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 |
|---|---|---|---|---|
| Bonita Springs, FL | $47.11 | $0.98 – $62.10 | 1,735 | 4 |
| Bardwell, KY | $39.52 | $34.94 – $78.85 | 1,735 | 2 |
| Hopkinsville, KY | $55.25 | $49.16 – $207.20 | 1,739 | 3 |
| Camp Verde, AZ | $59.94 | $0.00 – $72.53 | 1,739 | 3 |
| Lamont, CA | $56.90 | $56.90 – $56.90 | 1,744 | 1 |
| Park Falls, WI | $36.68 | $10.80 – $94.10 | 1,745 | 4 |
| Toa Alta, PR | $40.19 | $22.97 – $54.23 | 1,745 | 5 |
| Tillamook, OR | $71.54 | $0.00 – $135.16 | 1,745 | 4 |
| Landover Hills, MD | $94.39 | $81.57 – $104.22 | 1,745 | 4 |
| Mount Pleasant, TX | $56.51 | $7.42 – $56.99 | 1,748 | 2 |
| Bellefontaine, OH | $69.35 | $69.35 – $69.35 | 1,749 | 1 |
| Norwich, CT | $84.61 | $0.00 – $188.57 | 1,751 | 7 |
| East Lyme, CT | $188.54 | $49.42 – $245.88 | 1,751 | 3 |
| Lindon, UT | $74.33 | $73.35 – $77.57 | 1,752 | 3 |
| White Plains, MD | $121.03 | $121.03 – $121.03 | 1,754 | 1 |
| Garrettesville, OH | $54.31 | $54.31 – $54.31 | 1,754 | 1 |
| Rainelle, WV | $80.90 | $80.90 – $80.90 | 1,755 | 1 |
| Quebradillas, PR | $34.02 | $22.36 – $42.97 | 1,760 | 4 |
| Tullahoma, TN | $124.07 | $0.73 – $207.84 | 1,764 | 4 |
| Reynoldsburg, OH | $35.94 | $23.86 – $67.93 | 1,767 | 4 |
| Rancho Palos Verdes, CA | $178.81 | $57.32 – $196.71 | 1,769 | 3 |
| Chelmsford, MA | $67.87 | $60.54 – $88.14 | 1,770 | 5 |
| Winter Park, FL | $60.28 | $13.90 – $142.84 | 1,773 | 6 |
| Indian Orchard, MA | $57.12 | $55.60 – $139.00 | 1,773 | 3 |
| Olive Branch, MS | $60.04 | $58.30 – $79.27 | 1,776 | 2 |
| Ada, OK | $179.93 | $56.55 – $206.07 | 1,782 | 5 |
| Tuba City, AZ | $48.01 | $33.38 – $133.77 | 1,797 | 3 |
| Allston, MA | $141.09 | $76.18 – $144.67 | 1,798 | 3 |
| Lawrenceville, GA | $60.09 | $59.13 – $117.58 | 1,799 | 3 |
| Monona, WI | $64.86 | $63.47 – $70.29 | 1,800 | 3 |
| Temple, TX | $133.93 | $12.70 – $273.34 | 1,801 | 6 |
| Parker, CO | $72.93 | $45.11 – $171.12 | 1,801 | 9 |
| Wytheville, VA | $8.86 | $0.00 – $70.94 | 1,802 | 2 |
| Woburn, MA | $133.92 | $51.39 – $138.77 | 1,804 | 4 |
| Norton, MA | $95.72 | $83.09 – $131.80 | 1,806 | 2 |
| Poplar Bluff, MO | $183.98 | $29.76 – $188.91 | 1,814 | 3 |
| Rolla, MO | $128.20 | $46.28 – $193.20 | 1,818 | 4 |
| Lanham, MD | $55.78 | $27.00 – $72.47 | 1,820 | 4 |
| Escanaba, MI | $132.19 | $82.98 – $141.16 | 1,826 | 3 |
| Lake Ariel, PA | $69.21 | $69.16 – $74.70 | 1,830 | 2 |
| Gibsonia, PA | $71.34 | $61.29 – $81.70 | 1,832 | 2 |
| Powell, OH | $74.52 | $56.49 – $88.27 | 1,832 | 5 |
| Il, IL | $56.44 | $56.44 – $56.44 | 1,832 | 1 |
| Madisonville, LA | $64.10 | $59.51 – $68.67 | 1,835 | 2 |
| Upland, CA | $90.20 | $35.79 – $119.00 | 1,835 | 10 |
| Napoleon, OH | $68.87 | $55.70 – $102.51 | 1,835 | 4 |
| Menlo Park, CA | $58.16 | $58.16 – $58.16 | 1,836 | 1 |
| Zebulon, NC | $72.29 | $49.54 – $112.57 | 1,843 | 5 |
| Bedford, NH | $121.44 | $121.44 – $121.44 | 1,845 | 1 |
| Anadarko, OK | $122.37 | $62.02 – $129.24 | 1,846 | 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.