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 |
|---|---|---|---|---|
| Mc Murray, PA | $102.13 | $102.13 – $102.13 | 925 | 1 |
| Matawan, NJ | $91.99 | $34.59 – $97.75 | 926 | 3 |
| Louisburg, NC | $71.73 | $61.10 – $98.08 | 927 | 3 |
| Moore Haven, FL | $28.57 | $23.97 – $40.50 | 927 | 3 |
| Freedom, CA | $109.47 | $109.47 – $109.47 | 930 | 1 |
| Clintwood, VA | $93.04 | $93.04 – $93.04 | 930 | 1 |
| Brooksville, FL | $20.69 | $15.52 – $32.31 | 931 | 2 |
| Stanford, CA | $55.22 | $55.22 – $55.22 | 931 | 1 |
| Hampton, NH | $95.77 | $95.77 – $95.77 | 931 | 1 |
| Fairlawn, VA | $35.79 | $35.79 – $35.79 | 932 | 1 |
| Weslaco, TX | $12.69 | $10.43 – $48.05 | 934 | 5 |
| Rye, NY | $43.28 | $43.28 – $43.28 | 935 | 1 |
| Chickasha, OK | $69.71 | $64.18 – $133.00 | 936 | 3 |
| Charlotte Amalie, VI | $155.91 | $155.91 – $155.91 | 938 | 1 |
| Shoreview, MN | $43.38 | $43.38 – $43.38 | 939 | 1 |
| Spring Valley, CA | $77.75 | $57.40 – $80.52 | 939 | 3 |
| Newport, VT | $85.46 | $73.57 – $105.65 | 940 | 6 |
| Needham, MA | $139.63 | $106.21 – $153.57 | 940 | 3 |
| American Fork, UT | $51.18 | $24.73 – $54.79 | 940 | 3 |
| Coshocton, OH | $50.57 | $0.00 – $56.26 | 941 | 3 |
| Bloomingdale, IL | $114.98 | $45.83 – $119.21 | 943 | 3 |
| Uncasville, CT | $6.56 | $0.00 – $67.95 | 943 | 2 |
| Snowflake, AZ | $79.36 | $49.25 – $81.73 | 943 | 3 |
| Mckinney, TX | $64.10 | $46.87 – $222.79 | 946 | 5 |
| Palos Verdes Estates, CA | $57.28 | $57.28 – $57.28 | 946 | 1 |
| Princeton, KY | $34.10 | $34.10 – $34.10 | 947 | 1 |
| Dayton, TX | $41.34 | $41.34 – $41.34 | 948 | 1 |
| Hopkins, MN | $105.35 | $105.35 – $105.35 | 948 | 1 |
| Chalmette, LA | $87.32 | $56.47 – $118.31 | 949 | 6 |
| Saint Michael, MN | $113.71 | $113.71 – $113.71 | 949 | 1 |
| Prichard, AL | $49.09 | $49.09 – $49.09 | 949 | 1 |
| Washington Court House, OH | $58.14 | $55.99 – $58.96 | 950 | 2 |
| Clinton, OK | $118.88 | $66.92 – $120.34 | 950 | 2 |
| Jamestown, KY | $87.01 | $38.97 – $88.96 | 950 | 2 |
| Newington, CT | $102.88 | $68.91 – $105.75 | 951 | 2 |
| Clemmons, NC | $63.06 | $61.77 – $108.74 | 952 | 2 |
| Yardley, PA | $63.77 | $46.43 – $78.01 | 952 | 3 |
| Quincy, WA | $31.35 | $30.47 – $32.28 | 952 | 3 |
| Covington, WA | $102.46 | $34.99 – $1,819 | 953 | 5 |
| Guntersville, AL | $45.55 | $45.55 – $45.55 | 953 | 1 |
| Pearl Harbor, HI | $119.50 | $0.00 – $181.89 | 953 | 3 |
| Suffern, NY | $38.81 | $0.00 – $139.00 | 954 | 10 |
| Ridgeland, MS | $73.46 | $55.84 – $83.87 | 956 | 4 |
| Medford, NY | $85.87 | $48.83 – $87.62 | 956 | 2 |
| Fort Eustis, VA | $76.85 | $43.49 – $160.88 | 957 | 2 |
| Saginaw, TX | $85.49 | $52.81 – $254.32 | 957 | 3 |
| Fort Jackson, SC | $100.40 | $100.40 – $100.40 | 958 | 1 |
| Pensacola Beach, FL | $63.92 | $63.92 – $63.92 | 960 | 1 |
| Revere, MA | $99.07 | $97.12 – $116.16 | 960 | 3 |
| Shawnee Mission, KS | $90.49 | $90.49 – $90.49 | 962 | 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.