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 |
|---|---|---|---|---|
| Frederiksted, VI | $155.26 | $155.26 – $155.26 | 724 | 1 |
| Coralville, IA | $54.04 | $53.25 – $62.43 | 725 | 2 |
| Wilmington, OH | $85.73 | $57.69 – $87.15 | 727 | 3 |
| Albertville, AL | $50.19 | $50.19 – $50.19 | 727 | 1 |
| Scottsboro, AL | $53.73 | $52.69 – $54.80 | 727 | 3 |
| Latham, NY | $66.48 | $64.91 – $97.63 | 728 | 2 |
| Lake City, FL | $30.03 | $25.54 – $38.38 | 728 | 3 |
| North Easton, MA | $66.73 | $66.73 – $66.73 | 730 | 1 |
| La Vergne, TN | $106.29 | $106.29 – $106.29 | 730 | 1 |
| Pullman, WA | $34.88 | $34.45 – $53.22 | 731 | 2 |
| Wynne, AR | $62.41 | $60.95 – $64.94 | 731 | 2 |
| Shamokin Dam, PA | $186.87 | $186.87 – $186.87 | 731 | 1 |
| Columbus City, IA | $2.12 | $0.01 – $2.65 | 731 | 2 |
| Stephenville, TX | $60.24 | $42.71 – $149.81 | 732 | 4 |
| Wellsville, NY | $223.63 | $223.63 – $223.63 | 733 | 1 |
| Arcadia, CA | $79.35 | $56.55 – $119.00 | 734 | 7 |
| Burlington Township, NJ | $94.20 | $94.20 – $94.20 | 734 | 1 |
| Chestnut Ridge, NY | $71.26 | $71.26 – $71.26 | 735 | 1 |
| Coventry Township, OH | $83.20 | $57.37 – $108.69 | 737 | 2 |
| Woodland Park, NJ | $75.79 | $75.79 – $75.79 | 737 | 1 |
| Bell Gardens, CA | $55.81 | $53.12 – $56.03 | 737 | 2 |
| Michigan City, IN | $139.89 | $39.28 – $182.30 | 740 | 5 |
| Richlands, VA | $167.61 | $167.61 – $167.61 | 742 | 1 |
| Roslyn, NY | $79.37 | $49.50 – $81.95 | 743 | 2 |
| Stanton, CA | $68.10 | $56.92 – $119.00 | 744 | 4 |
| Grand Rapids, MN | $30.29 | $30.29 – $30.29 | 744 | 1 |
| Langhorne, PA | $158.62 | $62.36 – $216.58 | 745 | 2 |
| Hyde Park, MA | $82.96 | $78.24 – $95.30 | 745 | 2 |
| La Mesa, CA | $76.13 | $57.24 – $118.02 | 748 | 5 |
| Burlingame, CA | $97.62 | $55.47 – $318.54 | 749 | 2 |
| Harwich, MA | $61.98 | $44.75 – $93.81 | 749 | 2 |
| Norton, VA | $64.19 | $54.94 – $66.73 | 752 | 2 |
| Rayne, LA | $57.14 | $57.14 – $57.14 | 752 | 1 |
| Belle Glade, FL | $45.83 | $26.47 – $46.55 | 753 | 2 |
| Walkertown, NC | $68.18 | $62.42 – $93.18 | 753 | 2 |
| Titusville, FL | $1.03 | $0.00 – $32.50 | 757 | 2 |
| Windsor, CO | $89.48 | $0.01 – $119.92 | 757 | 5 |
| Pearisburg, VA | $41.59 | $41.59 – $41.59 | 757 | 1 |
| Middleton, ID | $26.19 | $5.35 – $87.02 | 757 | 3 |
| Sabana Grande, PR | $37.46 | $28.29 – $46.02 | 758 | 3 |
| Hamlet, NC | $61.47 | $60.41 – $66.09 | 760 | 3 |
| Guadalupe, CA | $86.07 | $86.07 – $86.07 | 761 | 1 |
| Woodruff, WI | $71.18 | $71.18 – $71.18 | 762 | 1 |
| Wilburton, OK | $116.24 | $113.43 – $116.51 | 762 | 2 |
| Bucksport, ME | $1.11 | $1.11 – $1.11 | 763 | 1 |
| Oakhurst, NJ | $54.65 | $54.65 – $54.65 | 764 | 1 |
| Buford, GA | $83.65 | $77.35 – $86.12 | 764 | 3 |
| Lakeside, CA | $59.00 | $57.40 – $59.22 | 765 | 2 |
| Arcata, CA | $36.53 | $0.35 – $73.57 | 765 | 2 |
| Spring Hill, TN | $76.91 | $61.47 – $216.19 | 765 | 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.