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 |
|---|---|---|---|---|
| Hurricane, WV | $84.46 | $66.41 – $163.60 | 14,241 | 6 |
| Benton Harbor, MI | $107.85 | $73.90 – $107.98 | 14,189 | 2 |
| Wantagh, NY | $84.05 | $73.48 – $84.13 | 14,185 | 3 |
| Inglewood, CA | $71.42 | $28.50 – $119.00 | 14,184 | 17 |
| Gahanna, OH | $62.38 | $39.94 – $100.44 | 14,162 | 6 |
| Federal Way, WA | $62.30 | $24.93 – $122.10 | 14,146 | 20 |
| Quincy, MA | $87.64 | $58.35 – $356.06 | 14,144 | 20 |
| Mayaquez, PR | $137.74 | $137.74 – $137.74 | 14,129 | 1 |
| Santa Monica, CA | $63.82 | $55.33 – $217.35 | 14,083 | 13 |
| Ontario, OH | $74.81 | $69.32 – $75.05 | 14,038 | 2 |
| Escondido, CA | $62.14 | $55.33 – $117.58 | 14,001 | 7 |
| Georgetown, KY | $102.98 | $29.71 – $144.35 | 13,998 | 8 |
| Paramount, CA | $58.77 | $56.83 – $115.69 | 13,994 | 5 |
| Elkridge, MD | $210.20 | $135.23 – $234.72 | 13,985 | 3 |
| Kinston, NC | $106.29 | $52.49 – $122.41 | 13,948 | 5 |
| Manchester, CT | $65.03 | $0.00 – $146.70 | 13,925 | 15 |
| Lancaster, PA | $72.29 | $0.00 – $184.08 | 13,896 | 20 |
| Madisonville, KY | $45.97 | $33.66 – $119.08 | 13,884 | 7 |
| Eastpointe, MI | $79.46 | $36.92 – $121.84 | 13,855 | 6 |
| Smithtown, NY | $109.02 | $30.29 – $363.12 | 13,839 | 6 |
| Sylmar, CA | $60.36 | $55.99 – $115.65 | 13,827 | 7 |
| Peabody, MA | $112.21 | $55.65 – $135.97 | 13,784 | 9 |
| Lawrenceburg, TN | $55.67 | $55.67 – $55.67 | 13,764 | 1 |
| Coos Bay, OR | $1.44 | $0.00 – $4.22 | 13,751 | 7 |
| Mamaroneck, NY | $148.73 | $47.32 – $221.57 | 13,742 | 4 |
| Oroville, CA | $133.18 | $133.18 – $133.18 | 13,723 | 1 |
| Carbondale, IL | $44.39 | $0.11 – $128.32 | 13,715 | 9 |
| Pittsfield, MA | $52.14 | $40.33 – $100.00 | 13,704 | 7 |
| Manchester, NH | $102.34 | $55.93 – $107.13 | 13,684 | 5 |
| Ponce, PR | $59.51 | $20.52 – $176.37 | 13,684 | 27 |
| Flowood, MS | $95.97 | $65.55 – $382.26 | 13,660 | 5 |
| Presque Isle, ME | $150.13 | $0.00 – $153.21 | 13,659 | 5 |
| North Adams, MA | $130.17 | $36.76 – $135.41 | 13,643 | 5 |
| Kitty Hawk, NC | $130.71 | $130.71 – $130.71 | 13,631 | 1 |
| Hermiston, OR | $39.44 | $0.00 – $90.71 | 13,552 | 6 |
| Lubbock, TX | $92.39 | $11.47 – $141.51 | 13,524 | 21 |
| Manati, PR | $46.75 | $22.25 – $151.13 | 13,519 | 14 |
| Woodside, NY | $52.99 | $6.08 – $58.61 | 13,500 | 12 |
| Ashland, VA | $96.38 | $44.69 – $100.13 | 13,489 | 2 |
| Bethesda, MD | $105.34 | $62.79 – $187.46 | 13,486 | 7 |
| Reseda, CA | $68.56 | $54.90 – $119.00 | 13,477 | 17 |
| Manassas, VA | $59.09 | $42.06 – $138.69 | 13,477 | 11 |
| Calexico, CA | $82.80 | $77.92 – $86.83 | 13,474 | 2 |
| Pawtucket, RI | $80.23 | $0.00 – $107.00 | 13,467 | 6 |
| Altoona, PA | $69.54 | $61.48 – $74.64 | 13,435 | 5 |
| Carolina, PR | $65.25 | $20.32 – $109.48 | 13,348 | 24 |
| Milwaukie, OR | $51.15 | $0.00 – $143.46 | 13,348 | 12 |
| Valencia, CA | $69.01 | $56.55 – $221.96 | 13,312 | 9 |
| Southaven, MS | $127.38 | $60.51 – $316.03 | 13,275 | 9 |
| Largo, MD | $162.28 | $120.80 – $165.44 | 13,258 | 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.