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 |
|---|---|---|---|---|
| Miami Lakes, FL | $27.93 | $0.00 – $43.45 | 1,577 | 3 |
| Moore, OK | $123.28 | $104.08 – $132.21 | 1,579 | 7 |
| Pullman, MI | $112.75 | $112.74 – $113.07 | 1,580 | 2 |
| Van Wert, OH | $34.41 | $0.00 – $40.60 | 1,581 | 2 |
| Union Springs, AL | $53.54 | $53.54 – $53.54 | 1,582 | 1 |
| Manhasset, NY | $31.83 | $31.83 – $31.83 | 1,583 | 1 |
| Corydon, IN | $156.42 | $156.42 – $156.42 | 1,584 | 1 |
| Ormond Beach, FL | $79.82 | $79.82 – $79.82 | 1,585 | 1 |
| Windsor Mill, MD | $128.16 | $122.79 – $135.23 | 1,587 | 3 |
| Kodak, TN | $101.72 | $101.72 – $101.72 | 1,587 | 1 |
| Forsyth, MO | $50.38 | $50.38 – $50.38 | 1,589 | 1 |
| Maywood, NJ | $93.28 | $29.90 – $95.42 | 1,589 | 2 |
| Walden, NY | $86.95 | $86.95 – $86.95 | 1,590 | 1 |
| Royersford, PA | $75.84 | $43.83 – $77.21 | 1,590 | 2 |
| Jefferson, LA | $5.44 | $2.14 – $119.18 | 1,595 | 2 |
| Rosenberg, TX | $50.04 | $49.97 – $54.20 | 1,595 | 2 |
| Highland, AR | $61.91 | $61.88 – $62.97 | 1,596 | 2 |
| Westminster, MD | $115.89 | $56.16 – $277.00 | 1,599 | 3 |
| Montrose, NY | $55.94 | $55.94 – $55.94 | 1,602 | 1 |
| New Lenox, IL | $70.56 | $70.56 – $70.56 | 1,603 | 1 |
| Highland, MI | $103.59 | $103.59 – $103.59 | 1,604 | 1 |
| Monroe Twp, NJ | $137.12 | $137.12 – $137.12 | 1,607 | 1 |
| West Memphis, AR | $71.70 | $65.22 – $75.09 | 1,609 | 5 |
| Richmond, CA | $97.03 | $56.28 – $119.00 | 1,611 | 9 |
| Gate City, VA | $57.82 | $57.14 – $85.29 | 1,612 | 2 |
| Ellsworth, ME | $95.43 | $83.65 – $112.65 | 1,613 | 3 |
| Bridgeville, PA | $71.81 | $65.72 – $82.51 | 1,613 | 3 |
| Cambridge, OH | $57.89 | $15.43 – $101.57 | 1,617 | 4 |
| Trenton, NJ | $47.11 | $30.00 – $79.48 | 1,619 | 4 |
| Troy, AL | $49.08 | $48.87 – $50.89 | 1,620 | 2 |
| Williamstown, NJ | $98.75 | $78.99 – $102.77 | 1,620 | 2 |
| Sturgis, KY | $53.20 | $53.20 – $53.20 | 1,621 | 1 |
| Berlin, MD | $216.09 | $198.00 – $216.57 | 1,626 | 2 |
| Moorpark, CA | $92.12 | $57.13 – $222.98 | 1,626 | 3 |
| Bethany, OK | $111.24 | $107.23 – $112.10 | 1,626 | 2 |
| Eden Prairie, MN | $124.98 | $111.60 – $158.69 | 1,628 | 4 |
| Pittston, PA | $58.18 | $50.32 – $69.13 | 1,629 | 3 |
| Chewelah, WA | $40.27 | $40.27 – $40.27 | 1,630 | 1 |
| Lebanon, NH | $73.98 | $45.77 – $249.99 | 1,634 | 3 |
| Shelby, MT | $18.67 | $0.00 – $64.29 | 1,636 | 2 |
| Hillsborough, NC | $57.59 | $57.59 – $57.59 | 1,636 | 1 |
| Smyrna, DE | $166.86 | $116.27 – $168.70 | 1,637 | 3 |
| Warren, AR | $62.26 | $0.00 – $64.16 | 1,640 | 3 |
| Brighton, MA | $55.12 | $42.49 – $108.40 | 1,641 | 3 |
| Arnold, MD | $116.42 | $96.14 – $117.13 | 1,642 | 3 |
| Orosi, CA | $31.10 | $21.42 – $56.27 | 1,642 | 2 |
| South Bay, FL | $29.52 | $14.86 – $32.41 | 1,642 | 2 |
| Sunrise, FL | $48.59 | $23.60 – $50.12 | 1,646 | 3 |
| Saddle Brook, NJ | $54.16 | $44.77 – $60.49 | 1,647 | 3 |
| Hastings, MI | $74.45 | $74.45 – $74.45 | 1,648 | 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.