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 |
|---|---|---|---|---|
| Cypress, CA | $73.14 | $55.97 – $119.00 | 4,226 | 7 |
| Madison, AL | $101.91 | $33.37 – $250.73 | 4,228 | 7 |
| New Boston, TX | $59.24 | $58.69 – $59.45 | 4,241 | 2 |
| Newberry, SC | $150.98 | $122.30 – $155.28 | 4,244 | 2 |
| Oconomowoc, WI | $56.83 | $24.51 – $57.21 | 4,247 | 3 |
| Bethel, OH | $61.92 | $61.92 – $61.92 | 4,250 | 1 |
| Wright Patterson Afb, OH | $62.94 | $49.95 – $87.46 | 4,258 | 3 |
| Baytown, TX | $270.77 | $11.47 – $277.23 | 4,263 | 5 |
| Wayland, MA | $94.14 | $94.14 – $94.14 | 4,279 | 1 |
| Apple Valley, MN | $169.24 | $65.25 – $170.54 | 4,279 | 3 |
| Mt Washington, KY | $45.60 | $45.56 – $49.20 | 4,281 | 2 |
| Redmond, OR | $35.98 | $0.00 – $95.46 | 4,283 | 9 |
| Phelan, CA | $61.27 | $59.31 – $115.78 | 4,283 | 2 |
| Northbrook, IL | $43.37 | $0.00 – $63.35 | 4,284 | 3 |
| West Valley City, UT | $47.13 | $23.81 – $64.98 | 4,294 | 6 |
| Trinity, FL | $8.24 | $8.24 – $8.24 | 4,306 | 1 |
| Laurens, SC | $113.75 | $88.34 – $114.92 | 4,306 | 2 |
| Boone, NC | $79.83 | $60.31 – $124.45 | 4,310 | 8 |
| Lake Mary, FL | $182.60 | $182.60 – $182.60 | 4,312 | 1 |
| Jackson, OH | $36.03 | $0.00 – $62.40 | 4,313 | 3 |
| Peyton, CO | $134.37 | $134.37 – $134.37 | 4,314 | 1 |
| Conroe, TX | $56.52 | $42.50 – $71.64 | 4,329 | 5 |
| Soddy Daisy, TN | $59.96 | $59.28 – $60.01 | 4,339 | 2 |
| Sparks, NV | $73.68 | $36.07 – $159.17 | 4,344 | 4 |
| Bismarck, ND | $77.98 | $0.00 – $160.87 | 4,347 | 9 |
| Port Angeles, WA | $34.97 | $0.00 – $53.23 | 4,359 | 6 |
| Cynthiana, KY | $42.76 | $42.76 – $42.76 | 4,369 | 1 |
| Athens, AL | $53.76 | $47.38 – $59.38 | 4,375 | 6 |
| Starkville, MS | $95.22 | $27.17 – $334.42 | 4,387 | 6 |
| Greenville, MI | $83.65 | $83.65 – $83.65 | 4,387 | 1 |
| Natchez, MS | $78.35 | $13.46 – $93.79 | 4,390 | 5 |
| Middletown, CT | $76.35 | $0.00 – $128.38 | 4,400 | 6 |
| Roseville, MI | $122.04 | $33.43 – $265.90 | 4,400 | 9 |
| Arlington Heights, IL | $112.22 | $43.13 – $296.10 | 4,403 | 12 |
| Cheraw, SC | $96.03 | $55.81 – $96.86 | 4,404 | 3 |
| Mount Vernon, KY | $41.94 | $36.20 – $45.84 | 4,406 | 2 |
| San Clemente, CA | $58.58 | $56.62 – $109.02 | 4,408 | 3 |
| Newnan, GA | $81.69 | $33.23 – $221.70 | 4,409 | 5 |
| Raeford, NC | $64.16 | $57.52 – $64.49 | 4,411 | 3 |
| Lagrange, KY | $74.65 | $74.65 – $74.65 | 4,416 | 1 |
| Spring, TX | $155.19 | $11.16 – $274.57 | 4,417 | 10 |
| Conover, NC | $50.88 | $49.19 – $108.36 | 4,425 | 3 |
| Tumwater, WA | $79.99 | $35.47 – $113.52 | 4,432 | 3 |
| Bel Air, MD | $51.16 | $0.00 – $110.87 | 4,442 | 5 |
| Sheffield, AL | $99.92 | $65.31 – $186.04 | 4,449 | 4 |
| New Bern, NC | $94.70 | $57.87 – $117.23 | 4,458 | 5 |
| Concord, NH | $105.32 | $68.29 – $131.06 | 4,469 | 8 |
| Plymouth, MA | $56.10 | $43.47 – $141.90 | 4,474 | 3 |
| Deland, FL | $96.78 | $27.03 – $140.47 | 4,474 | 2 |
| New Albany, IN | $135.91 | $0.00 – $148.63 | 4,476 | 6 |
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.