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 |
|---|---|---|---|---|
| Cassopolis, MI | $93.05 | $75.04 – $95.11 | 1,848 | 2 |
| Montezuma Creek, UT | $179.70 | $179.70 – $179.70 | 1,849 | 1 |
| La Grande, OR | $1.34 | $0.00 – $16.42 | 1,852 | 3 |
| Sunnyside, WA | $47.95 | $33.09 – $63.24 | 1,853 | 6 |
| Agoura Hills, CA | $57.20 | $55.03 – $58.64 | 1,854 | 2 |
| Miami, OK | $64.56 | $64.56 – $64.56 | 1,858 | 1 |
| Munfordville, KY | $38.58 | $34.95 – $45.01 | 1,860 | 3 |
| Barranquitas, PR | $29.72 | $22.94 – $37.38 | 1,861 | 5 |
| Kirksville, MO | $108.07 | $68.81 – $143.39 | 1,869 | 6 |
| North Ogden, UT | $43.20 | $43.20 – $43.20 | 1,870 | 1 |
| Summersville, WV | $104.66 | $69.46 – $239.76 | 1,876 | 4 |
| Ferndale, WA | $52.35 | $41.35 – $60.98 | 1,879 | 5 |
| Norwood, MA | $78.77 | $78.77 – $78.77 | 1,880 | 1 |
| Plant City, FL | $44.67 | $37.62 – $183.38 | 1,881 | 4 |
| Wrentham, MA | $75.99 | $75.99 – $75.99 | 1,881 | 1 |
| Booneville, KY | $48.06 | $32.41 – $51.99 | 1,881 | 2 |
| Lacey, WA | $36.65 | $0.00 – $46.57 | 1,883 | 4 |
| Marble Falls, TX | $44.92 | $44.00 – $45.78 | 1,884 | 2 |
| Commerce, MI | $91.51 | $91.51 – $91.51 | 1,884 | 1 |
| Box Elder, MT | $1.38 | $1.38 – $1.38 | 1,885 | 1 |
| Corona, NY | $46.56 | $36.50 – $80.86 | 1,887 | 7 |
| Centerville, OH | $63.13 | $56.73 – $90.92 | 1,889 | 4 |
| Sebring, FL | $52.96 | $42.80 – $62.81 | 1,891 | 3 |
| Woodbury, MN | $434.88 | $434.88 – $434.88 | 1,891 | 1 |
| Yazoo City, MS | $64.08 | $56.65 – $89.69 | 1,892 | 4 |
| Laurinburg, NC | $63.15 | $63.15 – $63.27 | 1,894 | 2 |
| Eagan, MN | $123.43 | $112.34 – $124.51 | 1,897 | 3 |
| Sioux Falls, SD | $94.98 | $84.62 – $113.27 | 1,899 | 3 |
| Garland, TX | $49.14 | $8.55 – $86.05 | 1,899 | 11 |
| West Hartford, CT | $49.91 | $34.72 – $107.76 | 1,908 | 5 |
| Glen Allen, VA | $69.10 | $0.00 – $99.62 | 1,912 | 6 |
| Milton, KY | $38.63 | $38.63 – $38.63 | 1,914 | 1 |
| East Wareham, MA | $137.10 | $137.10 – $137.10 | 1,915 | 1 |
| Ponte Vedra Beach, FL | $41.41 | $22.62 – $54.85 | 1,916 | 3 |
| Conneaut, OH | $60.02 | $60.02 – $60.02 | 1,916 | 1 |
| Marshalltown, IA | $6.72 | $0.00 – $60.40 | 1,918 | 8 |
| Crest Hill, IL | $85.69 | $42.05 – $87.29 | 1,925 | 3 |
| Murray, KY | $94.72 | $39.42 – $95.95 | 1,928 | 2 |
| Marble Hill, MO | $68.66 | $68.66 – $68.66 | 1,928 | 1 |
| City Of Industry, CA | $64.33 | $57.11 – $119.00 | 1,929 | 3 |
| Laguna Woods, CA | $40.69 | $13.92 – $58.83 | 1,931 | 2 |
| Springville, UT | $64.06 | $60.71 – $108.53 | 1,935 | 3 |
| Rio Grande, PR | $28.58 | $23.59 – $52.83 | 1,937 | 5 |
| Calumet, MI | $93.97 | $93.06 – $137.25 | 1,937 | 2 |
| Fort Huachuca, AZ | $100.58 | $100.58 – $100.58 | 1,938 | 1 |
| Kapolei, HI | $185.09 | $47.76 – $191.38 | 1,939 | 2 |
| Dennison, OH | $92.55 | $55.45 – $96.61 | 1,944 | 3 |
| Imperial, CA | $114.79 | $56.34 – $119.00 | 1,945 | 3 |
| Danville, IL | $52.03 | $0.00 – $61.80 | 1,948 | 2 |
| Las Marias, PR | $44.54 | $44.54 – $44.54 | 1,949 | 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.