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 |
|---|---|---|---|---|
| Salinas, PR | $36.58 | $22.17 – $49.45 | 2,970 | 4 |
| Wake Forest, NC | $59.21 | $0.01 – $67.31 | 2,973 | 6 |
| Winnetka, CA | $110.23 | $0.00 – $114.68 | 2,977 | 3 |
| La Grange, KY | $60.33 | $60.33 – $60.33 | 2,982 | 1 |
| Brookville, NY | $86.26 | $86.26 – $86.26 | 2,982 | 1 |
| Glendale Heights, IL | $93.72 | $25.26 – $118.66 | 2,984 | 6 |
| Manteca, CA | $55.55 | $39.98 – $114.75 | 2,985 | 3 |
| Cumberland, RI | $84.93 | $84.91 – $85.04 | 2,987 | 2 |
| Moody, AL | $51.51 | $51.47 – $53.92 | 2,988 | 2 |
| Culver City, CA | $81.16 | $0.00 – $119.00 | 2,994 | 9 |
| Honesdale, PA | $58.63 | $0.00 – $81.42 | 2,994 | 3 |
| Lyndhurst, OH | $64.55 | $54.26 – $111.91 | 2,999 | 8 |
| Cottonwood, AZ | $28.82 | $0.00 – $98.97 | 3,007 | 6 |
| Bryant, AR | $61.74 | $51.32 – $68.80 | 3,008 | 5 |
| Louisville, CO | $100.89 | $97.32 – $228.88 | 3,010 | 6 |
| Sartell, MN | $120.78 | $57.34 – $122.40 | 3,014 | 2 |
| East Brunswick, NJ | $49.44 | $2.98 – $70.68 | 3,021 | 5 |
| Wheaton, IL | $105.97 | $0.00 – $115.39 | 3,027 | 4 |
| Pismo Beach, CA | $57.30 | $57.30 – $57.30 | 3,028 | 1 |
| Macomb, MI | $91.76 | $87.05 – $118.58 | 3,032 | 4 |
| Palatine, IL | $49.10 | $37.42 – $87.97 | 3,033 | 11 |
| Fort Atkinson, WI | $49.87 | $49.87 – $49.87 | 3,039 | 1 |
| Owasso, OK | $75.14 | $56.85 – $77.42 | 3,041 | 4 |
| Colchester, VT | $153.20 | $109.75 – $164.77 | 3,053 | 2 |
| Moncks Corner, SC | $98.32 | $75.96 – $105.41 | 3,053 | 3 |
| Pascagoula, MS | $72.06 | $33.09 – $80.00 | 3,055 | 4 |
| Derby, CT | $75.93 | $34.81 – $89.74 | 3,055 | 3 |
| Piscataway, NJ | $43.37 | $36.02 – $103.12 | 3,062 | 6 |
| Overland Park, KS | $72.57 | $40.84 – $104.86 | 3,063 | 6 |
| Streamwood, IL | $59.22 | $44.72 – $78.24 | 3,081 | 6 |
| Hebron, OH | $57.45 | $47.09 – $64.24 | 3,091 | 3 |
| Brownsville, TX | $48.86 | $7.50 – $286.16 | 3,092 | 11 |
| Monterey Park, CA | $106.89 | $34.94 – $230.87 | 3,098 | 13 |
| Woodstock, VA | $59.30 | $59.30 – $59.30 | 3,101 | 1 |
| Boynton Beach, FL | $32.24 | $1.93 – $57.40 | 3,103 | 8 |
| La, CA | $102.32 | $86.42 – $109.45 | 3,104 | 4 |
| Sunny Isles Beach, FL | $161.56 | $161.56 – $161.56 | 3,106 | 1 |
| Hillsboro, OH | $57.58 | $57.48 – $60.57 | 3,107 | 3 |
| Sherwood, AR | $63.25 | $63.25 – $63.25 | 3,108 | 1 |
| Newport, AR | $80.32 | $65.93 – $81.41 | 3,109 | 3 |
| Prosper, TX | $52.82 | $33.03 – $57.02 | 3,113 | 2 |
| Eustis, FL | $16.44 | $8.56 – $26.83 | 3,114 | 2 |
| Salida, CO | $96.31 | $0.00 – $99.10 | 3,116 | 3 |
| Vivian, LA | $60.64 | $60.64 – $60.64 | 3,117 | 1 |
| Cornelius, OR | $107.27 | $0.00 – $140.43 | 3,121 | 3 |
| Salina, KS | $81.98 | $46.54 – $147.41 | 3,127 | 6 |
| Kirtland, NM | $93.62 | $66.55 – $97.67 | 3,129 | 5 |
| Cidra, PR | $34.72 | $24.13 – $55.95 | 3,132 | 7 |
| Highlands Ranch, CO | $202.81 | $0.00 – $240.38 | 3,140 | 5 |
| Orange City, FL | $38.21 | $34.71 – $46.42 | 3,142 | 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.