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 |
|---|---|---|---|---|
| Crossroads, TX | $53.54 | $53.54 – $53.54 | 1,015 | 1 |
| Fort Fairfield, ME | $69.34 | $69.34 – $69.34 | 1,017 | 1 |
| Southwest Ranches, FL | $43.00 | $35.52 – $49.74 | 1,018 | 2 |
| Trenton, OH | $55.78 | $55.78 – $55.78 | 1,018 | 1 |
| Willmar, MN | $60.79 | $40.04 – $88.99 | 1,019 | 2 |
| Claremont, NH | $115.50 | $95.11 – $117.45 | 1,019 | 2 |
| Peachtree Corners, GA | $105.13 | $105.13 – $105.13 | 1,019 | 1 |
| Port Isabel, TX | $11.05 | $11.05 – $11.05 | 1,021 | 1 |
| Corozal, PR | $35.64 | $22.50 – $40.69 | 1,021 | 4 |
| Dinuba, CA | $58.26 | $54.13 – $97.72 | 1,021 | 3 |
| Cedar Crest, NM | $67.50 | $67.50 – $67.50 | 1,025 | 1 |
| La Grange, IL | $56.17 | $51.68 – $87.73 | 1,029 | 4 |
| Ocean Park, WA | $34.13 | $34.13 – $34.13 | 1,029 | 1 |
| Kingsford, MI | $87.41 | $87.12 – $90.00 | 1,030 | 3 |
| Avon, CT | $35.99 | $35.99 – $35.99 | 1,032 | 1 |
| Beverly, MA | $95.42 | $46.58 – $132.77 | 1,033 | 4 |
| Penuelas, PR | $28.81 | $23.08 – $50.49 | 1,033 | 4 |
| Hudson, CO | $165.39 | $165.39 – $165.39 | 1,033 | 1 |
| Cook, MN | $175.66 | $11.02 – $267.45 | 1,034 | 5 |
| Aibonito, PR | $83.39 | $22.50 – $122.06 | 1,035 | 4 |
| Beverly, OH | $59.04 | $59.04 – $59.04 | 1,035 | 1 |
| Antigo, WI | $4.41 | $4.41 – $4.41 | 1,035 | 1 |
| Morrisville, VT | $83.30 | $82.69 – $125.05 | 1,036 | 2 |
| Flanders, NJ | $114.30 | $86.36 – $119.03 | 1,036 | 2 |
| Pleasantville, NJ | $116.59 | $57.40 – $121.60 | 1,038 | 2 |
| Tuscumbia, AL | $47.01 | $26.50 – $61.57 | 1,038 | 5 |
| Crivitz, WI | $2.79 | $2.79 – $2.79 | 1,038 | 1 |
| New Albany, MS | $72.76 | $67.58 – $74.16 | 1,040 | 3 |
| Ennis, TX | $43.93 | $41.56 – $43.98 | 1,040 | 2 |
| Crestview Hills, KY | $55.66 | $55.66 – $55.66 | 1,041 | 1 |
| San Mateo, CA | $58.17 | $56.16 – $139.00 | 1,043 | 4 |
| Kankakee, IL | $66.73 | $66.73 – $66.73 | 1,044 | 1 |
| Oquawka, IL | $3.27 | $3.27 – $3.27 | 1,044 | 1 |
| Travelers Rest, SC | $85.59 | $85.59 – $85.59 | 1,046 | 1 |
| Cashton, WI | $3.10 | $0.00 – $77.23 | 1,049 | 7 |
| Suamico, WI | $84.38 | $84.38 – $84.38 | 1,049 | 1 |
| Lacombe, LA | $50.65 | $50.65 – $50.65 | 1,054 | 1 |
| Shavano Park, TX | $70.35 | $70.35 – $70.35 | 1,055 | 1 |
| Lillington, NC | $67.13 | $55.24 – $147.21 | 1,055 | 5 |
| La Canada, CA | $166.07 | $57.40 – $173.06 | 1,059 | 2 |
| Santee, CA | $66.00 | $41.85 – $117.92 | 1,060 | 6 |
| Morton, WA | $38.04 | $38.04 – $38.04 | 1,061 | 1 |
| Maple Heights, OH | $93.11 | $55.07 – $102.05 | 1,062 | 2 |
| Monmouth, IL | $83.08 | $0.71 – $105.59 | 1,062 | 3 |
| Dearborn Hts, MI | $39.18 | $38.15 – $88.00 | 1,062 | 2 |
| Robstown, TX | $262.24 | $262.24 – $262.24 | 1,063 | 1 |
| Mexico, MO | $131.53 | $124.97 – $147.20 | 1,066 | 4 |
| Lincoln, CA | $55.11 | $53.52 – $119.00 | 1,066 | 2 |
| Oxford, MA | $99.53 | $97.72 – $99.56 | 1,067 | 2 |
| Polson, MT | $94.97 | $62.31 – $103.72 | 1,067 | 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.