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 |
|---|---|---|---|---|
| Hiram, GA | $63.50 | $63.50 – $63.50 | 765 | 1 |
| Eagle River, AK | $192.65 | $93.61 – $257.60 | 765 | 2 |
| Bunn, NC | $63.41 | $63.41 – $63.41 | 765 | 1 |
| Oneida, TN | $57.58 | $55.62 – $59.53 | 766 | 2 |
| Jefferson Valley, NY | $81.09 | $68.34 – $106.84 | 767 | 2 |
| Elizabethtown, IL | $0.00 | $0.00 – $0.00 | 767 | 1 |
| Lake Stevens, WA | $56.07 | $56.07 – $56.07 | 768 | 1 |
| Greenbrier, AR | $64.00 | $61.50 – $68.31 | 768 | 2 |
| Des Peres, MO | $56.51 | $56.51 – $56.51 | 769 | 1 |
| Mt Pleasant, MI | $96.99 | $96.99 – $96.99 | 770 | 1 |
| Demotte, IN | $162.15 | $159.60 – $184.74 | 770 | 2 |
| Belmont, MA | $55.12 | $51.90 – $104.72 | 771 | 2 |
| Pomona, NY | $44.11 | $44.11 – $44.11 | 772 | 1 |
| Donalsonville, GA | $59.77 | $59.77 – $59.77 | 774 | 1 |
| Beattyville, KY | $35.26 | $35.26 – $35.26 | 774 | 1 |
| Providence, UT | $30.52 | $24.32 – $68.16 | 776 | 4 |
| Newport, RI | $1.97 | $1.97 – $1.97 | 777 | 1 |
| San Andreas, CA | $15.13 | $13.80 – $19.00 | 779 | 3 |
| Belmont, CA | $46.31 | $46.31 – $46.31 | 782 | 1 |
| Waynesville, NC | $59.76 | $47.91 – $62.60 | 782 | 3 |
| Avon, CO | $94.10 | $94.10 – $94.10 | 784 | 1 |
| Aniak, AK | $101.13 | $101.13 – $101.13 | 787 | 1 |
| Wethersfield, CT | $89.82 | $71.36 – $105.96 | 788 | 3 |
| Federalsburg, MD | $92.96 | $0.00 – $123.30 | 789 | 3 |
| Tamms, IL | $2.43 | $0.00 – $43.66 | 790 | 2 |
| Harbor City, CA | $111.54 | $57.40 – $114.96 | 791 | 2 |
| Newton, NC | $63.73 | $63.73 – $63.73 | 792 | 1 |
| Coventry, RI | $84.80 | $83.72 – $85.44 | 793 | 3 |
| Wexford, PA | $74.81 | $64.21 – $231.12 | 795 | 3 |
| Eden, NC | $61.07 | $61.07 – $61.07 | 795 | 1 |
| Maywood, CA | $105.01 | $56.70 – $115.64 | 795 | 3 |
| Elm Grove, WI | $108.48 | $108.48 – $108.48 | 796 | 1 |
| Elkhart, IN | $72.06 | $62.21 – $200.86 | 800 | 3 |
| Alcoa, TN | $50.08 | $35.07 – $68.10 | 800 | 4 |
| Halstad, MN | $129.88 | $129.88 – $129.88 | 801 | 1 |
| Eatonton, GA | $265.45 | $265.45 – $265.45 | 802 | 1 |
| Kenmore, NY | $87.06 | $87.06 – $87.06 | 804 | 1 |
| Jay, OK | $64.33 | $64.33 – $64.33 | 804 | 1 |
| Farmington, UT | $53.45 | $34.15 – $92.51 | 807 | 3 |
| Collingswood, NJ | $49.91 | $49.91 – $49.91 | 807 | 1 |
| Bedford, TX | $269.15 | $269.15 – $269.15 | 808 | 1 |
| Gibson City, IL | $65.73 | $65.73 – $65.73 | 808 | 1 |
| Cleveland, OK | $123.09 | $122.82 – $132.42 | 809 | 2 |
| Herrin, IL | $60.93 | $60.93 – $60.93 | 812 | 1 |
| Mystic, CT | $34.57 | $34.57 – $34.57 | 814 | 1 |
| Willows, CA | $115.31 | $115.15 – $119.00 | 815 | 2 |
| Daphne, AL | $66.26 | $65.64 – $72.19 | 816 | 3 |
| Arkansas City, KS | $79.73 | $70.95 – $90.00 | 817 | 5 |
| Victoria, VA | $68.96 | $55.43 – $101.29 | 817 | 2 |
| Brooklyn, MD | $122.83 | $0.00 – $135.23 | 818 | 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.