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 |
|---|---|---|---|---|
| Los Lunas, NM | $86.43 | $66.61 – $102.53 | 2,507 | 5 |
| Lexington, NC | $63.48 | $59.85 – $69.43 | 2,511 | 5 |
| Bedford, PA | $71.99 | $71.99 – $71.99 | 2,512 | 1 |
| Guayama, PR | $28.27 | $22.24 – $28.91 | 2,515 | 5 |
| Robbinsville, NC | $62.63 | $62.63 – $62.63 | 2,515 | 1 |
| Claremont, NC | $95.15 | $95.15 – $95.15 | 2,516 | 1 |
| Chamblee, GA | $189.15 | $189.15 – $189.15 | 2,520 | 1 |
| Weston, FL | $23.83 | $13.26 – $69.00 | 2,521 | 6 |
| Grand Haven, MI | $85.10 | $84.96 – $89.00 | 2,522 | 2 |
| Oakbrook Terrace, IL | $76.41 | $53.45 – $81.15 | 2,522 | 4 |
| Redmond, WA | $52.10 | $26.54 – $114.70 | 2,535 | 10 |
| Hicksville, NY | $49.72 | $35.15 – $53.14 | 2,537 | 2 |
| Trenton, FL | $40.20 | $39.08 – $52.95 | 2,538 | 3 |
| Sikeston, MO | $91.98 | $48.01 – $181.39 | 2,542 | 4 |
| Issaquah, WA | $72.18 | $56.99 – $108.76 | 2,548 | 5 |
| Mineral Wells, WV | $73.05 | $73.05 – $73.05 | 2,562 | 1 |
| Narragansett, RI | $79.32 | $79.32 – $79.32 | 2,563 | 1 |
| Bloomfield, CT | $70.60 | $70.60 – $70.60 | 2,567 | 1 |
| Papillion, NE | $133.27 | $70.55 – $153.16 | 2,571 | 3 |
| Ponca City, OK | $102.35 | $66.91 – $113.37 | 2,572 | 3 |
| Highland, CA | $105.06 | $56.50 – $110.52 | 2,573 | 4 |
| Mishawaka, IN | $62.19 | $56.66 – $136.58 | 2,574 | 3 |
| Ontario, OR | $18.01 | $7.50 – $78.87 | 2,575 | 7 |
| Arkadelphia, AR | $62.14 | $62.14 – $62.14 | 2,575 | 1 |
| Berwyn Heights, MD | $240.38 | $67.98 – $277.23 | 2,575 | 3 |
| Hillsville, VA | $44.07 | $0.00 – $46.36 | 2,577 | 3 |
| Bristol, VA | $40.43 | $0.00 – $46.89 | 2,578 | 4 |
| Othello, WA | $52.02 | $39.59 – $433.59 | 2,578 | 6 |
| Tiffin, OH | $51.89 | $26.49 – $58.42 | 2,579 | 3 |
| Gassaway, WV | $66.80 | $66.80 – $66.80 | 2,587 | 1 |
| Gardner, MA | $66.43 | $66.43 – $66.43 | 2,595 | 1 |
| Caledonia, MI | $84.39 | $83.45 – $143.15 | 2,596 | 2 |
| Lincoln, IL | $29.26 | $0.70 – $101.55 | 2,597 | 5 |
| Albany, GA | $186.24 | $48.45 – $278.07 | 2,598 | 5 |
| Hillsborough, NJ | $121.32 | $48.81 – $187.10 | 2,601 | 4 |
| Toa Baja, PR | $46.08 | $25.10 – $66.02 | 2,605 | 5 |
| Chantilly, VA | $67.96 | $0.00 – $72.83 | 2,605 | 3 |
| Kings Mountain, NC | $73.49 | $61.98 – $74.00 | 2,613 | 2 |
| Libby, MT | $0.00 | $0.00 – $0.00 | 2,613 | 1 |
| Sterling, IL | $53.10 | $0.00 – $57.00 | 2,614 | 2 |
| Saranac, MI | $82.99 | $80.47 – $86.18 | 2,615 | 2 |
| Kokomo, IN | $130.92 | $0.00 – $192.50 | 2,620 | 9 |
| Monterey, CA | $57.23 | $51.46 – $119.00 | 2,626 | 3 |
| San Tan Valley, AZ | $36.80 | $26.63 – $38.32 | 2,626 | 2 |
| West Milwaukee, WI | $66.15 | $50.43 – $68.00 | 2,627 | 3 |
| Pleasant View, UT | $52.22 | $50.45 – $64.34 | 2,631 | 2 |
| Camarillo, CA | $104.44 | $51.91 – $227.98 | 2,638 | 7 |
| East Alton, IL | $10.72 | $8.81 – $134.97 | 2,638 | 3 |
| Eastvale, CA | $57.93 | $56.93 – $117.00 | 2,639 | 3 |
| Deming, NM | $79.91 | $64.39 – $83.09 | 2,641 | 3 |
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.