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 |
|---|---|---|---|---|
| Westford, MA | $141.45 | $140.22 – $174.64 | 1,067 | 2 |
| Burley, ID | $22.76 | $0.00 – $31.29 | 1,068 | 5 |
| Vanceburg, KY | $37.03 | $36.81 – $38.65 | 1,068 | 3 |
| Ozark, AL | $50.43 | $44.56 – $51.45 | 1,068 | 2 |
| Highland Hts, OH | $44.12 | $44.12 – $44.12 | 1,070 | 1 |
| Bryn Mawr, PA | $165.86 | $54.17 – $248.79 | 1,072 | 7 |
| Canovanas, PR | $22.10 | $20.17 – $34.96 | 1,075 | 6 |
| Albert Lea, MN | $127.46 | $127.46 – $127.46 | 1,075 | 1 |
| Jessup, MD | $73.34 | $73.34 – $73.34 | 1,077 | 1 |
| Paintsville, KY | $42.95 | $34.99 – $60.49 | 1,078 | 3 |
| Norwell, MA | $95.76 | $85.89 – $141.85 | 1,078 | 3 |
| Carrollton, OH | $15.52 | $15.52 – $15.52 | 1,078 | 1 |
| Hugo, OK | $65.83 | $65.83 – $65.83 | 1,079 | 1 |
| Wayne, MI | $38.03 | $34.98 – $88.00 | 1,080 | 3 |
| Mattoon, IL | $54.70 | $37.12 – $57.42 | 1,081 | 2 |
| Noah Brunswick, NJ | $38.05 | $38.05 – $38.05 | 1,082 | 1 |
| Depew, NY | $143.03 | $47.03 – $190.02 | 1,084 | 3 |
| Fort Sill, OK | $120.11 | $37.64 – $196.10 | 1,084 | 4 |
| Spencer, IA | $64.05 | $50.53 – $89.10 | 1,086 | 3 |
| Deerfield Beach, FL | $41.54 | $23.19 – $82.03 | 1,087 | 3 |
| Bennett, CO | $160.48 | $160.48 – $160.48 | 1,087 | 1 |
| Seminole, FL | $108.56 | $108.56 – $108.56 | 1,088 | 1 |
| Dunbar, WV | $77.04 | $63.43 – $80.72 | 1,088 | 2 |
| Smithville, TN | $68.39 | $68.39 – $68.39 | 1,089 | 1 |
| Richland Center, WI | $36.38 | $36.19 – $37.40 | 1,090 | 2 |
| Fort Payne, AL | $48.81 | $48.64 – $59.86 | 1,093 | 2 |
| Centerville, IA | $1.87 | $1.48 – $2.71 | 1,095 | 2 |
| Boydton, VA | $57.57 | $57.57 – $57.57 | 1,095 | 1 |
| Logan, UT | $63.03 | $15.34 – $99.54 | 1,096 | 5 |
| Rome, NY | $141.91 | $58.03 – $193.69 | 1,101 | 3 |
| Riverview, FL | $48.33 | $20.50 – $113.11 | 1,104 | 3 |
| Hico, WV | $74.62 | $74.17 – $79.40 | 1,104 | 2 |
| Noble, OK | $203.34 | $203.34 – $203.34 | 1,105 | 1 |
| Ada, MN | $140.08 | $139.87 – $142.18 | 1,105 | 2 |
| Sneads Ferry, NC | $69.48 | $60.40 – $69.98 | 1,109 | 3 |
| Corning, NY | $61.46 | $61.46 – $61.46 | 1,110 | 1 |
| Denmark, SC | $82.53 | $82.19 – $82.86 | 1,110 | 2 |
| South Orange, NJ | $68.47 | $68.47 – $68.47 | 1,111 | 1 |
| Raymond, WA | $52.86 | $52.86 – $52.86 | 1,116 | 1 |
| Scarborough, ME | $103.33 | $79.12 – $113.07 | 1,117 | 4 |
| Grapevine, TX | $122.20 | $48.11 – $164.39 | 1,119 | 2 |
| Purchase, NY | $58.91 | $56.55 – $59.24 | 1,119 | 2 |
| Washington, VA | $79.77 | $79.77 – $79.77 | 1,119 | 1 |
| Riverside, CT | $57.42 | $57.42 – $57.42 | 1,120 | 1 |
| Troy, NC | $65.99 | $59.35 – $69.01 | 1,123 | 2 |
| Wallingford, CT | $58.13 | $52.82 – $62.34 | 1,126 | 2 |
| Byron, MN | $115.29 | $115.29 – $115.29 | 1,128 | 1 |
| Westmont, IL | $84.13 | $60.62 – $84.83 | 1,129 | 2 |
| Dover, NJ | $40.12 | $29.89 – $84.33 | 1,130 | 4 |
| Pleasantville, IA | $1.08 | $1.08 – $1.08 | 1,130 | 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.