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 |
|---|---|---|---|---|
| Ogden, UT | $76.32 | $4.08 – $174.54 | 16,993 | 12 |
| Puyallup, WA | $60.56 | $0.00 – $133.88 | 17,063 | 12 |
| Covington, KY | $45.23 | $0.00 – $74.53 | 17,068 | 11 |
| Bay City, MI | $93.31 | $84.99 – $96.12 | 17,111 | 5 |
| National City, CA | $102.81 | $56.91 – $122.12 | 17,207 | 11 |
| Monroe, NC | $77.87 | $58.81 – $132.46 | 17,221 | 10 |
| Roseburg, OR | $51.33 | $0.00 – $176.21 | 17,224 | 24 |
| Erie, PA | $105.40 | $0.00 – $140.27 | 17,254 | 15 |
| Jackson, TN | $102.60 | $45.47 – $236.65 | 17,261 | 14 |
| Germantown, MD | $134.70 | $0.00 – $287.40 | 17,291 | 12 |
| Morristown, TN | $159.04 | $46.62 – $166.88 | 17,412 | 3 |
| Vinton, VA | $80.87 | $70.74 – $234.28 | 17,461 | 2 |
| Grosse Pointe Woods, MI | $91.41 | $86.64 – $124.29 | 17,523 | 3 |
| Syracuse, NY | $66.30 | $16.39 – $392.26 | 17,549 | 15 |
| Pasadena, CA | $71.05 | $18.80 – $138.45 | 17,624 | 28 |
| Moreno Valley, CA | $74.64 | $55.03 – $119.10 | 17,635 | 20 |
| West Collingswood, NJ | $50.92 | $50.69 – $56.30 | 17,757 | 2 |
| Ridgewood, NY | $32.93 | $0.00 – $84.26 | 17,824 | 6 |
| Commack, NY | $72.82 | $37.47 – $140.95 | 17,853 | 7 |
| Batesville, MS | $290.43 | $11.27 – $414.00 | 17,864 | 6 |
| Middlesboro, KY | $93.88 | $34.17 – $844.31 | 17,865 | 6 |
| Encino, CA | $100.15 | $15.94 – $224.25 | 17,933 | 15 |
| Staten Island, NY | $92.37 | $0.00 – $208.68 | 18,013 | 30 |
| Brunswick, ME | $103.74 | $87.40 – $103.76 | 18,028 | 2 |
| Madison, MS | $118.70 | $10.87 – $153.64 | 18,099 | 9 |
| Florence, AL | $110.41 | $46.93 – $222.88 | 18,103 | 7 |
| Racine, WI | $87.82 | $43.16 – $199.80 | 18,110 | 11 |
| Towson, MD | $208.76 | $0.00 – $211.36 | 18,119 | 5 |
| La Crosse, WI | $48.46 | $0.00 – $112.46 | 18,186 | 11 |
| Jamestown, NY | $94.71 | $93.18 – $129.45 | 18,210 | 2 |
| Tupelo, MS | $97.82 | $59.54 – $235.88 | 18,332 | 17 |
| Champaign, IL | $62.88 | $0.00 – $81.44 | 18,498 | 16 |
| Sterling Heights, MI | $74.37 | $24.56 – $158.75 | 18,506 | 21 |
| Bullhead City, AZ | $91.53 | $55.36 – $121.71 | 18,555 | 5 |
| Dickson, TN | $87.84 | $11.57 – $105.28 | 18,578 | 6 |
| Everett, WA | $59.24 | $13.34 – $148.42 | 18,708 | 25 |
| Niles, OH | $58.98 | $53.36 – $122.57 | 18,708 | 5 |
| Rio Rancho, NM | $134.49 | $30.34 – $148.54 | 18,714 | 13 |
| Jackson Heights, NY | $75.85 | $12.90 – $112.95 | 18,733 | 17 |
| Wyoming, MI | $64.01 | $57.82 – $97.09 | 18,763 | 3 |
| Centennial, CO | $155.96 | $82.84 – $265.81 | 18,826 | 16 |
| Bayonne, NJ | $172.60 | $46.95 – $177.66 | 18,867 | 5 |
| Fort Worth, TX | $126.48 | $3.82 – $264.81 | 18,901 | 35 |
| Hamilton, OH | $49.57 | $0.00 – $111.22 | 18,926 | 7 |
| New Hyde Park, NY | $79.57 | $0.00 – $292.35 | 19,025 | 16 |
| Santa Barbara, CA | $130.05 | $38.63 – $171.99 | 19,031 | 13 |
| Beaverton, OR | $77.94 | $0.00 – $267.65 | 19,092 | 26 |
| Mount Pleasant, SC | $147.18 | $81.10 – $251.44 | 19,111 | 6 |
| Steubenville, OH | $79.75 | $54.13 – $92.94 | 19,125 | 5 |
| Gastonia, NC | $68.97 | $11.78 – $138.89 | 19,151 | 25 |
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.