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 |
|---|---|---|---|---|
| Yorktown, VA | $57.22 | $57.22 – $57.22 | 41 | 1 |
| Doylestown, OH | $38.02 | $38.02 – $38.02 | 41 | 1 |
| Port Saint Lucie, FL | $71.32 | $71.32 – $71.32 | 41 | 1 |
| Pleasantville, NY | $51.69 | $51.69 – $51.69 | 41 | 1 |
| Belleville, KS | $90.48 | $90.48 – $90.48 | 41 | 1 |
| Richmond Hts, OH | $100.56 | $100.56 – $100.56 | 41 | 1 |
| Montville, NJ | $86.05 | $86.05 – $86.05 | 41 | 1 |
| Dewitt, AR | $57.02 | $57.02 – $57.02 | 41 | 1 |
| Bothell, WA | $32.03 | $32.03 – $32.03 | 42 | 1 |
| Ionia, MI | $171.58 | $83.67 – $220.43 | 42 | 2 |
| Glendale, CO | $99.09 | $99.09 – $99.09 | 42 | 1 |
| Argos, IN | $126.37 | $126.37 – $126.37 | 42 | 1 |
| Moorefield, WV | $60.76 | $60.76 – $60.76 | 42 | 1 |
| Avon Lake, OH | $114.51 | $114.51 – $114.51 | 42 | 1 |
| Allenstown, NH | $0.00 | $0.00 – $0.00 | 42 | 1 |
| Avenal, CA | $119.00 | $119.00 – $119.00 | 42 | 1 |
| Washington, MI | $132.80 | $132.80 – $132.80 | 42 | 1 |
| Durant, MS | $76.98 | $76.98 – $76.98 | 42 | 1 |
| Park Rapids, MN | $110.70 | $110.70 – $110.70 | 43 | 1 |
| Kernersville, NC | $291.23 | $291.23 – $291.23 | 43 | 1 |
| Johnstown, NY | $124.01 | $96.06 – $166.76 | 43 | 2 |
| Lutherville Timonium, MD | $115.42 | $94.66 – $135.23 | 43 | 2 |
| Belhaven, NC | $61.73 | $61.73 – $61.73 | 43 | 1 |
| Hawley, PA | $0.00 | $0.00 – $0.00 | 43 | 1 |
| Kealakekua, HI | $80.37 | $80.37 – $80.37 | 43 | 1 |
| Grand Ledge, MI | $164.28 | $164.28 – $164.28 | 43 | 1 |
| Ouray, CO | $95.82 | $95.82 – $95.82 | 43 | 1 |
| Homer, AK | $154.91 | $154.91 – $154.91 | 44 | 1 |
| Covington, GA | $95.43 | $95.43 – $95.43 | 44 | 1 |
| Preston, ID | $54.35 | $54.35 – $54.35 | 44 | 1 |
| Newton Centre, MA | $107.50 | $107.50 – $107.50 | 44 | 1 |
| Portland, TX | $138.57 | $138.57 – $138.57 | 44 | 1 |
| Waynesboro, GA | $44.41 | $44.41 – $44.41 | 44 | 1 |
| Hughes, AR | $50.76 | $50.76 – $50.76 | 44 | 1 |
| Aberdeen, MD | $103.01 | $103.01 – $103.01 | 45 | 1 |
| Harrodsburg, KY | $63.25 | $63.25 – $63.25 | 45 | 1 |
| Mountain Home A F B, ID | $127.92 | $127.92 – $127.92 | 45 | 1 |
| Perkasie, PA | $42.95 | $42.95 – $42.95 | 45 | 1 |
| Rush City, MN | $186.67 | $186.67 – $186.67 | 45 | 1 |
| Frontenac, KS | $78.00 | $78.00 – $78.00 | 45 | 1 |
| Burnsville, MN | $97.36 | $97.36 – $97.36 | 46 | 1 |
| Lake Worth, TX | $48.49 | $48.49 – $48.49 | 46 | 1 |
| Clinton, MA | $115.09 | $115.09 – $115.09 | 46 | 1 |
| Brockport, NY | $52.99 | $51.06 – $54.76 | 46 | 2 |
| Tamworth, NH | $128.61 | $128.61 – $128.61 | 46 | 1 |
| Cornelia, CA | $27.55 | $27.55 – $27.55 | 46 | 1 |
| Scottsburg, IN | $120.81 | $120.81 – $120.81 | 47 | 1 |
| Vestavia, AL | $55.48 | $55.48 – $55.48 | 47 | 1 |
| La Pine, OR | $0.00 | $0.00 – $0.00 | 47 | 1 |
| Shelbyville, TN | $61.82 | $61.82 – $61.82 | 47 | 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.