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 |
|---|---|---|---|---|
| East Meadow, NY | $50.72 | $10.93 – $72.35 | 4,687 | 4 |
| Clinton, LA | $10.24 | $0.00 – $77.63 | 4,697 | 5 |
| Nevada City, CA | $57.16 | $57.16 – $57.16 | 4,710 | 1 |
| North Wilkesboro, NC | $60.01 | $0.00 – $71.97 | 4,713 | 10 |
| Ft Myer, VA | $97.36 | $97.36 – $97.36 | 4,720 | 1 |
| Garden City, MI | $59.21 | $50.06 – $155.70 | 4,721 | 8 |
| Arroyo Grande, CA | $57.18 | $56.89 – $57.25 | 4,722 | 2 |
| Rogers, AR | $139.35 | $44.30 – $252.33 | 4,730 | 11 |
| Fargo, ND | $103.40 | $0.00 – $207.14 | 4,732 | 9 |
| Milford, DE | $174.46 | $174.46 – $174.46 | 4,741 | 1 |
| Morrilton, AR | $85.12 | $72.20 – $85.39 | 4,741 | 3 |
| Morehead City, NC | $70.37 | $65.90 – $71.91 | 4,752 | 2 |
| Greeneville, TN | $66.64 | $58.35 – $66.79 | 4,752 | 2 |
| Joliet, IL | $46.50 | $0.00 – $146.69 | 4,766 | 16 |
| Gaithersburg, MD | $119.46 | $0.00 – $259.27 | 4,767 | 13 |
| Ellicott City, MD | $110.44 | $108.56 – $147.26 | 4,773 | 5 |
| Stratford, CT | $94.04 | $40.27 – $106.39 | 4,773 | 6 |
| Prosser, WA | $105.68 | $51.91 – $106.49 | 4,774 | 2 |
| Sebring, OH | $49.90 | $49.90 – $49.90 | 4,775 | 1 |
| Abbeville, LA | $4.51 | $4.51 – $4.51 | 4,783 | 1 |
| Cape May Court House, NJ | $116.32 | $99.85 – $122.98 | 4,784 | 4 |
| Adjuntas, PR | $42.04 | $41.09 – $64.99 | 4,789 | 3 |
| Sierra Vista, AZ | $23.10 | $0.00 – $39.58 | 4,789 | 4 |
| West Harrison, NY | $94.83 | $94.83 – $94.83 | 4,799 | 1 |
| Burlington, KS | $81.53 | $81.24 – $82.86 | 4,809 | 2 |
| Independence, MO | $59.80 | $33.45 – $114.24 | 4,817 | 10 |
| Trent Woods, NC | $64.59 | $60.29 – $66.58 | 4,817 | 3 |
| Harrisville, MI | $76.13 | $76.13 – $76.13 | 4,822 | 1 |
| Fairfield, CT | $101.09 | $27.15 – $111.68 | 4,824 | 8 |
| Brandon, FL | $44.00 | $0.00 – $166.73 | 4,825 | 14 |
| Mechanicsville, VA | $119.05 | $28.98 – $151.99 | 4,833 | 7 |
| South Federal Way, WA | $67.70 | $67.70 – $67.70 | 4,835 | 1 |
| Munster, IN | $80.24 | $60.96 – $137.15 | 4,838 | 5 |
| Pembroke, NC | $61.63 | $60.00 – $64.63 | 4,852 | 5 |
| Jeffersonville, IN | $136.79 | $35.35 – $151.37 | 4,854 | 5 |
| Decatur, IL | $56.52 | $43.50 – $91.26 | 4,857 | 7 |
| Fort Polk, LA | $211.26 | $178.65 – $303.28 | 4,880 | 3 |
| Arlington, VA | $59.22 | $0.00 – $146.38 | 4,882 | 13 |
| Downers Grove, IL | $71.56 | $41.73 – $92.88 | 4,894 | 9 |
| Richmond, TX | $71.06 | $42.72 – $244.70 | 4,926 | 11 |
| Washington, MO | $62.75 | $42.01 – $77.82 | 4,934 | 2 |
| Monroe, CT | $56.28 | $56.28 – $56.28 | 4,939 | 1 |
| Lombard, IL | $104.53 | $10.10 – $107.82 | 4,940 | 4 |
| Battle Ground, WA | $58.03 | $46.90 – $107.18 | 4,943 | 6 |
| Delaware, OH | $66.38 | $54.31 – $76.52 | 4,950 | 6 |
| Getzville, NY | $59.94 | $45.00 – $85.50 | 4,952 | 3 |
| Lafayette, IN | $113.84 | $62.28 – $200.86 | 4,955 | 11 |
| Fort Walton Beach, FL | $50.41 | $50.41 – $50.41 | 4,959 | 1 |
| Belton, MO | $87.45 | $85.70 – $123.64 | 4,959 | 4 |
| Westland, MI | $86.81 | $60.98 – $130.93 | 4,966 | 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.