Based on public Medicaid payment data.

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
Lancaster, NY	$123.73	$56.28 – $125.31	2,267	3
Shrewsbury, MA	$95.60	$68.48 – $102.05	2,268	6
Seguin, TX	$53.31	$47.20 – $59.21	2,271	6
Hindman, KY	$41.73	$41.73 – $41.73	2,271	1
Franklin, OH	$48.56	$0.00 – $113.36	2,273	4
Hatillo, PR	$106.80	$22.15 – $120.00	2,280	7
Santa Clarita, CA	$85.02	$35.48 – $229.46	2,280	8
Laurel, MD	$90.00	$73.38 – $135.23	2,283	5
Davis, CA	$88.36	$8.31 – $112.65	2,284	5
Northfield, NH	$101.44	$99.98 – $117.00	2,287	2
Hyattsville, MD	$114.12	$68.68 – $135.23	2,290	10
Aiea, HI	$46.41	$44.61 – $73.81	2,291	4
Ft Mitchell, KY	$61.10	$61.10 – $61.10	2,291	1
Fremont, OH	$33.48	$0.00 – $49.42	2,291	7
Culpeper, VA	$36.97	$3.24 – $110.73	2,297	3
Brimley, MI	$123.01	$123.01 – $123.01	2,301	1
Marion, AR	$67.90	$66.36 – $69.45	2,302	3
Hancock, MI	$87.26	$87.26 – $87.26	2,305	1
Dillon, SC	$65.66	$64.72 – $67.40	2,307	2
Livingston, MT	$0.00	$0.00 – $0.00	2,309	1
Arvin, CA	$56.92	$56.92 – $57.40	2,312	2
Waikoloa, HI	$147.41	$147.41 – $147.41	2,314	1
Bellaire, TX	$42.49	$24.59 – $53.54	2,321	3
Sonora, CA	$57.61	$56.13 – $92.26	2,323	3
Perth Amboy, NJ	$48.89	$16.96 – $117.58	2,324	9
North Royalton, OH	$51.53	$51.52 – $51.62	2,324	2
Plainfield, NJ	$39.67	$36.89 – $49.75	2,326	5
Ellington, MO	$166.35	$44.52 – $173.45	2,327	2
Columbus, GA	$68.62	$41.16 – $174.49	2,330	10
Jamaica Plain, MA	$71.58	$3.46 – $119.66	2,331	5
Seneca, SC	$95.29	$82.46 – $97.56	2,332	4
Rocklin, CA	$55.98	$7.13 – $113.52	2,335	7
Utuado, PR	$35.96	$34.84 – $36.49	2,336	2
So San Francisco, CA	$85.68	$85.68 – $85.68	2,336	1
Catoosa, OK	$107.89	$107.52 – $121.88	2,339	2
Lake Jackson, TX	$107.52	$91.36 – $131.02	2,343	2
Warren, NJ	$79.42	$78.23 – $103.85	2,343	2
Columbia, IL	$120.52	$59.84 – $280.49	2,349	2
South Portland, ME	$113.46	$85.98 – $146.22	2,351	7
Kailua Kona, HI	$44.26	$27.31 – $153.94	2,353	2
South Point, OH	$58.22	$58.22 – $58.22	2,354	1
Pottstown, PA	$82.89	$0.00 – $257.65	2,356	6
Dunkirk, NY	$56.05	$55.89 – $56.53	2,356	2
Chicago Heights, IL	$47.64	$0.00 – $76.62	2,356	9
Sterling, VA	$61.01	$50.61 – $187.92	2,357	5
Hartsville, TN	$63.62	$63.04 – $67.55	2,357	2
West Sacramento, CA	$95.03	$21.74 – $119.00	2,357	6
Perris, CA	$82.78	$57.26 – $116.10	2,360	9
Reading, PA	$62.54	$47.49 – $71.40	2,361	7
Rowlett, TX	$82.74	$11.11 – $126.79	2,369	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.