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 |
|---|---|---|---|---|
| Pico Rivera, CA | $62.34 | $57.40 – $119.00 | 1,651 | 4 |
| Bernalillo, NM | $115.11 | $115.11 – $115.11 | 1,653 | 1 |
| Marlboro, NJ | $68.78 | $49.97 – $73.43 | 1,657 | 4 |
| North Miami Beach, FL | $52.72 | $17.74 – $59.01 | 1,658 | 5 |
| Yulee, FL | $34.89 | $34.45 – $63.73 | 1,658 | 2 |
| Ewing, NJ | $78.23 | $30.93 – $80.44 | 1,659 | 2 |
| Kannapolis, NC | $61.42 | $54.44 – $84.31 | 1,666 | 4 |
| Newton, NJ | $96.21 | $77.19 – $98.65 | 1,667 | 2 |
| Cabo Rojo, PR | $36.04 | $20.91 – $49.31 | 1,669 | 7 |
| Timonium, MD | $110.71 | $96.53 – $242.14 | 1,669 | 3 |
| Brooker, FL | $28.38 | $26.12 – $28.64 | 1,670 | 2 |
| Sterling, CO | $99.99 | $87.40 – $122.28 | 1,675 | 3 |
| Carlton, MN | $136.73 | $73.68 – $231.28 | 1,677 | 3 |
| Campbell, CA | $55.71 | $55.71 – $55.71 | 1,677 | 1 |
| King Of Prussia, PA | $70.13 | $53.60 – $108.07 | 1,684 | 8 |
| Bolivia, NC | $67.23 | $67.23 – $67.23 | 1,686 | 1 |
| Lenoir, NC | $66.47 | $36.34 – $111.60 | 1,688 | 5 |
| Victoria, TX | $69.20 | $55.81 – $271.69 | 1,689 | 3 |
| Odessa, FL | $409.93 | $409.93 – $409.93 | 1,690 | 1 |
| Monroe, NY | $68.27 | $28.99 – $97.74 | 1,691 | 9 |
| White Hall, AR | $70.63 | $70.63 – $70.63 | 1,693 | 1 |
| Crystal Lake, IL | $53.79 | $15.71 – $62.13 | 1,695 | 4 |
| Lunenburg, MA | $131.33 | $131.33 – $131.33 | 1,696 | 1 |
| Southampton, NY | $65.51 | $35.10 – $74.73 | 1,699 | 2 |
| Sheppard Afb, TX | $90.19 | $50.07 – $219.00 | 1,700 | 3 |
| Kearny, NJ | $72.77 | $31.24 – $103.12 | 1,701 | 3 |
| Madisonville, TN | $57.28 | $51.30 – $57.40 | 1,702 | 2 |
| Shoreline, WA | $37.00 | $2.18 – $53.60 | 1,703 | 2 |
| Rochelle, GA | $79.63 | $79.63 – $79.63 | 1,705 | 1 |
| Thibodaux, LA | $40.95 | $0.00 – $79.07 | 1,706 | 5 |
| Belmont, NC | $63.26 | $59.32 – $113.83 | 1,709 | 3 |
| Moncure, NC | $36.78 | $0.75 – $51.81 | 1,711 | 3 |
| St Gabriel, LA | $15.53 | $15.53 – $15.53 | 1,711 | 1 |
| Long Branch, NJ | $47.10 | $0.00 – $109.17 | 1,712 | 8 |
| Marysville, WA | $48.97 | $44.77 – $56.61 | 1,714 | 6 |
| Hildale, UT | $58.98 | $58.98 – $58.98 | 1,715 | 1 |
| Winchester, IL | $48.26 | $48.26 – $48.26 | 1,716 | 1 |
| Enfield, CT | $57.27 | $57.27 – $57.31 | 1,717 | 2 |
| Lisle, IL | $69.49 | $39.12 – $99.13 | 1,717 | 3 |
| Hartsdale, NY | $50.46 | $42.62 – $55.37 | 1,720 | 4 |
| Snohomish, WA | $81.46 | $56.78 – $148.06 | 1,720 | 2 |
| Foster, RI | $4.80 | $0.91 – $81.58 | 1,721 | 2 |
| Flossmoor, IL | $59.13 | $19.78 – $59.62 | 1,722 | 2 |
| Queen Creek, AZ | $41.93 | $10.83 – $67.88 | 1,724 | 5 |
| Orchard Park, NY | $54.72 | $4.01 – $90.59 | 1,730 | 4 |
| Smithfield, NC | $77.48 | $59.41 – $113.27 | 1,730 | 4 |
| Rowland Heights, CA | $78.14 | $57.38 – $119.00 | 1,730 | 4 |
| Columbia, LA | $50.39 | $50.39 – $50.39 | 1,731 | 1 |
| Essex, MD | $114.22 | $109.02 – $135.23 | 1,733 | 3 |
| Bartonsville, PA | $96.98 | $67.67 – $98.37 | 1,734 | 3 |
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.