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 |
|---|---|---|---|---|
| Newburgh, NY | $74.34 | $44.28 – $111.90 | 2,377 | 4 |
| Huntsville, TN | $99.97 | $65.11 – $100.81 | 2,377 | 2 |
| Seaside, CA | $114.72 | $100.90 – $116.30 | 2,380 | 2 |
| Woodridge, IL | $62.65 | $40.86 – $65.82 | 2,381 | 4 |
| Patillas, PR | $30.89 | $7.06 – $45.36 | 2,387 | 5 |
| Bakersfield (And Vicinity), CA | $56.57 | $56.57 – $56.57 | 2,387 | 1 |
| Elyria, OH | $89.93 | $51.48 – $150.17 | 2,388 | 6 |
| Hood River, OR | $75.79 | $0.00 – $114.42 | 2,390 | 7 |
| South Ogden, UT | $151.44 | $22.78 – $167.47 | 2,390 | 5 |
| Staunton, VA | $71.95 | $61.42 – $82.41 | 2,391 | 2 |
| Princeton, NJ | $55.38 | $55.38 – $55.38 | 2,391 | 1 |
| Newton, MS | $60.94 | $27.64 – $61.45 | 2,392 | 3 |
| Deptford, NJ | $66.79 | $54.23 – $80.00 | 2,393 | 3 |
| Fairfield, CA | $121.24 | $56.75 – $264.94 | 2,395 | 7 |
| South Jordan, UT | $95.79 | $47.37 – $212.28 | 2,395 | 7 |
| North Lauderdale, FL | $34.53 | $19.05 – $35.97 | 2,395 | 3 |
| Denton, TX | $93.07 | $9.83 – $143.37 | 2,398 | 9 |
| Calera, AL | $62.56 | $62.56 – $62.56 | 2,408 | 1 |
| Weatherford, OK | $81.97 | $63.19 – $121.75 | 2,409 | 4 |
| South Williamson, KY | $43.87 | $43.87 – $43.87 | 2,409 | 1 |
| Hammond, IN | $82.25 | $66.96 – $183.15 | 2,411 | 3 |
| Bentleyville, PA | $60.96 | $56.49 – $63.76 | 2,416 | 2 |
| Madison Heights, VA | $47.73 | $0.00 – $50.36 | 2,417 | 3 |
| Westbury, NY | $63.17 | $44.00 – $80.80 | 2,430 | 3 |
| Arcadia, LA | $3.72 | $3.72 – $3.72 | 2,433 | 1 |
| Norco, CA | $34.98 | $28.34 – $118.08 | 2,434 | 3 |
| Sunnyvale, TX | $59.79 | $57.24 – $75.48 | 2,434 | 2 |
| Casselberry, FL | $55.93 | $49.90 – $57.99 | 2,435 | 3 |
| Estill Springs, TN | $67.34 | $67.34 – $67.34 | 2,437 | 1 |
| Tecumseh, MI | $84.65 | $81.86 – $84.98 | 2,441 | 2 |
| Nevada, MO | $75.35 | $72.49 – $106.83 | 2,444 | 2 |
| Longmont, CO | $85.48 | $0.00 – $205.02 | 2,449 | 10 |
| Moon Twp, PA | $62.08 | $62.08 – $62.08 | 2,451 | 1 |
| Saratoga Springs, NY | $73.44 | $34.43 – $127.46 | 2,451 | 4 |
| Rapid City, SD | $107.78 | $49.09 – $201.35 | 2,457 | 5 |
| Chesterfield, MO | $115.09 | $38.75 – $151.48 | 2,459 | 5 |
| Franklin, MA | $102.97 | $68.53 – $104.57 | 2,459 | 2 |
| Eupora, MS | $67.45 | $67.45 – $67.45 | 2,463 | 1 |
| Bozeman, MT | $93.79 | $73.10 – $220.95 | 2,466 | 7 |
| Jacksonville, AL | $44.70 | $44.70 – $44.70 | 2,467 | 1 |
| Old Saybrook, CT | $35.23 | $13.20 – $82.65 | 2,473 | 4 |
| New Rochelle, NY | $40.43 | $27.79 – $100.38 | 2,478 | 9 |
| Payette, ID | $44.59 | $0.00 – $62.82 | 2,481 | 3 |
| Mc Lean, VA | $117.59 | $0.00 – $177.47 | 2,481 | 4 |
| Johns Creek, GA | $77.99 | $63.87 – $259.98 | 2,485 | 2 |
| Lompoc, CA | $85.41 | $56.57 – $115.33 | 2,486 | 6 |
| Enterprise, AL | $46.11 | $0.00 – $55.93 | 2,487 | 6 |
| Mountain Home, ID | $0.35 | $0.00 – $35.87 | 2,488 | 3 |
| Clermont, FL | $30.93 | $7.97 – $56.37 | 2,489 | 7 |
| New Lexington, OH | $49.81 | $0.00 – $74.09 | 2,497 | 6 |
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.