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 |
|---|---|---|---|---|
| Ruston, LA | $29.91 | $0.69 – $91.66 | 11,054 | 5 |
| Orem, UT | $126.72 | $18.94 – $148.40 | 11,075 | 10 |
| Forrest City, AR | $64.47 | $60.14 – $65.94 | 11,080 | 5 |
| Williamsville, NY | $136.55 | $29.10 – $508.28 | 11,085 | 14 |
| Hanford, CA | $60.53 | $56.27 – $117.71 | 11,104 | 4 |
| Darlington, SC | $76.76 | $52.44 – $87.93 | 11,117 | 2 |
| Schoharie, NY | $66.18 | $66.16 – $78.00 | 11,213 | 2 |
| Mercer Island, WA | $116.76 | $57.79 – $117.39 | 11,259 | 2 |
| Huntington Woods, MI | $193.35 | $160.39 – $195.78 | 11,289 | 2 |
| Colonial Heights, VA | $68.84 | $59.23 – $74.84 | 11,293 | 4 |
| Spring Hill, FL | $47.53 | $35.92 – $137.35 | 11,336 | 8 |
| Ottumwa, IA | $19.47 | $0.00 – $67.75 | 11,364 | 7 |
| Jacksonville, NC | $77.16 | $31.46 – $212.29 | 11,367 | 14 |
| Palo Alto, CA | $116.48 | $39.80 – $159.06 | 11,372 | 6 |
| Somerville, NJ | $318.46 | $93.30 – $432.34 | 11,374 | 5 |
| Ankeny, IA | $51.90 | $48.29 – $58.83 | 11,381 | 9 |
| Berkeley, CA | $173.32 | $56.23 – $261.73 | 11,399 | 5 |
| North Chesterfield, VA | $61.17 | $0.00 – $128.52 | 11,402 | 10 |
| Casper, WY | $97.77 | $41.41 – $220.87 | 11,405 | 11 |
| Norman, OK | $117.65 | $65.59 – $199.77 | 11,427 | 11 |
| Novato, CA | $129.51 | $88.57 – $132.48 | 11,433 | 4 |
| Pasco, WA | $41.58 | $0.00 – $67.52 | 11,434 | 14 |
| Kansas City, KS | $157.08 | $32.60 – $233.14 | 11,446 | 15 |
| Passaic, NJ | $36.13 | $7.84 – $111.10 | 11,452 | 13 |
| Blaine, MN | $98.01 | $93.94 – $121.89 | 11,520 | 6 |
| Hewlett, NY | $60.89 | $60.86 – $66.33 | 11,567 | 2 |
| Diamond Springs, CA | $89.89 | $89.89 – $89.89 | 11,571 | 1 |
| La Mirada, CA | $56.83 | $54.97 – $119.00 | 11,594 | 5 |
| Santa Fe, NM | $72.65 | $54.33 – $156.64 | 11,654 | 16 |
| Fayetteville, NY | $161.57 | $86.90 – $387.04 | 11,658 | 7 |
| Scituate, MA | $158.08 | $158.08 – $158.08 | 11,740 | 1 |
| Palm Desert, CA | $126.60 | $58.31 – $146.66 | 11,746 | 5 |
| Shawnee, KS | $96.40 | $0.00 – $123.74 | 11,747 | 6 |
| Kenansville, NC | $60.94 | $59.98 – $61.43 | 11,751 | 3 |
| Warwick, RI | $140.67 | $6.78 – $314.97 | 11,804 | 8 |
| Methuen, MA | $104.29 | $64.27 – $126.04 | 11,813 | 12 |
| Offutt A F B, NE | $184.14 | $184.14 – $184.14 | 11,818 | 1 |
| Grove, OK | $75.53 | $36.50 – $88.46 | 11,828 | 3 |
| Fairbanks, AK | $188.62 | $29.32 – $232.37 | 11,849 | 11 |
| Canton, MI | $80.11 | $0.00 – $108.26 | 11,859 | 10 |
| Gilbert, AZ | $75.27 | $4.70 – $188.45 | 11,905 | 21 |
| New Iberia, LA | $75.44 | $2.76 – $255.29 | 11,907 | 8 |
| Porterville, CA | $89.72 | $55.67 – $112.57 | 11,917 | 8 |
| Cambridge, MA | $89.70 | $44.92 – $273.82 | 11,927 | 11 |
| Isabela, PR | $103.73 | $20.47 – $133.53 | 11,940 | 7 |
| Fairmont, WV | $113.82 | $60.36 – $209.64 | 11,942 | 4 |
| Alliance, OH | $90.13 | $51.40 – $98.98 | 11,949 | 3 |
| Burlington, KY | $54.92 | $48.32 – $59.50 | 11,963 | 3 |
| Rialto, CA | $76.02 | $52.62 – $119.00 | 11,977 | 16 |
| West Monroe, LA | $41.44 | $4.54 – $59.10 | 11,989 | 4 |
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.