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 |
|---|---|---|---|---|
| Old Town, ME | $102.29 | $102.29 – $102.29 | 1,953 | 1 |
| Cut Off, LA | $67.51 | $27.73 – $76.86 | 1,953 | 2 |
| Twentynine Palms, CA | $86.04 | $69.08 – $111.73 | 1,954 | 2 |
| Naranjito, PR | $41.28 | $19.38 – $67.97 | 1,956 | 7 |
| Liberty, MO | $67.26 | $67.26 – $67.26 | 1,961 | 1 |
| Morgan City, LA | $29.84 | $6.85 – $75.68 | 1,961 | 2 |
| Broomfield, CO | $98.02 | $98.02 – $98.02 | 1,965 | 1 |
| Wylie, TX | $50.95 | $35.65 – $279.06 | 1,965 | 3 |
| Artesia, CA | $55.86 | $36.91 – $57.40 | 1,965 | 3 |
| Dallas, OR | $77.09 | $0.00 – $158.20 | 1,968 | 6 |
| Woodbury, NJ | $79.80 | $52.75 – $134.83 | 1,969 | 3 |
| Kenmore, WA | $3.04 | $3.04 – $3.04 | 1,972 | 1 |
| Boardman, OR | $4.43 | $2.85 – $6.15 | 1,973 | 3 |
| Burney, CA | $72.58 | $72.58 – $72.58 | 1,973 | 1 |
| Fergus Falls, MN | $116.81 | $41.63 – $124.07 | 1,975 | 8 |
| Aventura, FL | $40.54 | $20.38 – $63.66 | 1,976 | 5 |
| Cinnaminson, NJ | $70.66 | $17.31 – $78.68 | 1,976 | 4 |
| Paris, IL | $112.57 | $112.57 – $112.57 | 1,976 | 1 |
| Butler, PA | $61.48 | $57.26 – $64.91 | 1,978 | 4 |
| Olympia Fields, IL | $55.30 | $5.95 – $62.87 | 1,978 | 2 |
| Davidson, NC | $58.46 | $53.80 – $70.11 | 1,980 | 3 |
| West Chester, PA | $64.07 | $0.00 – $74.29 | 1,981 | 9 |
| Clearfield, UT | $83.53 | $40.32 – $132.57 | 1,982 | 3 |
| Little Egg Harbor Twp, NJ | $78.11 | $76.83 – $81.05 | 1,982 | 2 |
| Downingtown, PA | $79.61 | $67.95 – $89.60 | 1,983 | 4 |
| Sumrall, MS | $89.56 | $89.56 – $89.56 | 1,990 | 1 |
| Dublin, VA | $57.50 | $57.50 – $57.50 | 1,990 | 1 |
| Willingboro, NJ | $70.56 | $70.56 – $70.56 | 1,992 | 1 |
| Westlake Village, CA | $115.24 | $45.33 – $153.11 | 1,993 | 6 |
| Muscatine, IA | $55.58 | $51.50 – $84.92 | 1,994 | 2 |
| Hazlehurst, MS | $62.14 | $59.15 – $64.48 | 1,995 | 2 |
| Ocean Springs, MS | $75.92 | $71.88 – $99.87 | 2,002 | 2 |
| Luling, LA | $33.57 | $1.83 – $85.82 | 2,003 | 2 |
| Norton Shores, MI | $158.16 | $74.20 – $284.21 | 2,004 | 5 |
| Garfield Heights, OH | $68.48 | $60.29 – $70.29 | 2,006 | 2 |
| Batesburg-Leesville, SC | $108.03 | $108.03 – $108.03 | 2,006 | 1 |
| Kirkwood, MO | $60.71 | $60.71 – $60.71 | 2,009 | 1 |
| Guilford, CT | $61.27 | $59.07 – $104.72 | 2,013 | 2 |
| Tuscola, IL | $98.33 | $66.15 – $118.02 | 2,015 | 3 |
| Chariton, IA | $44.89 | $44.78 – $54.02 | 2,016 | 2 |
| Lucedale, MS | $67.93 | $46.16 – $76.88 | 2,017 | 4 |
| Waverly, IA | $49.84 | $49.84 – $49.84 | 2,018 | 1 |
| Zelienople, PA | $70.86 | $57.69 – $71.25 | 2,018 | 2 |
| Bellmead, TX | $33.74 | $33.74 – $33.74 | 2,023 | 1 |
| Middletown, RI | $71.06 | $71.06 – $71.06 | 2,030 | 1 |
| Alpine, CA | $56.34 | $55.54 – $56.45 | 2,034 | 2 |
| Norwalk, OH | $29.70 | $29.70 – $29.70 | 2,036 | 1 |
| Foothill Ranch, CA | $112.11 | $57.40 – $123.90 | 2,039 | 4 |
| Irmo, SC | $95.75 | $91.57 – $106.49 | 2,043 | 2 |
| Oneonta, NY | $164.63 | $82.08 – $263.99 | 2,045 | 2 |
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.