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 |
|---|---|---|---|---|
| Granada Hills, CA | $94.02 | $34.21 – $119.00 | 15,809 | 8 |
| Corona, CA | $80.70 | $55.03 – $156.85 | 15,718 | 17 |
| Springdale, AR | $170.50 | $47.86 – $240.01 | 15,708 | 9 |
| Pennington Gap, VA | $44.08 | $44.08 – $44.08 | 15,617 | 1 |
| Moses Lake, WA | $50.24 | $0.00 – $118.34 | 15,508 | 17 |
| Sherman Oaks, CA | $131.59 | $51.84 – $151.51 | 15,484 | 13 |
| Troy, MI | $92.10 | $36.06 – $108.65 | 15,426 | 12 |
| Drumright, OK | $67.76 | $60.97 – $75.96 | 15,386 | 7 |
| Santa Rosa, CA | $74.17 | $37.87 – $119.00 | 15,385 | 14 |
| Grand Forks, ND | $187.24 | $99.13 – $245.02 | 15,382 | 7 |
| New Bedford, MA | $76.87 | $49.25 – $144.80 | 15,357 | 18 |
| Plattsburgh, NY | $209.65 | $102.60 – $299.79 | 15,348 | 7 |
| South Hill, VA | $44.52 | $44.52 – $44.52 | 15,324 | 1 |
| Rockaway, NJ | $97.29 | $97.29 – $97.29 | 15,317 | 1 |
| Morehead, KY | $70.50 | $31.88 – $90.04 | 15,285 | 9 |
| Lindenhurst, NY | $66.65 | $39.54 – $66.73 | 15,285 | 2 |
| Port Huron, MI | $165.65 | $81.00 – $260.82 | 15,262 | 7 |
| Mcallen, TX | $167.44 | $0.00 – $248.65 | 15,183 | 10 |
| Rutland, VT | $84.16 | $53.40 – $157.73 | 15,145 | 8 |
| Menifee, CA | $61.03 | $49.32 – $98.88 | 15,141 | 8 |
| Bell, CA | $59.07 | $56.97 – $119.00 | 15,086 | 6 |
| Hazel Park, MI | $81.59 | $56.15 – $98.60 | 15,065 | 6 |
| Naples, FL | $55.66 | $6.96 – $99.57 | 14,960 | 20 |
| Watsonville, CA | $180.60 | $52.31 – $193.36 | 14,914 | 5 |
| Lake Charles, LA | $8.83 | $2.86 – $102.95 | 14,908 | 11 |
| Checotah, OK | $78.34 | $77.56 – $79.31 | 14,865 | 2 |
| Carson City, NV | $61.63 | $0.00 – $84.25 | 14,864 | 10 |
| Edina, MN | $143.43 | $42.01 – $198.78 | 14,841 | 6 |
| Sylvania, OH | $111.81 | $71.99 – $159.43 | 14,805 | 5 |
| Harrison, AR | $97.68 | $52.73 – $203.74 | 14,796 | 4 |
| Zanesville, OH | $61.14 | $0.00 – $78.64 | 14,735 | 11 |
| Litchfield, IL | $71.55 | $16.06 – $75.36 | 14,704 | 2 |
| Mayfield Heights, OH | $81.79 | $81.27 – $111.85 | 14,700 | 2 |
| Wilson, NC | $69.39 | $49.81 – $75.99 | 14,666 | 8 |
| Kenosha, WI | $69.67 | $0.00 – $140.09 | 14,621 | 21 |
| Monroe, MI | $131.48 | $38.54 – $278.52 | 14,615 | 6 |
| Opelousas, LA | $43.85 | $0.00 – $204.96 | 14,599 | 7 |
| Leominster, MA | $108.55 | $51.77 – $315.48 | 14,545 | 14 |
| Burbank, CA | $63.22 | $28.92 – $119.00 | 14,542 | 21 |
| Hempstead, NY | $69.93 | $31.66 – $97.85 | 14,481 | 7 |
| Bellflower, CA | $75.96 | $55.60 – $137.64 | 14,469 | 8 |
| Aurora, IL | $62.70 | $0.00 – $79.49 | 14,444 | 22 |
| Travis Afb, CA | $182.91 | $42.27 – $186.12 | 14,401 | 6 |
| Corpus Christi, TX | $146.43 | $10.61 – $286.65 | 14,399 | 21 |
| Cortland, NY | $88.99 | $64.45 – $417.21 | 14,345 | 2 |
| Lawrence, MA | $95.28 | $59.43 – $141.03 | 14,344 | 25 |
| Lackland A F B, TX | $175.98 | $13.39 – $188.89 | 14,342 | 2 |
| Oregon City, OR | $173.24 | $0.00 – $244.97 | 14,330 | 19 |
| Mount Prospect, IL | $69.59 | $42.50 – $102.67 | 14,324 | 3 |
| Burlington, VT | $109.28 | $64.70 – $110.48 | 14,284 | 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.