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 |
|---|---|---|---|---|
| Suffolk, VA | $64.05 | $46.00 – $377.26 | 22,079 | 6 |
| Alexandria, VA | $120.02 | $0.00 – $168.53 | 22,093 | 24 |
| Campbellsville, KY | $110.01 | $45.42 – $176.81 | 22,109 | 3 |
| Amarillo, TX | $122.34 | $31.50 – $250.45 | 22,175 | 21 |
| Smyrna, GA | $182.37 | $45.25 – $188.61 | 22,251 | 7 |
| Mayaguez, PR | $113.92 | $18.80 – $142.94 | 22,317 | 19 |
| Dover, DE | $106.03 | $0.00 – $187.81 | 22,397 | 13 |
| Waterbury, CT | $77.00 | $0.00 – $229.47 | 22,415 | 20 |
| Homestead, FL | $123.98 | $20.78 – $135.65 | 22,484 | 9 |
| Visalia, CA | $62.82 | $38.29 – $231.00 | 22,530 | 31 |
| Lafayette, LA | $68.99 | $3.69 – $296.85 | 22,590 | 25 |
| Rockville, MD | $176.90 | $50.19 – $287.16 | 22,672 | 32 |
| Rancho Cucamonga, CA | $118.64 | $10.61 – $167.25 | 22,685 | 29 |
| Harker Heights, TX | $103.10 | $35.58 – $104.77 | 22,691 | 4 |
| Roselle, NJ | $183.05 | $167.52 – $184.74 | 22,737 | 2 |
| Compton, CA | $60.31 | $55.48 – $119.00 | 23,047 | 12 |
| Panorama City, CA | $65.73 | $0.00 – $119.00 | 23,057 | 15 |
| Prestonsburg, KY | $57.73 | $39.68 – $115.90 | 23,065 | 6 |
| Coral Gables, FL | $98.63 | $0.00 – $108.26 | 23,079 | 5 |
| Chandler, AZ | $36.19 | $0.00 – $385.45 | 23,108 | 29 |
| Edmond, OK | $128.29 | $49.79 – $219.52 | 23,155 | 20 |
| Harrisonburg, VA | $86.29 | $31.07 – $115.08 | 23,224 | 6 |
| Chattanooga, TN | $69.42 | $37.84 – $230.21 | 23,228 | 34 |
| Garden Grove, CA | $76.70 | $48.43 – $119.27 | 23,275 | 45 |
| Santa Maria, CA | $82.89 | $0.00 – $132.86 | 23,302 | 23 |
| Charleston, WV | $105.99 | $52.41 – $292.77 | 23,319 | 22 |
| Edison, NJ | $58.12 | $0.00 – $105.76 | 23,367 | 15 |
| Maplewood, MN | $168.10 | $61.38 – $444.25 | 23,368 | 18 |
| Fort Mill, SC | $132.04 | $60.58 – $138.73 | 23,378 | 6 |
| Pensacola, FL | $80.56 | $7.18 – $171.33 | 23,470 | 18 |
| Woodland Hills, CA | $66.50 | $52.97 – $148.06 | 23,482 | 15 |
| Chillicothe, OH | $79.62 | $55.03 – $156.51 | 23,483 | 7 |
| Mansfield, OH | $29.23 | $14.42 – $54.25 | 23,491 | 12 |
| Asheboro, NC | $60.02 | $30.36 – $65.31 | 23,597 | 9 |
| Pinole, CA | $129.04 | $9.73 – $152.69 | 23,686 | 6 |
| Clarksville, TN | $67.95 | $41.66 – $164.02 | 23,890 | 16 |
| Streetsboro, OH | $68.96 | $50.90 – $113.02 | 24,013 | 5 |
| Parma Heights, OH | $70.05 | $44.87 – $90.85 | 24,024 | 11 |
| Westminster, CA | $71.24 | $45.92 – $178.27 | 24,131 | 29 |
| Bellevue, WA | $63.98 | $16.31 – $138.32 | 24,140 | 29 |
| Antioch, CA | $93.68 | $54.84 – $119.00 | 24,182 | 10 |
| Augusta, GA | $158.78 | $0.00 – $280.80 | 24,530 | 18 |
| Waterloo, IA | $101.93 | $0.00 – $124.14 | 24,648 | 10 |
| Kennewick, WA | $128.57 | $29.69 – $188.48 | 24,677 | 25 |
| Buena Park, CA | $95.14 | $2.73 – $108.17 | 24,681 | 10 |
| Metairie, LA | $52.32 | $0.00 – $100.51 | 24,734 | 24 |
| Fontana, CA | $65.34 | $27.74 – $119.00 | 24,819 | 28 |
| Wenatchee, WA | $80.97 | $29.97 – $152.51 | 24,849 | 27 |
| Edinburg, TX | $228.87 | $11.27 – $266.11 | 24,944 | 13 |
| Anderson, SC | $115.24 | $47.66 – $274.53 | 25,156 | 14 |
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.