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 |
|---|---|---|---|---|
| So. Chesterfield, VA | $0.00 | $0.00 – $0.00 | 31 | 1 |
| Lemont, IL | $41.64 | $41.64 – $41.64 | 31 | 1 |
| Gainsville, FL | $0.00 | $0.00 – $0.00 | 31 | 1 |
| Horizon City, TX | $34.97 | $34.97 – $34.97 | 31 | 1 |
| Turtle Lake, WI | $0.00 | $0.00 – $0.00 | 31 | 1 |
| Sheridan, IN | $124.96 | $124.96 – $124.96 | 31 | 1 |
| Kew Gardens, NY | $61.82 | $61.82 – $61.82 | 32 | 1 |
| Sanford, FL | $25.35 | $25.35 – $25.35 | 32 | 1 |
| Cortlandt Manor, NY | $6.46 | $6.46 – $6.46 | 32 | 1 |
| Ridgefield, CT | $83.82 | $83.82 – $83.82 | 32 | 1 |
| Inwood, NY | $39.41 | $39.41 – $39.41 | 32 | 1 |
| Nett Lake, MN | $213.03 | $213.03 – $213.03 | 32 | 1 |
| Plainfield, IL | $42.79 | $42.79 – $42.79 | 32 | 1 |
| Patterson, CA | $119.00 | $119.00 – $119.00 | 32 | 1 |
| Rumson, NJ | $30.69 | $30.69 – $30.69 | 32 | 1 |
| Lovell, WY | $76.00 | $76.00 – $76.00 | 32 | 1 |
| Eastlake, OH | $52.19 | $52.19 – $52.19 | 32 | 1 |
| Barrow, AK | $134.43 | $134.43 – $134.43 | 32 | 1 |
| Lafeyette, LA | $80.28 | $80.28 – $80.28 | 32 | 1 |
| Glenelg, MD | $132.29 | $132.29 – $132.29 | 32 | 1 |
| Rio Rico, AZ | $0.00 | $0.00 – $0.00 | 33 | 1 |
| Estherville, IA | $35.60 | $35.60 – $35.60 | 33 | 1 |
| Saint Albans, VT | $53.18 | $53.18 – $53.18 | 33 | 1 |
| Arverne, NY | $50.42 | $50.42 – $50.42 | 33 | 1 |
| Sun City, CA | $57.40 | $57.40 – $57.40 | 33 | 1 |
| Falmouth, MA | $127.58 | $127.58 – $127.58 | 33 | 1 |
| Saint Robert, MO | $60.90 | $37.26 – $80.60 | 33 | 2 |
| Maysville, NC | $68.97 | $68.97 – $68.97 | 33 | 1 |
| Conifer, CO | $34.68 | $34.68 – $34.68 | 33 | 1 |
| Collinsville, VA | $69.00 | $69.00 – $69.00 | 33 | 1 |
| Sicily Island, LA | $0.00 | $0.00 – $0.00 | 33 | 1 |
| Vienna, WV | $10.35 | $10.35 – $10.35 | 34 | 1 |
| Highland, IL | $36.85 | $36.85 – $36.85 | 34 | 1 |
| Silver City, NM | $42.62 | $42.62 – $42.62 | 34 | 1 |
| Sedan, KS | $36.16 | $36.16 – $36.16 | 34 | 1 |
| Pleasant View, TN | $67.25 | $67.25 – $67.25 | 34 | 1 |
| Crescent City, CA | $86.46 | $86.46 – $86.46 | 34 | 1 |
| Lewistown, MT | $59.80 | $59.80 – $59.80 | 34 | 1 |
| Fostoria, OH | $47.44 | $47.44 – $47.44 | 34 | 1 |
| West Jefferson, NC | $66.44 | $66.44 – $66.44 | 34 | 1 |
| Creve Coeur, IL | $46.63 | $46.63 – $46.63 | 34 | 1 |
| Cordele, GA | $69.60 | $69.60 – $69.60 | 35 | 1 |
| Rumford, ME | $91.00 | $91.00 – $91.00 | 35 | 1 |
| Wall, NJ | $69.09 | $69.09 – $69.09 | 35 | 1 |
| Riverview, MI | $87.94 | $87.94 – $87.94 | 35 | 1 |
| Ferriday, LA | $200.26 | $200.26 – $200.26 | 35 | 1 |
| Rohnert Park, CA | $115.60 | $115.60 – $115.60 | 35 | 1 |
| Columbiana, AL | $51.49 | $51.49 – $51.49 | 35 | 1 |
| Spencerport, NY | $47.51 | $47.51 – $47.51 | 35 | 1 |
| Searchy, AR | $72.20 | $72.20 – $72.20 | 35 | 1 |
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.