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 |
|---|---|---|---|---|
| West Collingswood, NJ | $50.92 | $50.69 – $56.30 | 17,757 | 2 |
| Moreno Valley, CA | $74.64 | $55.03 – $119.10 | 17,635 | 20 |
| Pasadena, CA | $71.05 | $18.80 – $138.45 | 17,624 | 28 |
| Syracuse, NY | $66.30 | $16.39 – $392.26 | 17,549 | 15 |
| Grosse Pointe Woods, MI | $91.41 | $86.64 – $124.29 | 17,523 | 3 |
| Vinton, VA | $80.87 | $70.74 – $234.28 | 17,461 | 2 |
| Morristown, TN | $159.04 | $46.62 – $166.88 | 17,412 | 3 |
| Germantown, MD | $134.70 | $0.00 – $287.40 | 17,291 | 12 |
| Jackson, TN | $102.60 | $45.47 – $236.65 | 17,261 | 14 |
| Erie, PA | $105.40 | $0.00 – $140.27 | 17,254 | 15 |
| Roseburg, OR | $51.33 | $0.00 – $176.21 | 17,224 | 24 |
| Monroe, NC | $77.87 | $58.81 – $132.46 | 17,221 | 10 |
| National City, CA | $102.81 | $56.91 – $122.12 | 17,207 | 11 |
| Bay City, MI | $93.31 | $84.99 – $96.12 | 17,111 | 5 |
| Covington, KY | $45.23 | $0.00 – $74.53 | 17,068 | 11 |
| Puyallup, WA | $60.56 | $0.00 – $133.88 | 17,063 | 12 |
| Ogden, UT | $76.32 | $4.08 – $174.54 | 16,993 | 12 |
| Princess Anne, MD | $46.05 | $0.00 – $135.23 | 16,969 | 33 |
| Salida, CA | $56.45 | $55.44 – $56.70 | 16,855 | 3 |
| Taylor, MI | $75.10 | $57.12 – $128.62 | 16,849 | 7 |
| Secaucus, NJ | $65.84 | $38.60 – $71.95 | 16,810 | 4 |
| Christiansburg, VA | $50.46 | $0.00 – $71.35 | 16,809 | 9 |
| Grants Pass, OR | $56.26 | $0.00 – $126.27 | 16,753 | 19 |
| Gulfport, MS | $123.89 | $28.15 – $1,094 | 16,745 | 20 |
| Clovis, CA | $79.42 | $25.44 – $115.88 | 16,667 | 12 |
| Elk Grove, CA | $78.45 | $34.64 – $119.00 | 16,657 | 18 |
| Greeley, CO | $93.21 | $0.00 – $211.79 | 16,648 | 30 |
| Buriem, WA | $5.29 | $5.29 – $5.29 | 16,636 | 1 |
| Janesville, WI | $59.19 | $38.69 – $85.58 | 16,627 | 15 |
| Phillipsburg, NJ | $117.69 | $40.24 – $121.15 | 16,557 | 4 |
| Melrose Park, IL | $55.94 | $48.72 – $81.04 | 16,525 | 20 |
| Machesney Park, IL | $61.42 | $43.72 – $62.58 | 16,513 | 3 |
| Pontiac, MI | $60.65 | $47.57 – $85.74 | 16,510 | 8 |
| New Berlin, WI | $118.79 | $118.79 – $118.79 | 16,501 | 1 |
| Glendale, AZ | $55.72 | $0.00 – $146.01 | 16,459 | 24 |
| North Brunswick, NJ | $50.26 | $21.08 – $89.25 | 16,454 | 11 |
| Conway, AR | $124.77 | $56.27 – $253.63 | 16,438 | 14 |
| Weaverville, CA | $103.18 | $103.18 – $103.18 | 16,371 | 1 |
| Redondo Beach, CA | $113.45 | $56.36 – $174.95 | 16,321 | 9 |
| Ames, IA | $82.88 | $2.27 – $87.53 | 16,319 | 3 |
| Teaneck, NJ | $45.11 | $24.12 – $72.55 | 16,254 | 12 |
| North Bend, OR | $123.10 | $0.00 – $137.30 | 16,177 | 4 |
| Cleveland Heights, OH | $52.04 | $49.71 – $56.03 | 16,155 | 5 |
| Montrose, CO | $93.09 | $1.03 – $123.18 | 16,127 | 16 |
| Ridgecrest, CA | $109.18 | $56.96 – $112.44 | 16,024 | 2 |
| East Haven, CT | $51.37 | $48.25 – $123.98 | 16,009 | 3 |
| Henderson, NC | $71.58 | $55.50 – $120.67 | 16,001 | 4 |
| Sherman, TX | $87.94 | $39.41 – $150.47 | 15,967 | 7 |
| Winchester, VA | $121.62 | $52.12 – $269.50 | 15,901 | 12 |
| Winter Springs, FL | $48.17 | $40.65 – $48.29 | 15,862 | 2 |
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.