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 |
|---|---|---|---|---|
| Springfield, VT | $75.67 | $75.67 – $75.67 | 1,508 | 1 |
| Easton, PA | $212.69 | $65.00 – $232.69 | 1,509 | 2 |
| Newark, CA | $104.01 | $56.48 – $131.76 | 1,509 | 4 |
| Hawthorne, NY | $168.26 | $76.00 – $169.81 | 1,512 | 2 |
| North Wales, PA | $71.11 | $52.96 – $74.59 | 1,517 | 2 |
| Parsons, KS | $70.04 | $52.44 – $84.43 | 1,518 | 3 |
| South Windsor, CT | $67.59 | $49.73 – $159.92 | 1,518 | 2 |
| Anasco, PR | $40.54 | $29.18 – $43.98 | 1,521 | 3 |
| Shelton, WA | $55.25 | $32.82 – $58.27 | 1,523 | 3 |
| San Dimas, CA | $56.70 | $54.52 – $71.99 | 1,523 | 2 |
| Hayden, ID | $86.36 | $32.50 – $181.16 | 1,524 | 3 |
| Del Rio, TX | $79.67 | $56.79 – $100.06 | 1,524 | 2 |
| Mattawan, MI | $45.83 | $45.83 – $45.83 | 1,524 | 1 |
| Tooele, UT | $42.06 | $41.38 – $72.00 | 1,525 | 2 |
| Glen Rock, NJ | $53.94 | $33.64 – $124.09 | 1,525 | 3 |
| Jefferson City, MO | $152.71 | $60.57 – $208.53 | 1,529 | 6 |
| Madison, FL | $38.46 | $10.78 – $40.07 | 1,530 | 2 |
| Wheat Ridge, CO | $98.51 | $97.70 – $109.56 | 1,531 | 3 |
| Stafford, VA | $45.44 | $0.00 – $138.24 | 1,531 | 7 |
| Onaway, MI | $85.41 | $85.41 – $85.41 | 1,532 | 1 |
| West Palm Beach, FL | $36.95 | $0.00 – $65.31 | 1,533 | 12 |
| Folsom, LA | $73.60 | $68.06 – $77.91 | 1,533 | 2 |
| Watersmeet, MI | $166.55 | $166.55 – $166.55 | 1,533 | 1 |
| Newcastle, OK | $64.66 | $64.66 – $64.66 | 1,534 | 1 |
| Stevens Point, WI | $51.49 | $0.00 – $99.51 | 1,534 | 5 |
| Port Townsend, WA | $40.03 | $37.69 – $119.60 | 1,536 | 3 |
| West Valley, UT | $62.83 | $56.13 – $72.08 | 1,537 | 3 |
| New London, OH | $24.33 | $24.33 – $24.33 | 1,538 | 1 |
| Los Altos, CA | $114.21 | $107.40 – $159.04 | 1,541 | 3 |
| East Elmhurst, NY | $60.76 | $54.54 – $70.47 | 1,541 | 3 |
| Denver, NC | $72.41 | $55.38 – $88.50 | 1,542 | 4 |
| Massapequa, NY | $79.86 | $54.54 – $129.89 | 1,545 | 3 |
| Plymouth, MN | $154.72 | $51.40 – $254.10 | 1,547 | 4 |
| Kennett Square, PA | $62.48 | $49.75 – $201.60 | 1,550 | 2 |
| Missouri City, TX | $9.95 | $4.89 – $56.85 | 1,551 | 4 |
| Des Plaines, IL | $52.98 | $51.47 – $60.42 | 1,551 | 3 |
| Mint Hill, NC | $73.78 | $56.40 – $87.52 | 1,551 | 2 |
| Mc Ewen, TN | $65.06 | $65.06 – $65.06 | 1,551 | 1 |
| Salem, UT | $181.71 | $181.71 – $181.71 | 1,551 | 1 |
| Memphis, IL | $12.57 | $12.57 – $12.57 | 1,552 | 1 |
| Fulshear, TX | $279.74 | $279.74 – $279.74 | 1,554 | 1 |
| Deer Park, WA | $52.69 | $41.43 – $57.54 | 1,554 | 4 |
| North Bergen, NJ | $35.00 | $0.00 – $97.75 | 1,561 | 4 |
| Betsy Layne, KY | $53.87 | $53.87 – $53.87 | 1,563 | 1 |
| Mount Pleasant, PA | $65.54 | $63.83 – $68.72 | 1,563 | 3 |
| Auburn, WA | $91.86 | $35.20 – $182.63 | 1,566 | 9 |
| Pulaski, NY | $61.41 | $49.53 – $120.83 | 1,569 | 4 |
| Bluefield, WV | $61.77 | $57.63 – $93.54 | 1,571 | 4 |
| Pascoag, RI | $0.03 | $0.00 – $0.08 | 1,572 | 4 |
| Darlington, WI | $3.28 | $3.28 – $3.28 | 1,573 | 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.