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 |
|---|---|---|---|---|
| Vernon, NJ | $118.53 | $118.53 – $118.53 | 819 | 1 |
| Fond Du Lac, WI | $45.98 | $0.00 – $68.27 | 821 | 4 |
| Watertown, WI | $53.31 | $53.31 – $53.31 | 822 | 1 |
| Kirkland, WA | $65.68 | $28.66 – $147.73 | 823 | 4 |
| Frankfort, IL | $61.93 | $53.53 – $62.13 | 823 | 2 |
| Woodbury, TN | $103.17 | $103.17 – $103.17 | 823 | 1 |
| Harrogate, TN | $79.98 | $78.64 – $81.32 | 824 | 2 |
| Palmetto, FL | $42.23 | $42.23 – $42.23 | 825 | 1 |
| Beachwood, NJ | $43.73 | $43.73 – $43.73 | 828 | 1 |
| Nesconset, NY | $49.87 | $49.72 – $58.97 | 829 | 2 |
| Park Hill, OK | $67.62 | $67.62 – $67.62 | 829 | 1 |
| Largo, FL | $51.10 | $14.91 – $670.35 | 831 | 3 |
| Tinker Afb, OK | $68.78 | $68.78 – $68.78 | 833 | 1 |
| Sand Springs, OK | $87.67 | $67.07 – $101.35 | 835 | 3 |
| Shaker Heights, OH | $107.27 | $27.04 – $110.46 | 837 | 2 |
| La Crescenta, CA | $68.38 | $56.51 – $109.42 | 837 | 3 |
| Los Gatos, CA | $147.98 | $147.98 – $147.98 | 838 | 1 |
| Carlinville, IL | $0.37 | $0.37 – $0.37 | 838 | 1 |
| Shallotte, NC | $106.30 | $106.30 – $106.30 | 838 | 1 |
| Ivor, VA | $30.87 | $30.87 – $30.87 | 839 | 1 |
| El Segundo, CA | $50.12 | $49.46 – $57.40 | 840 | 2 |
| Lauderhill, FL | $69.61 | $68.82 – $75.29 | 841 | 2 |
| Macon, MS | $60.72 | $50.81 – $80.25 | 848 | 4 |
| North Plainfield, NJ | $42.04 | $42.04 – $42.04 | 849 | 1 |
| Marion, SC | $79.74 | $74.00 – $80.44 | 849 | 2 |
| Lakeport, CA | $34.24 | $29.97 – $49.73 | 851 | 2 |
| Round Rock, TX | $53.24 | $28.23 – $92.91 | 852 | 5 |
| Valley Village, CA | $94.58 | $57.40 – $105.32 | 852 | 2 |
| Gurabo, PR | $31.19 | $27.61 – $34.02 | 853 | 3 |
| Forsyth, IL | $50.05 | $50.05 – $50.05 | 853 | 1 |
| Brideview, IL | $85.36 | $85.36 – $85.36 | 854 | 1 |
| Franklin, IN | $0.01 | $0.01 – $0.01 | 856 | 1 |
| Bethel, NC | $79.19 | $67.70 – $95.97 | 856 | 2 |
| Dushore, PA | $77.61 | $77.61 – $77.61 | 856 | 1 |
| Las Piedras, PR | $31.01 | $30.17 – $31.59 | 857 | 3 |
| Kingsburg, CA | $55.64 | $55.05 – $56.25 | 857 | 2 |
| Bonifay, FL | $3.28 | $3.28 – $3.28 | 858 | 1 |
| Hollis, NY | $42.77 | $38.11 – $75.35 | 858 | 4 |
| Manasquan, NJ | $81.85 | $0.00 – $95.79 | 859 | 2 |
| Taylorsville, NC | $62.88 | $62.67 – $64.85 | 859 | 2 |
| Hillsboro, IL | $78.08 | $35.84 – $87.38 | 859 | 2 |
| Caribou, ME | $37.29 | $0.00 – $110.40 | 860 | 3 |
| Winchester, CA | $61.99 | $56.03 – $134.28 | 861 | 3 |
| Huntersville, NC | $66.02 | $0.00 – $104.49 | 862 | 4 |
| Grafton, WI | $70.42 | $70.42 – $70.42 | 862 | 1 |
| Sugar Grove, IL | $113.16 | $113.16 – $113.16 | 863 | 1 |
| Barksdale Afb, LA | $10.69 | $10.69 – $10.69 | 863 | 1 |
| Highland Park, MI | $43.65 | $43.65 – $43.65 | 867 | 1 |
| Mansfield, LA | $59.49 | $57.03 – $59.67 | 870 | 2 |
| Wood Ridge, NJ | $49.34 | $49.34 – $49.34 | 870 | 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.