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 |
|---|---|---|---|---|
| Solana Beach, CA | $67.61 | $67.61 – $67.61 | 1,234 | 1 |
| Mansfield, CT | $112.90 | $112.90 – $112.90 | 1,235 | 1 |
| Tolleson, AZ | $24.66 | $24.66 – $24.66 | 1,235 | 1 |
| Charlotte Hall, MD | $109.19 | $103.01 – $109.30 | 1,236 | 2 |
| Manahawkin, NJ | $75.14 | $74.72 – $80.00 | 1,239 | 3 |
| Leesburg, FL | $78.20 | $26.71 – $95.35 | 1,239 | 4 |
| Sturgeon Bay, WI | $25.11 | $0.00 – $37.42 | 1,240 | 3 |
| Mcminnville, TN | $59.25 | $59.05 – $68.30 | 1,243 | 2 |
| North Muskegon, MI | $84.41 | $84.41 – $84.41 | 1,244 | 1 |
| Ocean Shores, WA | $31.83 | $31.69 – $32.31 | 1,245 | 2 |
| Troy, OH | $69.37 | $34.62 – $97.04 | 1,246 | 4 |
| Mc Arthur, OH | $23.01 | $0.00 – $30.37 | 1,246 | 3 |
| South Charleston, WV | $80.52 | $80.52 – $80.52 | 1,247 | 1 |
| Brandenburg, KY | $55.31 | $50.78 – $60.19 | 1,248 | 2 |
| Commerce, GA | $57.55 | $57.55 – $57.55 | 1,248 | 1 |
| Prescott, AZ | $33.92 | $0.00 – $119.45 | 1,250 | 5 |
| Fuquay Varina, NC | $65.50 | $30.95 – $86.44 | 1,251 | 5 |
| Romeoville, IL | $87.80 | $42.99 – $96.68 | 1,251 | 4 |
| Potosi, MO | $83.07 | $49.44 – $182.51 | 1,252 | 5 |
| Olive Hill, KY | $34.38 | $34.38 – $34.38 | 1,252 | 1 |
| Lyons, NY | $61.20 | $61.20 – $61.20 | 1,252 | 1 |
| Northwood, OH | $54.66 | $54.66 – $54.66 | 1,254 | 1 |
| Kellogg, ID | $120.47 | $120.47 – $120.47 | 1,256 | 1 |
| Andrews, SC | $83.98 | $82.93 – $89.92 | 1,262 | 2 |
| Fort Gratiot, MI | $129.43 | $129.43 – $129.43 | 1,262 | 1 |
| Hercules, CA | $57.10 | $57.10 – $57.10 | 1,263 | 1 |
| Fenton, MO | $79.25 | $79.25 – $79.25 | 1,263 | 1 |
| Indianola, MS | $57.10 | $52.56 – $61.03 | 1,265 | 2 |
| West Grove, PA | $68.40 | $50.65 – $75.05 | 1,265 | 3 |
| Ramona, CA | $56.01 | $56.01 – $56.01 | 1,266 | 1 |
| Jonesboro, GA | $87.24 | $65.23 – $120.11 | 1,269 | 3 |
| Lackawanna, NY | $83.19 | $76.73 – $86.56 | 1,271 | 2 |
| South Miami, FL | $49.25 | $0.00 – $58.28 | 1,273 | 4 |
| Crawfordsville, IN | $156.25 | $113.30 – $162.01 | 1,273 | 3 |
| Hamilton Township, NJ | $95.47 | $95.47 – $95.47 | 1,273 | 1 |
| Oneonta, AL | $51.57 | $0.00 – $52.64 | 1,274 | 2 |
| Weatherford, TX | $57.76 | $49.54 – $59.18 | 1,275 | 2 |
| Ladera Ranch, CA | $95.12 | $56.83 – $100.36 | 1,275 | 4 |
| Calabasas, CA | $56.35 | $56.35 – $56.35 | 1,277 | 1 |
| Attleboro, MA | $29.71 | $0.00 – $105.53 | 1,277 | 4 |
| Jenks, OK | $65.07 | $64.85 – $65.38 | 1,278 | 2 |
| Lamar, CO | $62.77 | $62.77 – $62.77 | 1,279 | 1 |
| Amory, MS | $323.42 | $323.42 – $323.42 | 1,282 | 1 |
| Glenarden, MD | $139.37 | $139.37 – $139.37 | 1,282 | 1 |
| Neptune, NJ | $75.63 | $32.34 – $80.83 | 1,284 | 3 |
| Mineola, NY | $42.06 | $41.92 – $45.07 | 1,287 | 2 |
| Indianola, IA | $49.70 | $48.37 – $52.20 | 1,287 | 3 |
| Dartmouth, MA | $94.89 | $71.04 – $102.52 | 1,288 | 2 |
| Hartland, WI | $54.88 | $54.88 – $54.88 | 1,292 | 1 |
| Bridgeview, IL | $66.76 | $45.99 – $90.18 | 1,293 | 5 |
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.