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 |
|---|---|---|---|---|
| Albertson, NY | $153.55 | $153.55 – $153.55 | 22 | 1 |
| Delray Bch, FL | $41.73 | $41.73 – $41.73 | 22 | 1 |
| Feasterville Trevose, PA | $50.56 | $50.56 – $50.56 | 23 | 1 |
| Fallbrook, CA | $57.40 | $57.40 – $57.40 | 23 | 1 |
| Westborough, MA | $60.87 | $60.87 – $60.87 | 23 | 1 |
| Loves Park, IL | $0.00 | $0.00 – $0.00 | 23 | 1 |
| Kahoka, MO | $124.00 | $124.00 – $124.00 | 23 | 1 |
| Battlefield, MO | $67.07 | $67.07 – $67.07 | 23 | 1 |
| Whitley City, KY | $20.50 | $20.50 – $20.50 | 23 | 1 |
| Zion Crossroads, VA | $69.00 | $69.00 – $69.00 | 23 | 1 |
| Skiatook, OK | $129.44 | $129.44 – $129.44 | 23 | 1 |
| Smithfield, UT | $47.06 | $47.06 – $47.06 | 23 | 1 |
| Rayville, LA | $52.71 | $52.71 – $52.71 | 24 | 1 |
| Cortland, OH | $55.29 | $55.29 – $55.29 | 24 | 1 |
| Littlefield, AZ | $162.88 | $162.88 – $162.88 | 24 | 1 |
| Georgetown, DE | $186.45 | $186.45 – $186.45 | 24 | 1 |
| Flourtown, PA | $54.61 | $54.61 – $54.61 | 24 | 1 |
| Mansfield, MO | $90.77 | $90.77 – $90.77 | 24 | 1 |
| Wauconda, IL | $81.31 | $81.31 – $81.31 | 24 | 1 |
| Clayton, AL | $50.79 | $50.79 – $50.79 | 24 | 1 |
| Fort Bliss, TX | $56.05 | $56.05 – $56.05 | 24 | 1 |
| Clear Lake, IA | $58.90 | $58.90 – $58.90 | 24 | 1 |
| Germantown, WI | $135.23 | $135.23 – $135.23 | 24 | 1 |
| Redwood Valley, CA | $65.77 | $65.77 – $65.77 | 24 | 1 |
| Tell City, IN | $184.79 | $184.79 – $184.79 | 25 | 1 |
| Ossining, NY | $89.70 | $89.70 – $89.70 | 25 | 1 |
| De Queen, AR | $47.10 | $47.10 – $47.10 | 25 | 1 |
| Sahuarita, AZ | $84.78 | $84.78 – $84.78 | 25 | 1 |
| Carthage, MS | $74.62 | $74.62 – $74.62 | 25 | 1 |
| Hanscom Afb, MA | $100.30 | $100.30 – $100.30 | 25 | 1 |
| Montgomery City, MO | $157.00 | $157.00 – $157.00 | 25 | 1 |
| Eastchester, NY | $0.00 | $0.00 – $0.00 | 25 | 1 |
| Shorewood, WI | $41.47 | $41.47 – $41.47 | 25 | 1 |
| Mahtomedi, MN | $98.27 | $98.27 – $98.27 | 25 | 1 |
| Greenland, NH | $92.00 | $92.00 – $92.00 | 25 | 1 |
| Richland, MS | $74.33 | $74.33 – $74.33 | 26 | 1 |
| Rowley, MA | $87.27 | $87.27 – $87.27 | 26 | 1 |
| Flower Mound, TX | $39.42 | $39.42 – $39.42 | 26 | 1 |
| South Sioux City, NE | $47.23 | $47.23 – $47.23 | 26 | 1 |
| Northglenn, CO | $0.00 | $0.00 – $0.00 | 26 | 1 |
| Keyser, WV | $60.58 | $60.58 – $60.58 | 26 | 1 |
| Lake Ridge, VA | $69.00 | $69.00 – $69.00 | 26 | 1 |
| Johnston, IA | $49.75 | $49.75 – $49.75 | 26 | 1 |
| St. Mary'S, AK | $28.22 | $28.22 – $28.22 | 26 | 1 |
| Joppa, MD | $29.54 | $29.54 – $29.54 | 26 | 1 |
| Camillus, NY | $82.50 | $82.50 – $82.50 | 27 | 1 |
| Perry, OK | $123.02 | $123.02 – $123.02 | 27 | 1 |
| Saint Albans, WV | $74.26 | $74.26 – $74.26 | 27 | 1 |
| Mc Minnville, TN | $58.74 | $58.74 – $58.74 | 27 | 1 |
| Playa Del Rey, CA | $119.00 | $119.00 – $119.00 | 27 | 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.