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 |
|---|---|---|---|---|
| Ruidoso, NM | $77.64 | $68.38 – $80.27 | 3,336 | 2 |
| Medina, OH | $66.19 | $29.26 – $96.34 | 3,346 | 8 |
| Foley, AL | $104.89 | $52.53 – $165.40 | 3,352 | 4 |
| Alexandria, MN | $140.25 | $42.56 – $217.41 | 3,353 | 4 |
| Anacortes, WA | $53.76 | $1.05 – $59.14 | 3,363 | 3 |
| Pacoima, CA | $65.49 | $56.01 – $119.00 | 3,364 | 5 |
| Thompsons Station, TN | $54.88 | $54.88 – $54.88 | 3,364 | 1 |
| Logan, OH | $113.94 | $113.94 – $113.94 | 3,365 | 1 |
| North Canton, OH | $61.03 | $61.03 – $61.03 | 3,365 | 1 |
| Cleveland, MS | $104.76 | $29.50 – $285.30 | 3,371 | 7 |
| Mankato, MN | $316.10 | $13.85 – $954.02 | 3,375 | 8 |
| Youngsville, LA | $71.89 | $71.89 – $71.89 | 3,378 | 1 |
| Austintown, OH | $62.22 | $49.08 – $62.82 | 3,379 | 3 |
| Mt Prospect, IL | $101.74 | $101.74 – $101.74 | 3,383 | 1 |
| Orange Cove, CA | $81.57 | $81.57 – $81.57 | 3,386 | 1 |
| Melvindale, MI | $80.55 | $80.55 – $80.55 | 3,387 | 1 |
| Wautoma, WI | $7.04 | $0.00 – $8.71 | 3,391 | 4 |
| Council Bluffs, IA | $91.97 | $3.43 – $208.55 | 3,394 | 11 |
| New Carlisle, OH | $59.32 | $19.36 – $63.44 | 3,401 | 3 |
| Saint Joseph, MO | $73.34 | $41.26 – $127.82 | 3,402 | 9 |
| Garrett, KY | $50.11 | $50.11 – $50.11 | 3,403 | 1 |
| Bradford, PA | $12.43 | $0.00 – $13.91 | 3,405 | 2 |
| Attleboro Falls, MA | $99.60 | $89.72 – $128.65 | 3,407 | 2 |
| Chesterfield, VA | $60.96 | $32.58 – $67.33 | 3,410 | 2 |
| Russell Springs, KY | $41.55 | $41.55 – $41.55 | 3,413 | 1 |
| Cranberry Twp, PA | $50.28 | $50.28 – $50.28 | 3,414 | 1 |
| Amherst, NY | $71.92 | $48.62 – $101.15 | 3,417 | 8 |
| Espanola, NM | $83.05 | $67.84 – $100.67 | 3,426 | 5 |
| Tamarac, FL | $62.09 | $19.64 – $99.09 | 3,430 | 4 |
| Raynham, MA | $81.40 | $0.00 – $101.84 | 3,431 | 4 |
| Walnut, CA | $73.35 | $55.61 – $119.00 | 3,447 | 6 |
| Shepherdsville, KY | $60.17 | $20.83 – $63.46 | 3,452 | 3 |
| Bridgeport, WV | $112.85 | $72.20 – $129.33 | 3,455 | 4 |
| Seaman, OH | $34.05 | $0.00 – $36.22 | 3,462 | 2 |
| Hagerstown, MD | $91.45 | $0.00 – $211.81 | 3,468 | 8 |
| Fleming Island, FL | $24.42 | $11.10 – $48.82 | 3,473 | 2 |
| Montevideo, MN | $167.37 | $167.37 – $167.37 | 3,475 | 1 |
| Erie, CO | $267.80 | $267.80 – $267.80 | 3,476 | 1 |
| Newberg, OR | $35.56 | $0.00 – $98.82 | 3,489 | 7 |
| St Charles, IL | $86.67 | $78.65 – $91.78 | 3,499 | 2 |
| Matthews, NC | $66.83 | $49.85 – $108.74 | 3,500 | 8 |
| Odenton, MD | $187.27 | $105.24 – $190.08 | 3,500 | 2 |
| Mount Vernon, WA | $46.36 | $41.85 – $57.17 | 3,503 | 5 |
| Easton, MD | $238.95 | $102.66 – $241.88 | 3,510 | 3 |
| Thousand Oaks, CA | $100.98 | $19.59 – $119.00 | 3,517 | 6 |
| Antioch, TN | $36.07 | $2.25 – $70.50 | 3,518 | 5 |
| Cordova, TN | $84.31 | $56.67 – $116.13 | 3,519 | 4 |
| Greenfield, WI | $79.82 | $37.31 – $98.72 | 3,522 | 3 |
| Tempe, AZ | $27.36 | $2.02 – $98.33 | 3,531 | 7 |
| Greenbelt, MD | $135.06 | $106.09 – $263.85 | 3,532 | 4 |
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.