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 |
|---|---|---|---|---|
| Clinton, NC | $70.57 | $61.37 – $86.13 | 4,484 | 4 |
| Midfield, AL | $50.46 | $33.56 – $65.76 | 4,484 | 7 |
| Potsdam, NY | $158.92 | $158.92 – $158.92 | 4,514 | 1 |
| Montebello, CA | $87.61 | $56.27 – $231.00 | 4,518 | 13 |
| Parkersburg, WV | $120.81 | $73.58 – $130.12 | 4,522 | 7 |
| Bermuda Run, NC | $127.88 | $127.88 – $127.88 | 4,523 | 1 |
| Simpsonville, SC | $131.41 | $57.60 – $274.85 | 4,524 | 11 |
| Hudson, OH | $66.39 | $65.80 – $79.44 | 4,526 | 2 |
| Gilbertsville, PA | $49.03 | $49.03 – $49.03 | 4,530 | 1 |
| Morton, PA | $113.49 | $113.49 – $113.49 | 4,532 | 1 |
| Braselton, GA | $231.66 | $231.66 – $231.66 | 4,533 | 1 |
| Ansonia, CT | $101.77 | $72.96 – $102.01 | 4,538 | 2 |
| Mukilteo, WA | $53.75 | $50.40 – $55.33 | 4,539 | 3 |
| Woodinville, WA | $122.70 | $56.35 – $127.58 | 4,540 | 2 |
| Oceana, WV | $66.79 | $31.82 – $88.00 | 4,544 | 4 |
| Gurnee, IL | $113.64 | $60.16 – $261.83 | 4,554 | 5 |
| Moultonboro, NH | $62.62 | $62.62 – $62.62 | 4,557 | 1 |
| Macedonia, OH | $66.13 | $4.81 – $68.42 | 4,559 | 4 |
| Philmont, NY | $60.04 | $60.04 – $60.04 | 4,564 | 1 |
| Williamsburg, KY | $49.07 | $33.86 – $57.11 | 4,568 | 6 |
| Oak Park, IL | $58.27 | $1.07 – $96.39 | 4,573 | 11 |
| Palm Springs, CA | $93.88 | $57.40 – $117.08 | 4,581 | 4 |
| Clarksburg, WV | $56.14 | $50.31 – $58.06 | 4,589 | 4 |
| Muncie, IN | $166.65 | $40.56 – $216.06 | 4,591 | 8 |
| Cushing, OK | $101.22 | $85.04 – $130.91 | 4,593 | 3 |
| Waukee, IA | $48.45 | $5.81 – $52.96 | 4,598 | 4 |
| Lorain, OH | $51.41 | $26.05 – $92.62 | 4,603 | 6 |
| Placerville, CA | $86.23 | $72.25 – $107.46 | 4,603 | 4 |
| Morganton, NC | $94.47 | $60.29 – $106.84 | 4,606 | 5 |
| Chambersburg, PA | $49.08 | $0.00 – $78.75 | 4,606 | 8 |
| Dundalk, MD | $114.85 | $111.38 – $117.29 | 4,614 | 3 |
| Joplin, MO | $87.03 | $37.27 – $179.59 | 4,615 | 13 |
| Camden, AR | $90.06 | $55.07 – $112.38 | 4,615 | 5 |
| Mayfield Village, OH | $111.83 | $111.83 – $111.83 | 4,622 | 1 |
| Huntsville, TX | $55.80 | $34.17 – $63.09 | 4,626 | 4 |
| La Habra, CA | $57.61 | $0.00 – $104.86 | 4,627 | 7 |
| Pasadena, TX | $253.33 | $50.72 – $264.65 | 4,634 | 3 |
| Houma, LA | $61.63 | $0.17 – $185.06 | 4,635 | 14 |
| Milford, CT | $92.22 | $66.57 – $107.68 | 4,642 | 6 |
| Vandalia, IL | $63.41 | $54.06 – $73.34 | 4,644 | 4 |
| Euless, TX | $71.39 | $55.20 – $119.32 | 4,647 | 4 |
| Cadillac, MI | $183.67 | $93.00 – $184.85 | 4,652 | 2 |
| Fayetteville, WV | $72.48 | $72.47 – $74.92 | 4,652 | 2 |
| San Jacinto, CA | $93.36 | $57.40 – $118.33 | 4,661 | 5 |
| Poughkeepsie, NY | $66.09 | $47.89 – $152.22 | 4,664 | 7 |
| Palm Harbor, FL | $46.25 | $10.51 – $50.38 | 4,664 | 7 |
| Fairlawn, OH | $65.50 | $42.67 – $101.21 | 4,666 | 8 |
| Forest, MS | $96.38 | $37.87 – $426.29 | 4,679 | 6 |
| South Abington Township, PA | $93.47 | $73.93 – $105.28 | 4,679 | 2 |
| Aiken, SC | $91.39 | $50.25 – $109.89 | 4,681 | 5 |
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.