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 |
|---|---|---|---|---|
| Plymouth Meeting, PA | $40.79 | $40.79 – $40.79 | 36 | 1 |
| Carrolltown, PA | $59.81 | $59.81 – $59.81 | 36 | 1 |
| Hinsdale, IL | $47.81 | $47.81 – $47.81 | 36 | 1 |
| Jamestown, NC | $105.26 | $105.26 – $105.26 | 36 | 1 |
| Fremont, MI | $62.62 | $62.62 – $62.62 | 36 | 1 |
| Batesburg, SC | $88.52 | $88.52 – $88.52 | 36 | 1 |
| Morton, MS | $82.91 | $82.91 – $82.91 | 36 | 1 |
| Arcola, IL | $39.12 | $39.12 – $39.12 | 36 | 1 |
| Lady Lake, FL | $31.21 | $31.21 – $31.21 | 37 | 1 |
| Cabot, PA | $110.59 | $110.59 – $110.59 | 37 | 1 |
| Texas City, TX | $40.74 | $40.74 – $40.74 | 37 | 1 |
| East Point, GA | $53.94 | $0.00 – $105.04 | 37 | 2 |
| Acoma, NM | $65.47 | $65.47 – $65.47 | 37 | 1 |
| Bay Harbor Islands, FL | $0.00 | $0.00 – $0.00 | 37 | 1 |
| Leoti, KS | $133.57 | $133.57 – $133.57 | 37 | 1 |
| Fort Yates, ND | $0.00 | $0.00 – $0.00 | 37 | 1 |
| Harriet, AR | $72.20 | $72.20 – $72.20 | 37 | 1 |
| Byhalia, MS | $37.23 | $0.00 – $56.59 | 38 | 2 |
| Evans, CO | $4.63 | $0.00 – $11.00 | 38 | 2 |
| Gentry, AR | $72.09 | $72.09 – $72.09 | 38 | 1 |
| Pen Argyl, PA | $65.00 | $65.00 – $65.00 | 38 | 1 |
| Enumclaw, WA | $56.13 | $56.13 – $56.13 | 38 | 1 |
| Keller, TX | $44.63 | $33.72 – $55.55 | 38 | 2 |
| Dalton, MA | $139.00 | $139.00 – $139.00 | 38 | 1 |
| Bozrah, CT | $95.60 | $87.73 – $101.97 | 38 | 2 |
| Edgefield, SC | $89.87 | $89.87 – $89.87 | 38 | 1 |
| Loxley, AL | $56.91 | $56.91 – $56.91 | 38 | 1 |
| Bella Vista, AR | $80.16 | $80.16 – $80.16 | 38 | 1 |
| Alturas, CA | $119.00 | $119.00 – $119.00 | 38 | 1 |
| Taft, TX | $168.81 | $168.81 – $168.81 | 38 | 1 |
| Montogomery Village, MD | $125.15 | $125.15 – $125.15 | 38 | 1 |
| Warrenton, NC | $98.34 | $98.34 – $98.34 | 39 | 1 |
| Lynnfield, MA | $149.77 | $149.77 – $149.77 | 39 | 1 |
| Ord, NE | $41.13 | $41.13 – $41.13 | 39 | 1 |
| Montgomery, IL | $46.14 | $46.14 – $46.14 | 39 | 1 |
| Alvaton, KY | $0.00 | $0.00 – $0.00 | 39 | 1 |
| Maunabo, PR | $30.62 | $30.62 – $30.62 | 39 | 1 |
| Santa Ynez, CA | $0.00 | $0.00 – $0.00 | 39 | 1 |
| Norwich, VT | $97.58 | $97.58 – $97.58 | 39 | 1 |
| Jacksonville, IL | $48.51 | $48.51 – $48.51 | 40 | 1 |
| West Islip, NY | $61.17 | $61.17 – $61.17 | 40 | 1 |
| Oakland, ME | $82.85 | $82.85 – $82.85 | 40 | 1 |
| Mendota, IL | $0.00 | $0.00 – $0.00 | 40 | 1 |
| Washington, IN | $101.35 | $101.35 – $101.35 | 40 | 1 |
| Blasdell, NY | $100.31 | $100.31 – $100.31 | 40 | 1 |
| Gulport, MS | $72.55 | $72.55 – $72.55 | 40 | 1 |
| Elkview, WV | $72.60 | $72.60 – $72.60 | 40 | 1 |
| Basking Ridge, NJ | $24.88 | $24.88 – $24.88 | 41 | 1 |
| Live Oak, TX | $49.88 | $49.88 – $49.88 | 41 | 1 |
| Southbury, CT | $109.40 | $109.40 – $109.40 | 41 | 1 |
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.