Average Medicaid Tooth Extraction Payments
Typical Medicaid Tooth Extraction reimbursement across 5,267 cities
Avg. Medicaid Paid
$90.73
Price Range
$0.00 β $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 |
|---|---|---|---|---|
| Laredo, TX | $212.88 | $10.59 β $271.46 | 9,371 | 15 |
| Hanahan, SC | $89.96 | $50.79 β $144.00 | 9,372 | 12 |
| San Leandro, CA | $91.54 | $50.30 β $119.00 | 9,403 | 13 |
| Valhalla, NY | $81.42 | $64.61 β $95.40 | 9,447 | 3 |
| Lakewood, OH | $100.57 | $32.62 β $103.02 | 9,475 | 4 |
| Bristol, CT | $89.03 | $36.00 β $142.76 | 9,485 | 12 |
| Deerwood, MN | $114.39 | $109.67 β $116.02 | 9,489 | 5 |
| Bountiful, UT | $53.72 | $35.22 β $140.10 | 9,491 | 5 |
| Marquette, MI | $235.46 | $93.83 β $240.49 | 9,497 | 2 |
| Gretna, LA | $152.78 | $5.25 β $175.80 | 9,512 | 5 |
| Englewood, NJ | $53.11 | $1.47 β $164.47 | 9,538 | 6 |
| Hutchinson, KS | $96.01 | $85.73 β $116.77 | 9,547 | 5 |
| London, KY | $47.33 | $35.10 β $91.31 | 9,604 | 10 |
| Huntsville, AL | $105.57 | $22.61 β $204.46 | 9,638 | 19 |
| Lynwood, CA | $84.60 | $34.73 β $119.00 | 9,646 | 11 |
| Sanford, NC | $62.82 | $57.70 β $79.04 | 9,649 | 9 |
| Palm Springs, FL | $105.35 | $7.53 β $185.44 | 9,667 | 7 |
| Endicott, NY | $60.39 | $53.91 β $102.92 | 9,683 | 5 |
| Mccomb, MS | $112.24 | $61.89 β $350.85 | 9,698 | 6 |
| Voorhees, NJ | $55.48 | $15.10 β $107.64 | 9,712 | 9 |
| Mason, OH | $59.18 | $35.21 β $113.36 | 9,788 | 8 |
| West Warwick, RI | $0.95 | $0.00 β $25.08 | 9,801 | 6 |
| White Plains, NY | $49.30 | $38.33 β $67.69 | 9,812 | 8 |
| Manhattan, KS | $204.70 | $204.70 β $204.70 | 9,816 | 1 |
| Gallup, NM | $74.32 | $63.04 β $90.57 | 9,817 | 7 |
| San Gabriel, CA | $60.00 | $41.35 β $119.00 | 9,829 | 13 |
| Concord, CA | $70.90 | $54.26 β $118.44 | 9,838 | 7 |
| Williamsburg, VA | $167.95 | $27.46 β $293.52 | 9,840 | 8 |
| Miami Gardens, FL | $40.81 | $0.00 β $41.20 | 9,840 | 3 |
| Monsey, NY | $44.53 | $35.35 β $67.31 | 9,843 | 9 |
| Jamaica, NY | $48.66 | $24.37 β $100.30 | 9,864 | 18 |
| Irving, TX | $116.09 | $35.43 β $269.75 | 9,873 | 13 |
| Oak Harbor, WA | $61.25 | $30.44 β $115.54 | 9,875 | 10 |
| Elizabethtown, KY | $59.32 | $33.67 β $133.37 | 9,901 | 16 |
| Florence, KY | $48.88 | $37.54 β $79.21 | 9,905 | 8 |
| Summerfield, NC | $141.70 | $141.70 β $141.70 | 9,943 | 1 |
| Whitesburg, KY | $44.04 | $33.83 β $48.34 | 9,958 | 4 |
| Morgan Hill, CA | $56.81 | $55.80 β $119.00 | 9,989 | 4 |
| Dumfries, VA | $35.38 | $14.66 β $135.46 | 9,993 | 6 |
| North Augusta, SC | $98.15 | $83.89 β $106.94 | 9,999 | 3 |
| Bartlesville, OK | $124.46 | $55.38 β $172.21 | 10,001 | 10 |
| Edmonton, KY | $48.67 | $34.90 β $49.21 | 10,005 | 2 |
| New Britain, CT | $65.37 | $0.00 β $110.65 | 10,008 | 14 |
| Hackensack, NJ | $118.65 | $0.00 β $332.76 | 10,027 | 16 |
| Grove City, OH | $62.58 | $51.54 β $92.30 | 10,048 | 6 |
| Alabaster, AL | $175.25 | $48.67 β $243.65 | 10,054 | 4 |
| Bossier City, LA | $70.97 | $14.77 β $159.14 | 10,058 | 10 |
| Hazleton, PA | $75.96 | $57.62 β $235.21 | 10,065 | 4 |
| Baldwin, MI | $88.90 | $88.90 β $88.90 | 10,078 | 1 |
| Du Bois, PA | $68.46 | $68.46 β $68.46 | 10,079 | 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.