Skip to content
Based on public Medicaid payment data.

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 β€” 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
Jacksboro, TN $67.26 $56.35 – $69.94 8,150 2
Martinsville, VA $47.50 $0.00 – $53.73 8,166 5
Cathedral City, CA $60.20 $52.63 – $119.00 8,170 7
Beaumont, TX $109.96 $40.73 – $165.24 8,176 6
Morristown, NJ $26.77 $21.61 – $52.71 8,180 4
Ventura, CA $90.10 $40.79 – $119.00 8,192 14
Candler, NC $82.94 $82.94 – $82.94 8,214 1
Huntington Beach, CA $61.94 $10.26 – $189.00 8,222 19
Minot, ND $112.02 $67.65 – $150.33 8,234 7
Riverton, UT $131.52 $38.29 – $209.61 8,252 5
Newton, MA $155.00 $72.57 – $170.62 8,259 4
Enid, OK $121.27 $49.32 – $183.50 8,280 4
Hastings, NE $143.25 $72.45 – $182.73 8,286 4
Rice Lake, WI $50.01 $30.05 – $160.59 8,313 7
Hermitage, TN $105.19 $54.48 – $188.57 8,324 8
Greenwood, MS $135.76 $45.17 – $140.45 8,325 3
Quincy, IL $27.55 $0.00 – $158.35 8,339 11
Chicopee, MA $91.31 $37.44 – $128.35 8,344 8
Brentwood, CA $59.46 $34.93 – $98.21 8,346 6
Waterford, MI $91.54 $51.24 – $107.70 8,354 6
Circleville, OH $62.22 $52.99 – $113.36 8,356 6
Hoover, AL $77.38 $37.92 – $231.31 8,359 10
American Canyon, CA $129.21 $129.21 – $129.21 8,363 1
South Bend, IN $190.20 $44.98 – $239.78 8,371 14
Gig Harbor, WA $116.98 $27.68 – $180.32 8,371 7
Huber Heights, OH $63.37 $25.11 – $118.82 8,397 5
Lone Tree, CO $153.14 $94.11 – $163.69 8,397 5
Tryon, NC $73.42 $73.42 – $73.42 8,425 1
Brentwood, TN $58.17 $53.70 – $62.19 8,430 4
Canon City, CO $97.41 $18.27 – $98.78 8,434 4
North Hills, CA $91.37 $57.33 – $117.91 8,436 4
Canton Township, MI $49.51 $49.51 – $49.51 8,441 1
Jasper, AL $52.70 $51.45 – $59.86 8,446 4
Alton, IL $89.40 $57.76 – $112.86 8,446 5
Columbia, TN $97.38 $48.18 – $226.97 8,457 8
Pittsburg, KS $72.38 $68.04 – $114.40 8,489 4
San Luis Obispo, CA $70.50 $56.90 – $98.92 8,523 6
Indio, CA $77.40 $54.53 – $119.00 8,536 12
Montclair, CA $68.90 $55.84 – $119.00 8,578 9
Annandale, VA $188.56 $58.00 – $247.00 8,579 6
Milton, WI $101.29 $101.29 – $101.29 8,597 1
Ashland, KY $67.85 $45.13 – $210.67 8,606 6
Schaumburg, IL $69.39 $45.64 – $155.79 8,609 15
Boardman, OH $84.45 $45.74 – $104.83 8,611 8
Aguadilla, PR $89.79 $22.50 – $158.10 8,612 6
Madera, CA $64.47 $48.90 – $119.00 8,650 11
Fresh Meadows, NY $156.57 $44.63 – $217.27 8,654 5
Temecula, CA $69.81 $21.00 – $119.00 8,659 11
Zephyrhills, FL $36.38 $10.88 – $56.26 8,665 5
Owensboro, KY $49.93 $36.05 – $198.87 8,668 10

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.