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
Lancaster, PA $72.29 $0.00 – $184.08 13,896 20
Manchester, CT $65.03 $0.00 – $146.70 13,925 15
Kinston, NC $106.29 $52.49 – $122.41 13,948 5
Elkridge, MD $210.20 $135.23 – $234.72 13,985 3
Paramount, CA $58.77 $56.83 – $115.69 13,994 5
Georgetown, KY $102.98 $29.71 – $144.35 13,998 8
Escondido, CA $62.14 $55.33 – $117.58 14,001 7
Ontario, OH $74.81 $69.32 – $75.05 14,038 2
Santa Monica, CA $63.82 $55.33 – $217.35 14,083 13
Mayaquez, PR $137.74 $137.74 – $137.74 14,129 1
Quincy, MA $87.64 $58.35 – $356.06 14,144 20
Federal Way, WA $62.30 $24.93 – $122.10 14,146 20
Gahanna, OH $62.38 $39.94 – $100.44 14,162 6
Inglewood, CA $71.42 $28.50 – $119.00 14,184 17
Wantagh, NY $84.05 $73.48 – $84.13 14,185 3
Benton Harbor, MI $107.85 $73.90 – $107.98 14,189 2
Hurricane, WV $84.46 $66.41 – $163.60 14,241 6
Burlington, VT $109.28 $64.70 – $110.48 14,284 4
Mount Prospect, IL $69.59 $42.50 – $102.67 14,324 3
Oregon City, OR $173.24 $0.00 – $244.97 14,330 19
Lackland A F B, TX $175.98 $13.39 – $188.89 14,342 2
Lawrence, MA $95.28 $59.43 – $141.03 14,344 25
Cortland, NY $88.99 $64.45 – $417.21 14,345 2
Corpus Christi, TX $146.43 $10.61 – $286.65 14,399 21
Travis Afb, CA $182.91 $42.27 – $186.12 14,401 6
Aurora, IL $62.70 $0.00 – $79.49 14,444 22
Bellflower, CA $75.96 $55.60 – $137.64 14,469 8
Hempstead, NY $69.93 $31.66 – $97.85 14,481 7
Burbank, CA $63.22 $28.92 – $119.00 14,542 21
Leominster, MA $108.55 $51.77 – $315.48 14,545 14
Opelousas, LA $43.85 $0.00 – $204.96 14,599 7
Monroe, MI $131.48 $38.54 – $278.52 14,615 6
Kenosha, WI $69.67 $0.00 – $140.09 14,621 21
Wilson, NC $69.39 $49.81 – $75.99 14,666 8
Mayfield Heights, OH $81.79 $81.27 – $111.85 14,700 2
Litchfield, IL $71.55 $16.06 – $75.36 14,704 2
Zanesville, OH $61.14 $0.00 – $78.64 14,735 11
Harrison, AR $97.68 $52.73 – $203.74 14,796 4
Sylvania, OH $111.81 $71.99 – $159.43 14,805 5
Edina, MN $143.43 $42.01 – $198.78 14,841 6
Carson City, NV $61.63 $0.00 – $84.25 14,864 10
Checotah, OK $78.34 $77.56 – $79.31 14,865 2
Lake Charles, LA $8.83 $2.86 – $102.95 14,908 11
Watsonville, CA $180.60 $52.31 – $193.36 14,914 5
Naples, FL $55.66 $6.96 – $99.57 14,960 20
Hazel Park, MI $81.59 $56.15 – $98.60 15,065 6
Bell, CA $59.07 $56.97 – $119.00 15,086 6
Menifee, CA $61.03 $49.32 – $98.88 15,141 8
Rutland, VT $84.16 $53.40 – $157.73 15,145 8
Mcallen, TX $167.44 $0.00 – $248.65 15,183 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.