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 |
|---|---|---|---|---|
| Hurricane, UT | $32.88 | $32.88 – $32.88 | 2,794 | 1 |
| Marshall, AR | $68.69 | $68.69 – $68.69 | 2,798 | 1 |
| Riverdale Park, MD | $115.21 | $107.08 – $133.55 | 2,799 | 4 |
| San Angelo, TX | $54.68 | $27.39 – $58.33 | 2,800 | 6 |
| Pulaski, TN | $90.28 | $48.30 – $90.96 | 2,808 | 3 |
| West Orange, NJ | $40.86 | $0.00 – $99.55 | 2,814 | 6 |
| Vienna, VA | $81.89 | $0.00 – $182.33 | 2,821 | 6 |
| Pahrump, NV | $80.55 | $77.36 – $83.53 | 2,827 | 2 |
| Glasgow, KY | $50.15 | $50.15 – $50.15 | 2,830 | 1 |
| Elmendorf Afb, AK | $212.67 | $212.67 – $212.67 | 2,833 | 1 |
| Upper Marlboro, MD | $153.96 | $78.64 – $175.26 | 2,842 | 5 |
| Clinton, MS | $70.88 | $60.75 – $232.92 | 2,843 | 4 |
| Aguas Buenas, PR | $36.72 | $28.17 – $43.02 | 2,848 | 5 |
| Ogema, MN | $72.90 | $72.90 – $72.90 | 2,848 | 1 |
| Bonney Lake, WA | $54.26 | $53.92 – $55.03 | 2,849 | 3 |
| Browns Mills, NJ | $90.14 | $90.14 – $90.14 | 2,852 | 1 |
| Gonzales, LA | $119.61 | $74.22 – $159.64 | 2,856 | 7 |
| Mauston, WI | $5.60 | $1.01 – $7.84 | 2,857 | 2 |
| Richland, IA | $2.70 | $1.07 – $3.58 | 2,860 | 2 |
| Carlsbad, NM | $69.74 | $34.94 – $151.58 | 2,862 | 5 |
| West Orange, TX | $95.58 | $95.58 – $95.58 | 2,863 | 1 |
| Harlingon, TX | $247.09 | $247.09 – $247.09 | 2,863 | 1 |
| Keizer, OR | $88.56 | $32.41 – $117.99 | 2,864 | 4 |
| Moscow, ID | $16.67 | $14.33 – $17.76 | 2,864 | 2 |
| Milton Freewater, OR | $35.77 | $35.77 – $35.77 | 2,864 | 1 |
| Keene, NH | $98.48 | $93.33 – $128.95 | 2,875 | 5 |
| Pacific Palisades, CA | $97.06 | $93.47 – $155.00 | 2,876 | 2 |
| Bastrop, LA | $61.63 | $0.00 – $82.23 | 2,883 | 3 |
| Batesville, AR | $63.13 | $38.28 – $64.10 | 2,884 | 3 |
| Ridgefield Park, NJ | $48.97 | $39.12 – $82.12 | 2,890 | 4 |
| North Syracuse, NY | $283.38 | $55.70 – $300.86 | 2,893 | 4 |
| Burlington, IA | $56.19 | $56.19 – $56.19 | 2,895 | 1 |
| Orangeburg, SC | $89.03 | $69.33 – $127.08 | 2,895 | 8 |
| Redford, MI | $52.68 | $45.58 – $89.26 | 2,902 | 4 |
| Waipahu, HI | $71.65 | $50.15 – $80.98 | 2,904 | 4 |
| West Springfield, MA | $116.99 | $87.52 – $136.36 | 2,913 | 5 |
| Lauderdale Lake, FL | $33.59 | $33.59 – $33.59 | 2,913 | 1 |
| Adrian, MI | $95.89 | $58.31 – $101.35 | 2,916 | 4 |
| Lebanon, TN | $84.00 | $57.20 – $186.42 | 2,930 | 5 |
| Surprise, AZ | $23.64 | $0.00 – $72.87 | 2,934 | 7 |
| Pearl City, HI | $76.03 | $46.07 – $147.33 | 2,938 | 5 |
| Edmonds, WA | $39.57 | $29.97 – $116.75 | 2,940 | 9 |
| Woodstock, GA | $66.87 | $45.34 – $135.23 | 2,940 | 6 |
| Draper, UT | $55.96 | $35.64 – $102.84 | 2,948 | 4 |
| Farmville, VA | $62.70 | $48.15 – $72.22 | 2,953 | 3 |
| Fitchburg, WI | $73.77 | $62.19 – $92.70 | 2,954 | 3 |
| Mclean, VA | $68.94 | $52.31 – $240.83 | 2,956 | 4 |
| Linden, NJ | $26.36 | $9.86 – $69.71 | 2,958 | 3 |
| Hermantown, MN | $101.74 | $35.81 – $181.21 | 2,959 | 4 |
| Nogales, AZ | $60.15 | $0.00 – $73.87 | 2,968 | 2 |
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.