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 |
|---|---|---|---|---|
| Azusa, CA | $77.92 | $62.34 – $119.00 | 4,001 | 4 |
| Bridgeton, NJ | $17.97 | $16.33 – $30.00 | 4,005 | 3 |
| Doylestown, PA | $121.63 | $38.61 – $153.04 | 4,007 | 5 |
| Okmulgee, OK | $114.18 | $69.86 – $129.84 | 4,007 | 3 |
| Union City, CA | $57.84 | $55.25 – $113.75 | 4,030 | 5 |
| Berea, KY | $49.23 | $44.60 – $75.16 | 4,039 | 4 |
| Sandy, UT | $84.74 | $16.33 – $202.61 | 4,041 | 7 |
| Farmersville, CA | $114.82 | $114.82 – $114.82 | 4,051 | 1 |
| Lexington, VA | $47.68 | $41.03 – $87.97 | 4,052 | 5 |
| Oak Park, MI | $70.66 | $39.95 – $121.76 | 4,058 | 5 |
| Fort Dodge, IA | $43.80 | $0.01 – $170.15 | 4,063 | 7 |
| Manalapan, NJ | $37.93 | $28.18 – $90.02 | 4,074 | 5 |
| West Columbia, SC | $130.94 | $66.60 – $264.76 | 4,075 | 6 |
| Hixson, TN | $81.16 | $59.93 – $99.96 | 4,076 | 5 |
| Montclair, NJ | $27.43 | $19.70 – $63.60 | 4,077 | 7 |
| Gwinn, MI | $92.16 | $92.16 – $92.16 | 4,078 | 1 |
| Paris, KY | $58.95 | $35.24 – $131.42 | 4,081 | 9 |
| Carson, CA | $62.40 | $56.88 – $134.79 | 4,084 | 10 |
| University Place, WA | $46.42 | $30.49 – $57.44 | 4,084 | 5 |
| Virginia, IL | $7.36 | $4.14 – $117.38 | 4,084 | 2 |
| Mayfield, KY | $42.87 | $42.87 – $42.87 | 4,092 | 1 |
| Minnie, KY | $54.73 | $54.20 – $55.42 | 4,098 | 2 |
| Saipan, MP | $54.91 | $0.00 – $55.14 | 4,100 | 2 |
| Brighton, CO | $95.83 | $20.57 – $174.54 | 4,103 | 10 |
| Greenville, MS | $68.90 | $29.87 – $73.55 | 4,113 | 6 |
| Moca, PR | $43.94 | $18.62 – $48.57 | 4,113 | 6 |
| Lincroft, NJ | $99.74 | $99.74 – $99.74 | 4,126 | 1 |
| Buckhannon, WV | $107.24 | $60.22 – $109.60 | 4,134 | 3 |
| Simi Valley, CA | $68.35 | $41.80 – $114.94 | 4,143 | 3 |
| Burton, MI | $95.42 | $95.42 – $95.42 | 4,146 | 1 |
| Hermitage, PA | $76.17 | $46.75 – $88.85 | 4,152 | 4 |
| Springvale, ME | $1.30 | $1.30 – $1.30 | 4,171 | 1 |
| South Burlington, VT | $106.39 | $55.53 – $111.09 | 4,174 | 5 |
| Southington, CT | $94.82 | $66.78 – $106.06 | 4,174 | 3 |
| Lake Forest, CA | $74.18 | $10.78 – $118.51 | 4,177 | 10 |
| Coral Springs, FL | $50.47 | $35.29 – $81.74 | 4,179 | 12 |
| Orange, CT | $65.29 | $56.86 – $65.52 | 4,180 | 2 |
| Lakeview, OR | $5.23 | $5.23 – $5.23 | 4,182 | 1 |
| Anderson, IN | $94.34 | $55.38 – $229.95 | 4,183 | 9 |
| Baltimore, OH | $65.67 | $65.67 – $65.67 | 4,192 | 1 |
| Rochester Hills, MI | $75.06 | $13.67 – $202.47 | 4,192 | 5 |
| Ironwood, MI | $59.85 | $55.41 – $86.37 | 4,195 | 2 |
| Evanston, IL | $56.39 | $0.00 – $141.67 | 4,196 | 10 |
| Mchenry, IL | $87.64 | $57.15 – $88.81 | 4,202 | 4 |
| Bowling Green, OH | $109.70 | $93.26 – $113.18 | 4,204 | 3 |
| Christopher, IL | $4.90 | $0.00 – $54.71 | 4,205 | 2 |
| Nashua, NH | $114.60 | $64.53 – $144.51 | 4,207 | 11 |
| Suwanee, GA | $37.79 | $19.12 – $69.03 | 4,212 | 5 |
| Elkhorn City, KY | $53.14 | $52.29 – $64.31 | 4,218 | 2 |
| Buffalo Grove, IL | $58.57 | $46.74 – $87.04 | 4,221 | 7 |
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.