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 |
|---|---|---|---|---|
| Abbotsford, WI | $38.59 | $38.59 – $38.59 | 962 | 1 |
| Stroudsburg, PA | $234.49 | $234.49 – $234.49 | 963 | 1 |
| Excelsior Springs, MO | $3.85 | $1.63 – $51.35 | 964 | 2 |
| Oakdale, MN | $115.46 | $115.46 – $115.46 | 964 | 1 |
| Dillwyn, VA | $43.27 | $43.27 – $43.27 | 964 | 1 |
| Paulsboro, NJ | $34.46 | $34.46 – $34.46 | 964 | 1 |
| West Lake Hills, TX | $55.44 | $55.19 – $62.69 | 969 | 2 |
| Portsmouth, RI | $85.00 | $85.00 – $85.00 | 970 | 1 |
| Waterford Twp, MI | $198.64 | $198.64 – $198.64 | 970 | 1 |
| Pompano Beach, FL | $75.25 | $29.94 – $99.63 | 972 | 6 |
| Weirton, WV | $7.01 | $0.00 – $28.23 | 975 | 2 |
| Spring Creek, NV | $106.63 | $106.63 – $106.63 | 977 | 1 |
| White Marsh, MD | $104.03 | $104.03 – $104.03 | 979 | 1 |
| Haverhill, MA | $96.72 | $0.00 – $132.45 | 981 | 6 |
| Ewa Beach, HI | $50.08 | $47.89 – $145.60 | 981 | 2 |
| Carlisle, PA | $51.50 | $0.00 – $86.65 | 981 | 2 |
| Senatobia, MS | $70.14 | $11.63 – $80.95 | 982 | 6 |
| Centralia, WA | $47.74 | $45.39 – $56.54 | 982 | 2 |
| Athens, TX | $273.95 | $273.95 – $273.95 | 984 | 1 |
| Hope Mills, NC | $55.16 | $54.51 – $59.40 | 984 | 2 |
| Grand Island, NE | $24.25 | $0.00 – $64.28 | 986 | 4 |
| Ballston Lake, NY | $71.85 | $71.85 – $71.85 | 988 | 1 |
| Penn Yan, NY | $47.86 | $46.93 – $51.25 | 991 | 2 |
| Alpharetta, GA | $100.17 | $20.97 – $119.43 | 992 | 6 |
| South Salt Lake, UT | $101.18 | $60.54 – $138.22 | 994 | 2 |
| Moon Township, PA | $55.04 | $55.04 – $55.04 | 995 | 1 |
| Mill City, OR | $83.63 | $83.63 – $83.63 | 996 | 1 |
| Media, PA | $96.24 | $69.03 – $96.97 | 997 | 2 |
| North Branch, MI | $141.79 | $141.79 – $141.79 | 997 | 1 |
| Blue Springs, MO | $39.88 | $28.37 – $41.08 | 998 | 2 |
| Prineville, OR | $45.50 | $0.00 – $59.41 | 998 | 3 |
| Cayce, SC | $112.59 | $112.59 – $112.59 | 998 | 1 |
| Englewood, CO | $133.88 | $97.66 – $165.45 | 999 | 5 |
| Ashland City, TN | $84.25 | $84.25 – $84.25 | 999 | 1 |
| Morgan, UT | $34.84 | $34.84 – $34.84 | 999 | 1 |
| College Station, TX | $90.74 | $31.96 – $130.41 | 1,000 | 4 |
| Batesville, IN | $90.11 | $90.11 – $90.11 | 1,002 | 1 |
| Columbiana, OH | $50.48 | $50.48 – $50.48 | 1,003 | 1 |
| Fort Cavazos, TX | $225.34 | $21.75 – $280.78 | 1,004 | 3 |
| Cypress, TX | $36.08 | $10.50 – $54.78 | 1,007 | 8 |
| Altoona, WI | $10.85 | $0.00 – $12.06 | 1,008 | 2 |
| Big Lake, MN | $113.34 | $104.89 – $124.58 | 1,010 | 3 |
| Shirley, NY | $50.42 | $35.28 – $83.41 | 1,011 | 2 |
| Harrisburg, AR | $55.23 | $55.23 – $55.23 | 1,011 | 1 |
| Advance, NC | $60.53 | $57.03 – $60.86 | 1,011 | 2 |
| Lewiston, ME | $121.67 | $119.50 – $121.74 | 1,012 | 3 |
| Earlimart, CA | $86.49 | $86.49 – $86.49 | 1,013 | 1 |
| Myrtle Point, OR | $0.29 | $0.29 – $0.29 | 1,013 | 1 |
| Manchester, TN | $216.48 | $52.00 – $219.62 | 1,015 | 2 |
| Riverbank, CA | $82.91 | $54.51 – $119.00 | 1,015 | 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.