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 |
|---|---|---|---|---|
| Lapine, OR | $41.15 | $41.15 – $41.15 | 27 | 1 |
| Mound City, MO | $142.50 | $142.50 – $142.50 | 27 | 1 |
| Lancaster, TX | $11.47 | $11.47 – $11.47 | 27 | 1 |
| Central Square, NY | $61.64 | $61.64 – $61.64 | 27 | 1 |
| North Barrington, IL | $50.95 | $50.95 – $50.95 | 27 | 1 |
| Leawood, KS | $140.96 | $140.96 – $140.96 | 28 | 1 |
| Avon Park, FL | $41.88 | $36.07 – $47.69 | 28 | 2 |
| Quincy, FL | $39.27 | $39.27 – $39.27 | 28 | 1 |
| Grantsburg, WI | $111.17 | $111.17 – $111.17 | 28 | 1 |
| Belfast, ME | $45.50 | $45.50 – $45.50 | 28 | 1 |
| Glen Mills, PA | $74.64 | $74.64 – $74.64 | 28 | 1 |
| Mokena, IL | $49.88 | $46.94 – $53.26 | 28 | 2 |
| Ladson, SC | $143.04 | $143.04 – $143.04 | 28 | 1 |
| Geneva, NY | $60.17 | $60.17 – $60.17 | 28 | 1 |
| N Syracuse, NY | $100.00 | $100.00 – $100.00 | 28 | 1 |
| Wiggins, MS | $72.50 | $72.50 – $72.50 | 28 | 1 |
| Colmar, PA | $57.39 | $57.39 – $57.39 | 28 | 1 |
| Palos Verdes, CA | $57.40 | $57.40 – $57.40 | 28 | 1 |
| Whiteman Afb, MO | $0.00 | $0.00 – $0.00 | 28 | 1 |
| Kiowa, CO | $0.00 | $0.00 – $0.00 | 28 | 1 |
| Fayette City, PA | $0.00 | $0.00 – $0.00 | 28 | 1 |
| Beatrice, NE | $60.18 | $60.18 – $60.18 | 29 | 1 |
| San Luis, AZ | $12.17 | $12.17 – $12.17 | 29 | 1 |
| Southlake, TX | $217.29 | $217.29 – $217.29 | 29 | 1 |
| Sunland, CA | $55.42 | $55.42 – $55.42 | 29 | 1 |
| Mena, AR | $71.51 | $71.51 – $71.51 | 29 | 1 |
| La Verne, CA | $57.40 | $57.40 – $57.40 | 29 | 1 |
| Douglas, AZ | $0.00 | $0.00 – $0.00 | 29 | 1 |
| Charlestown, IN | $116.81 | $116.81 – $116.81 | 29 | 1 |
| Windermere, FL | $70.24 | $70.24 – $70.24 | 29 | 1 |
| Spanaway, WA | $26.05 | $26.05 – $26.05 | 29 | 1 |
| Monroe, WI | $30.37 | $30.37 – $30.37 | 29 | 1 |
| Melbourne, AR | $27.39 | $27.39 – $27.39 | 29 | 1 |
| Round Lake, IL | $73.23 | $73.23 – $73.23 | 29 | 1 |
| Union Grove, WI | $78.20 | $78.20 – $78.20 | 29 | 1 |
| Carol Stream, IL | $140.88 | $52.16 – $229.60 | 30 | 2 |
| Carnegie, PA | $65.43 | $65.43 – $65.43 | 30 | 1 |
| Manhattan Beach, CA | $119.00 | $119.00 – $119.00 | 30 | 1 |
| Siler City, NC | $65.77 | $65.77 – $65.77 | 30 | 1 |
| Biddeford, ME | $96.87 | $83.33 – $110.40 | 30 | 2 |
| Lepanto, AR | $62.57 | $62.57 – $62.57 | 30 | 1 |
| Boyton Beach, FL | $35.88 | $35.88 – $35.88 | 30 | 1 |
| Galax, VA | $0.00 | $0.00 – $0.00 | 31 | 1 |
| Lewistown, PA | $0.00 | $0.00 – $0.00 | 31 | 1 |
| Clinton, SC | $82.96 | $82.96 – $82.96 | 31 | 1 |
| Farmington, ME | $85.13 | $85.13 – $85.13 | 31 | 1 |
| Cusick, WA | $31.37 | $31.37 – $31.37 | 31 | 1 |
| Lititz, PA | $65.00 | $65.00 – $65.00 | 31 | 1 |
| Salem, NH | $100.00 | $100.00 – $100.00 | 31 | 1 |
| Centerburg, OH | $39.08 | $39.08 – $39.08 | 31 | 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.