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 |
|---|---|---|---|---|
| Manchester, KY | $47.64 | $37.78 – $77.64 | 8,673 | 4 |
| Lincoln Park, MI | $83.66 | $77.17 – $86.32 | 8,716 | 5 |
| St Thomas, VI | $263.99 | $263.99 – $263.99 | 8,720 | 1 |
| Georgetown, SC | $147.44 | $45.04 – $187.61 | 8,724 | 6 |
| Corona Del Mar, CA | $63.03 | $57.16 – $140.82 | 8,728 | 2 |
| Clarkston, WA | $41.76 | $0.00 – $72.12 | 8,729 | 9 |
| Daly City, CA | $59.78 | $0.00 – $114.22 | 8,738 | 7 |
| Grand Blanc, MI | $90.97 | $52.00 – $205.66 | 8,739 | 8 |
| Saint Cloud, MN | $162.23 | $68.01 – $194.99 | 8,753 | 9 |
| Camden, NJ | $37.63 | $23.18 – $81.32 | 8,756 | 13 |
| Searcy, AR | $127.67 | $46.61 – $218.00 | 8,758 | 5 |
| Oak Lawn, IL | $81.36 | $52.42 – $92.19 | 8,763 | 10 |
| Newark, DE | $176.33 | $0.00 – $261.13 | 8,765 | 17 |
| Harrisburg, PA | $106.16 | $0.00 – $271.81 | 8,766 | 24 |
| Chester, VA | $133.01 | $45.81 – $190.11 | 8,793 | 6 |
| Banning, CA | $113.30 | $81.93 – $118.18 | 8,804 | 4 |
| Bridgeport, CT | $64.25 | $0.00 – $367.50 | 8,828 | 20 |
| Glens Falls, NY | $117.93 | $68.04 – $143.61 | 8,842 | 5 |
| Gillespie, IL | $2.83 | $0.15 – $105.88 | 8,858 | 3 |
| Bedford, OH | $171.03 | $63.03 – $175.34 | 8,867 | 2 |
| Mount Dora, FL | $222.18 | $17.29 – $307.85 | 8,885 | 5 |
| North Myrtle Beach, SC | $51.20 | $47.20 – $257.21 | 8,911 | 3 |
| Marlborough, MA | $142.77 | $59.09 – $154.00 | 8,942 | 7 |
| East Hartford, CT | $159.30 | $0.00 – $204.21 | 8,954 | 7 |
| Salisbury, MD | $93.38 | $10.79 – $185.38 | 8,959 | 14 |
| Abilene, TX | $51.89 | $29.08 – $63.43 | 8,964 | 12 |
| Martinsburg, WV | $91.19 | $0.00 – $216.23 | 8,969 | 10 |
| Brea, CA | $58.61 | $56.50 – $216.49 | 8,978 | 4 |
| Hamtramck, MI | $71.91 | $54.91 – $85.54 | 9,001 | 12 |
| West Des Moines, IA | $51.60 | $0.00 – $69.02 | 9,007 | 9 |
| Westerville, OH | $61.61 | $28.45 – $87.03 | 9,010 | 8 |
| Eau Claire, WI | $45.03 | $0.00 – $52.73 | 9,016 | 6 |
| Liverpool, NY | $96.69 | $78.81 – $124.92 | 9,024 | 3 |
| Melville, NY | $99.70 | $45.60 – $100.20 | 9,035 | 3 |
| Bethel, AK | $105.09 | $0.00 – $304.73 | 9,071 | 24 |
| Woonsocket, RI | $53.27 | $0.00 – $85.00 | 9,093 | 7 |
| Creve Coeur, MO | $181.61 | $82.00 – $182.11 | 9,100 | 2 |
| Forest Hills, NY | $72.16 | $37.35 – $80.98 | 9,149 | 8 |
| Brooklyn Park, MN | $111.74 | $94.60 – $155.14 | 9,177 | 5 |
| Dubuque, IA | $64.09 | $3.04 – $92.44 | 9,201 | 15 |
| Brandon, MS | $236.57 | $43.49 – $399.80 | 9,204 | 6 |
| Portage, MI | $88.97 | $37.20 – $123.45 | 9,220 | 6 |
| Buckeye, AZ | $17.69 | $1.33 – $121.28 | 9,246 | 8 |
| Lake Providence, LA | $44.32 | $0.00 – $44.57 | 9,249 | 2 |
| Meridian, ID | $72.57 | $0.00 – $156.38 | 9,262 | 16 |
| Kaneohe, HI | $222.81 | $47.75 – $231.39 | 9,273 | 4 |
| Youngstown, OH | $52.27 | $0.00 – $162.92 | 9,304 | 14 |
| N Las Vegas, NV | $71.95 | $36.75 – $84.50 | 9,314 | 2 |
| Sumter, SC | $74.96 | $1.19 – $135.48 | 9,334 | 15 |
| West Jordan, UT | $59.58 | $15.69 – $113.65 | 9,338 | 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.