35 | 674 | 1 |
| Pittsburg, CA | $114.29 | $114.29 – $114.29 | 674 | 1 |
| Cheney, WA | $39.85 | $26.75 – $51.49 | 675 | 5 |
| Lisbon, OH | $19.70 | $0.00 – $46.29 | 677 | 3 |
| Hollister, CA | $112.36 | $64.47 – $159.00 | 678 | 4 |
| Roy, UT | $94.08 | $94.08 – $94.08 | 678 | 1 |
| Huntington, NY | $88.22 | $36.66 – $97.12 | 679 | 2 |
| Willow Grove, PA | $148.55 | $71.14 – $180.28 | 681 | 2 |
| Horse Cave, KY | $35.76 | $35.22 – $35.87 | 682 | 2 |
| Franktown, VA | $52.56 | $35.57 – $64.01 | 684 | 4 |
| Goldendale, WA | $47.49 | $30.95 – $119.60 | 684 | 3 |
| Oologah, OK | $130.75 | $62.02 – $133.04 | 684 | 2 |
| Portage, IN | $112.64 | $103.88 – $165.65 | 685 | 3 |
| River Ridge, LA | $46.53 | $46.53 – $46.53 | 686 | 1 |
| Berkley, MI | $37.44 | $35.40 – $81.91 | 686 | 3 |
| Crp Christi, TX | $267.68 | $267.68 – $267.68 | 686 | 1 |
| Maynardville, TN | $48.38 | $46.92 – $65.67 | 689 | 3 |
| Fort Lee, VA | $77.11 | $77.11 – $77.11 | 689 | 1 |
| Avon By The Sea, NJ | $91.67 | $54.03 – $124.26 | 690 | 3 |
| Richmond Hill, NY | $47.50 | $46.87 – $57.49 | 691 | 3 |
| Williamsport, PA | $61.78 | $0.28 – $280.50 | 693 | 3 |
| North Chicago, IL | $74.33 | $0.00 – $81.28 | 696 | 3 |
| Duluth, GA | $92.07 | $55.53 – $137.64 | 697 | 3 |
| Monrovia, IN | $99.32 | $98.43 – $137.15 | 697 | 2 |
| Grandview, MO | $51.08 | $35.20 – $86.25 | 701 | 3 |
| Red Springs, NC | $62.32 | $62.20 – $65.61 | 703 | 2 |
| Stilwell, OK | $66.93 | $63.20 – $69.66 | 703 | 2 |
| Robertsdale, AL | $55.44 | $49.25 – $56.99 | 703 | 2 |
| Watkinsville, GA | $99.00 | $49.41 – $102.88 | 703 | 2 |
| La Habra Heights, CA | $13.38 | $13.38 – $13.38 | 707 | 1 |
| Avon, IN | $149.28 | $77.82 – $197.53 | 708 | 4 |
| Windham, NH | $94.95 | $94.95 – $94.95 | 708 | 1 |
| Dry Ridge, KY | $54.66 | $38.81 – $145.67 | 708 | 2 |
| Woodlawn, MD | $76.65 | $52.55 – $129.21 | 708 | 3 |
| Tonawanda, NY | $64.49 | $61.65 – $65.13 | 711 | 2 |
| Bridgepoint, CT | $101.52 | $101.52 – $101.52 | 711 | 1 |
| Swedesboro, NJ | $115.91 | $115.91 – $115.91 | 712 | 1 |
| Halfway, OR | $58.55 | $58.55 – $58.55 | 715 | 1 |
| Little Falls, NJ | $55.30 | $55.30 – $55.30 | 715 | 1 |
| Berwick, PA | $65.67 | $65.00 – $66.66 | 716 | 3 |
| Laguna Niguel, CA | $211.69 | $111.07 – $216.08 | 717 | 2 |
| Millersville, MD | $105.37 | $105.37 – $105.37 | 718 | 1 |
| Mountlake Terrace, WA | $46.21 | $28.71 – $55.00 | 718 | 2 |
| North Platte, NE | $72.02 | $72.02 – $72.02 | 720 | 1 |
| North Haven, CT | $64.48 | $51.46 – $124.15 | 720 | 2 |
| Forest Park, GA | $68.11 | $63.15 – $70.26 | 721 | 2 |
| Gettysburg, PA | $163.36 | $42.90 – $240.03 | 723 | 5 |
| Fordyce, AR | $65.27 | $65.27 – $65.27 | 723 | 1 |
| Finksburg, MD | $124.48 | $124.48 – $124.48 | 723 | 1 |
| Goose Creek, SC | $112.37 | $76.78 – $114.84 | 724 | 3 |
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.