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 |
|---|---|---|---|---|
| Palm Beach Gardens, FL | $55.92 | $16.65 – $236.44 | 4,988 | 6 |
| Hilton Head Island, SC | $101.55 | $81.12 – $310.88 | 4,994 | 2 |
| Woodbridge, NJ | $43.90 | $11.72 – $57.88 | 5,003 | 3 |
| Cerritos, CA | $56.66 | $51.00 – $57.40 | 5,005 | 8 |
| Yonkers, NY | $53.72 | $30.68 – $65.67 | 5,016 | 11 |
| Mt Lebanon, PA | $79.58 | $79.58 – $79.58 | 5,024 | 1 |
| Westlake, TX | $128.18 | $128.18 – $128.18 | 5,024 | 1 |
| Irondale, AL | $57.77 | $54.62 – $59.53 | 5,037 | 2 |
| Balch Springs, TX | $69.22 | $38.44 – $69.31 | 5,049 | 2 |
| Garden City, KS | $71.69 | $64.56 – $143.47 | 5,075 | 4 |
| Stroud, OK | $107.76 | $107.66 – $124.28 | 5,091 | 2 |
| Mountain View, CA | $151.47 | $57.40 – $158.55 | 5,111 | 3 |
| Clinton, TN | $171.73 | $62.43 – $196.36 | 5,116 | 2 |
| Conway, SC | $120.54 | $0.00 – $144.00 | 5,121 | 5 |
| East Boston, MA | $114.42 | $70.04 – $149.73 | 5,121 | 8 |
| Rancho Mirage, CA | $103.64 | $57.26 – $119.00 | 5,135 | 6 |
| Rhinelander, WI | $32.50 | $0.00 – $39.00 | 5,144 | 7 |
| Renton, WA | $58.68 | $31.23 – $79.43 | 5,146 | 10 |
| El Cerrito, CA | $87.30 | $56.89 – $110.77 | 5,146 | 2 |
| Rainsville, AL | $54.47 | $54.47 – $54.47 | 5,149 | 1 |
| Lake Isabella, CA | $57.41 | $57.41 – $57.41 | 5,152 | 1 |
| Cupertino, CA | $127.10 | $53.47 – $165.91 | 5,154 | 6 |
| Topeka, KS | $82.68 | $51.07 – $95.40 | 5,157 | 10 |
| Mount Orab, OH | $27.71 | $0.00 – $28.27 | 5,165 | 2 |
| Brainerd, MN | $169.57 | $81.88 – $267.16 | 5,168 | 4 |
| Stevensville, MD | $107.56 | $102.02 – $107.72 | 5,172 | 2 |
| Fruitland, ID | $65.38 | $18.34 – $124.78 | 5,173 | 2 |
| Old Bridge, NJ | $56.86 | $19.00 – $70.22 | 5,173 | 8 |
| Antlers, OK | $61.63 | $55.68 – $61.68 | 5,186 | 3 |
| Ashland, MS | $68.14 | $68.09 – $82.16 | 5,192 | 2 |
| Slippery Rock, PA | $59.89 | $49.73 – $80.44 | 5,198 | 3 |
| Southbridge, MA | $80.52 | $80.23 – $88.19 | 5,199 | 2 |
| Shelby, NC | $66.57 | $0.00 – $76.35 | 5,211 | 10 |
| Franklin, LA | $1.43 | $0.27 – $3.70 | 5,219 | 3 |
| Homer, LA | $81.19 | $81.19 – $81.19 | 5,219 | 1 |
| Thornton, CO | $79.59 | $0.00 – $138.76 | 5,230 | 17 |
| Franklin, TN | $60.18 | $47.55 – $134.53 | 5,232 | 11 |
| Baldwinsville, NY | $72.31 | $72.31 – $72.31 | 5,233 | 1 |
| Baker, LA | $94.79 | $0.00 – $131.76 | 5,245 | 4 |
| Hanover Park, IL | $71.01 | $43.06 – $71.26 | 5,258 | 3 |
| Mountain Home, AR | $68.91 | $67.35 – $85.60 | 5,264 | 3 |
| Three Rivers, MI | $53.71 | $53.71 – $53.71 | 5,266 | 1 |
| Nutter Fort, WV | $73.88 | $59.65 – $85.82 | 5,270 | 3 |
| Roanoke Rapids, NC | $87.15 | $44.90 – $102.80 | 5,277 | 6 |
| Louisville, MS | $64.18 | $56.42 – $65.17 | 5,287 | 2 |
| Bridgeport, MI | $102.73 | $102.73 – $102.73 | 5,295 | 1 |
| Alamogordo, NM | $65.09 | $0.00 – $112.18 | 5,302 | 9 |
| Abingdon, VA | $57.13 | $0.00 – $89.70 | 5,303 | 12 |
| Harlan, KY | $67.64 | $37.26 – $147.43 | 5,310 | 3 |
| Toppenish, WA | $77.60 | $32.14 – $141.39 | 5,319 | 8 |
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.