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 |
|---|---|---|---|---|
| Valley Stream, NY | $57.75 | $15.20 – $67.63 | 2,166 | 4 |
| Cave Junction, OR | $58.08 | $46.10 – $83.77 | 2,173 | 4 |
| Shelby, OH | $21.06 | $0.00 – $22.70 | 2,173 | 2 |
| Newburyport, MA | $133.00 | $93.75 – $134.29 | 2,176 | 3 |
| Cabot, AR | $65.94 | $60.98 – $70.03 | 2,176 | 5 |
| Claremont, CA | $96.41 | $92.79 – $117.83 | 2,176 | 3 |
| Norfolk, NE | $17.19 | $8.82 – $100.63 | 2,182 | 4 |
| Leland, NC | $90.25 | $38.95 – $111.52 | 2,183 | 4 |
| Buffalo, MN | $116.14 | $113.95 – $119.53 | 2,183 | 4 |
| Northampton, MA | $90.63 | $65.93 – $150.40 | 2,189 | 3 |
| Baker City, OR | $25.24 | $25.24 – $25.24 | 2,190 | 1 |
| Huntington Station, NY | $40.04 | $39.89 – $48.73 | 2,192 | 2 |
| Grandview, WA | $46.72 | $34.43 – $58.86 | 2,197 | 4 |
| Nashville, NC | $67.83 | $67.83 – $67.83 | 2,204 | 1 |
| Tishomingo, OK | $108.22 | $65.33 – $125.12 | 2,205 | 4 |
| Goldsboro, MD | $10.25 | $0.00 – $103.01 | 2,205 | 4 |
| Seatlle, WA | $43.28 | $43.28 – $43.28 | 2,208 | 1 |
| Napa, CA | $45.93 | $40.93 – $57.40 | 2,213 | 3 |
| Ashland, OR | $3.13 | $0.00 – $65.20 | 2,216 | 3 |
| Eagle Pass, TX | $41.50 | $0.00 – $49.07 | 2,218 | 5 |
| Sapulpa, OK | $81.90 | $68.30 – $85.32 | 2,219 | 3 |
| Brecksville, OH | $97.51 | $97.28 – $113.11 | 2,220 | 2 |
| Novi, MI | $78.34 | $33.44 – $88.90 | 2,226 | 4 |
| Fridley, MN | $126.06 | $115.20 – $154.52 | 2,226 | 2 |
| King, NC | $69.41 | $69.41 – $69.41 | 2,226 | 1 |
| Gering, NE | $16.14 | $0.00 – $43.97 | 2,227 | 3 |
| West Burlington, IA | $8.79 | $0.01 – $58.58 | 2,229 | 5 |
| Waltham, MA | $88.15 | $57.32 – $148.61 | 2,232 | 9 |
| North Babylon, NY | $53.36 | $52.80 – $57.88 | 2,235 | 3 |
| Sandston, VA | $122.96 | $77.77 – $225.71 | 2,236 | 3 |
| Bloomfield, NJ | $28.74 | $25.15 – $49.57 | 2,237 | 3 |
| Lewis Center, OH | $80.77 | $80.77 – $80.77 | 2,238 | 1 |
| Greenwood, IN | $71.07 | $44.81 – $185.98 | 2,239 | 4 |
| Kingston, PA | $68.47 | $66.63 – $68.73 | 2,242 | 2 |
| Galesburg, IL | $0.58 | $0.58 – $0.58 | 2,243 | 1 |
| Painesville, OH | $54.00 | $54.00 – $54.00 | 2,244 | 1 |
| Clayton, NC | $77.11 | $61.68 – $100.36 | 2,245 | 3 |
| Kent, OH | $46.77 | $0.00 – $48.23 | 2,246 | 2 |
| Peachtree City, GA | $89.47 | $64.71 – $89.94 | 2,246 | 2 |
| Fairview Park, OH | $51.53 | $51.53 – $51.53 | 2,248 | 1 |
| San Rafael, CA | $96.50 | $96.35 – $112.24 | 2,252 | 2 |
| Lake Worth, FL | $26.69 | $4.30 – $48.24 | 2,254 | 6 |
| Macon, GA | $70.97 | $68.91 – $79.98 | 2,254 | 2 |
| Juneau, AK | $220.61 | $57.65 – $239.08 | 2,256 | 5 |
| New Philadelphia, OH | $67.69 | $67.69 – $67.69 | 2,258 | 1 |
| Larned, KS | $89.65 | $89.65 – $89.65 | 2,262 | 1 |
| Harvey, LA | $53.45 | $0.00 – $94.17 | 2,263 | 8 |
| Grants, NM | $64.68 | $64.43 – $65.64 | 2,265 | 3 |
| Jenison, MI | $84.55 | $69.33 – $88.30 | 2,266 | 3 |
| Williamson, WV | $72.13 | $5.64 – $93.24 | 2,266 | 5 |
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.