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 |
|---|---|---|---|---|
| Collierville, TN | $57.77 | $55.53 – $78.77 | 7,078 | 5 |
| Waco, TX | $44.98 | $4.29 – $60.32 | 7,084 | 9 |
| Cleveland, TN | $158.35 | $35.82 – $190.49 | 7,086 | 8 |
| Mount Morris, MI | $58.76 | $45.00 – $89.99 | 7,099 | 2 |
| Port Jefferson Station, NY | $101.35 | $40.98 – $106.11 | 7,104 | 5 |
| Yuma, AZ | $44.25 | $0.00 – $100.27 | 7,108 | 11 |
| Canoga Park, CA | $70.46 | $0.00 – $119.00 | 7,134 | 10 |
| Shelby, MI | $85.12 | $85.12 – $85.12 | 7,140 | 1 |
| Kuna, ID | $103.85 | $10.75 – $109.83 | 7,143 | 6 |
| Shawnee, OK | $122.68 | $86.11 – $126.48 | 7,151 | 5 |
| Columbia, MO | $114.99 | $53.05 – $245.64 | 7,178 | 19 |
| Horseheads, NY | $120.33 | $120.33 – $120.33 | 7,183 | 1 |
| Olathe, KS | $77.62 | $5.91 – $90.26 | 7,195 | 7 |
| Blue Island, IL | $69.05 | $0.00 – $84.64 | 7,196 | 6 |
| Newport Beach, CA | $60.63 | $55.41 – $102.32 | 7,205 | 7 |
| Roxbury Crossing, MA | $47.46 | $46.96 – $77.85 | 7,212 | 2 |
| Everett, MA | $116.14 | $71.93 – $141.61 | 7,219 | 9 |
| Atlanta, MI | $84.18 | $84.18 – $84.18 | 7,220 | 1 |
| Marion, VA | $60.41 | $38.38 – $213.76 | 7,231 | 5 |
| Shiprock, NM | $140.71 | $12.26 – $156.12 | 7,231 | 4 |
| Dededo, GU | $146.38 | $142.15 – $165.39 | 7,249 | 3 |
| Ft Myers, FL | $219.32 | $219.32 – $219.32 | 7,269 | 1 |
| Lexington, SC | $119.75 | $77.07 – $277.17 | 7,272 | 7 |
| Sugar Land, TX | $133.99 | $11.47 – $272.32 | 7,278 | 12 |
| Mayfield Hts, OH | $54.86 | $51.20 – $61.83 | 7,299 | 5 |
| Villa Park, IL | $92.98 | $77.20 – $98.41 | 7,304 | 7 |
| Golden Valley, MN | $167.32 | $167.32 – $167.32 | 7,312 | 1 |
| Golden, CO | $97.24 | $95.48 – $111.52 | 7,322 | 3 |
| Yorba Linda, CA | $109.45 | $56.76 – $119.00 | 7,333 | 6 |
| Niles, MI | $90.49 | $62.80 – $159.09 | 7,338 | 4 |
| Covina, CA | $57.98 | $47.50 – $119.00 | 7,342 | 8 |
| Sunnyside, NY | $63.21 | $63.21 – $63.21 | 7,370 | 1 |
| Sleepy Hollow, NY | $49.99 | $29.16 – $210.53 | 7,384 | 4 |
| Duarte, CA | $57.40 | $54.34 – $113.78 | 7,387 | 3 |
| Petersburg, VA | $118.38 | $0.00 – $131.44 | 7,389 | 5 |
| Nampa, ID | $67.75 | $21.63 – $215.09 | 7,398 | 15 |
| East Bernstadt, KY | $59.51 | $59.51 – $59.51 | 7,406 | 1 |
| Lincolnton, NC | $64.07 | $43.18 – $103.50 | 7,410 | 6 |
| Meriden, CT | $59.28 | $0.00 – $112.47 | 7,417 | 5 |
| Woodhaven, MI | $63.16 | $38.80 – $158.12 | 7,434 | 7 |
| Mcminnville, OR | $1.02 | $0.00 – $80.85 | 7,437 | 5 |
| Falmouth, ME | $95.18 | $91.00 – $95.49 | 7,439 | 3 |
| Ontario, CA | $88.61 | $54.38 – $119.00 | 7,439 | 26 |
| Blackwell, OK | $85.25 | $82.47 – $119.17 | 7,492 | 3 |
| Mashpee, MA | $47.18 | $45.08 – $70.09 | 7,493 | 2 |
| Harleysville, PA | $195.47 | $195.47 – $195.47 | 7,504 | 1 |
| Glenwood Springs, CO | $97.70 | $87.22 – $154.78 | 7,505 | 9 |
| Mt Pleasant, WI | $189.88 | $67.38 – $222.23 | 7,511 | 2 |
| Skokie, IL | $65.85 | $34.85 – $96.96 | 7,524 | 11 |
| Brookpark, OH | $71.06 | $71.06 – $71.06 | 7,535 | 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.