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 |
|---|---|---|---|---|
| Berkeley, CA | $173.32 | $56.23 – $261.73 | 11,399 | 5 |
| Ankeny, IA | $51.90 | $48.29 – $58.83 | 11,381 | 9 |
| Somerville, NJ | $318.46 | $93.30 – $432.34 | 11,374 | 5 |
| Palo Alto, CA | $116.48 | $39.80 – $159.06 | 11,372 | 6 |
| Jacksonville, NC | $77.16 | $31.46 – $212.29 | 11,367 | 14 |
| Ottumwa, IA | $19.47 | $0.00 – $67.75 | 11,364 | 7 |
| Spring Hill, FL | $47.53 | $35.92 – $137.35 | 11,336 | 8 |
| Colonial Heights, VA | $68.84 | $59.23 – $74.84 | 11,293 | 4 |
| Huntington Woods, MI | $193.35 | $160.39 – $195.78 | 11,289 | 2 |
| Mercer Island, WA | $116.76 | $57.79 – $117.39 | 11,259 | 2 |
| Schoharie, NY | $66.18 | $66.16 – $78.00 | 11,213 | 2 |
| Darlington, SC | $76.76 | $52.44 – $87.93 | 11,117 | 2 |
| Hanford, CA | $60.53 | $56.27 – $117.71 | 11,104 | 4 |
| Williamsville, NY | $136.55 | $29.10 – $508.28 | 11,085 | 14 |
| Forrest City, AR | $64.47 | $60.14 – $65.94 | 11,080 | 5 |
| Orem, UT | $126.72 | $18.94 – $148.40 | 11,075 | 10 |
| Ruston, LA | $29.91 | $0.69 – $91.66 | 11,054 | 5 |
| Viera, FL | $39.12 | $39.12 – $39.12 | 11,041 | 1 |
| Vestal, NY | $80.72 | $47.94 – $133.04 | 11,039 | 5 |
| North Dartmouth, MA | $107.47 | $82.57 – $132.46 | 11,035 | 4 |
| Willoughby, OH | $59.14 | $50.17 – $71.47 | 11,030 | 3 |
| Columbus, IN | $94.01 | $70.35 – $230.81 | 11,024 | 8 |
| Bessemer, AL | $35.50 | $34.35 – $53.57 | 10,921 | 4 |
| Southern Pines, NC | $68.33 | $52.57 – $96.83 | 10,921 | 6 |
| Chelsea, MA | $88.32 | $56.82 – $156.92 | 10,912 | 17 |
| Freeland, WA | $92.71 | $92.71 – $92.71 | 10,909 | 1 |
| Greensburg, PA | $86.82 | $60.94 – $139.57 | 10,908 | 5 |
| Harlingen, TX | $67.97 | $10.71 – $250.52 | 10,858 | 12 |
| Niagara Falls, NY | $96.31 | $46.41 – $117.55 | 10,842 | 5 |
| Midland, MI | $55.98 | $0.00 – $233.99 | 10,835 | 7 |
| Vandalia, OH | $64.63 | $64.63 – $64.63 | 10,826 | 1 |
| Norwalk, CA | $57.97 | $45.51 – $158.67 | 10,761 | 12 |
| El Dorado Hills, CA | $106.65 | $56.87 – $165.52 | 10,752 | 7 |
| Arlington, TX | $163.60 | $3.88 – $213.32 | 10,692 | 13 |
| Augusta, ME | $114.01 | $82.43 – $152.76 | 10,683 | 8 |
| Tukwila, WA | $65.16 | $0.00 – $93.77 | 10,667 | 13 |
| Tazewell, VA | $68.03 | $42.31 – $69.57 | 10,661 | 4 |
| Lumberton, NC | $90.86 | $60.34 – $96.52 | 10,643 | 4 |
| Gallatin, TN | $55.62 | $52.67 – $66.52 | 10,632 | 7 |
| Placentia, CA | $59.29 | $53.48 – $231.00 | 10,628 | 11 |
| Great Lakes, IL | $232.97 | $31.59 – $243.23 | 10,601 | 4 |
| Mullins, SC | $82.93 | $82.26 – $87.10 | 10,591 | 2 |
| Chehalis, WA | $49.80 | $31.04 – $60.96 | 10,561 | 8 |
| Littleton, CO | $99.95 | $0.00 – $261.33 | 10,496 | 19 |
| Chesapeake, VA | $81.64 | $0.00 – $127.82 | 10,483 | 12 |
| Cicero, IL | $62.67 | $41.91 – $119.00 | 10,479 | 12 |
| Marshall, VA | $75.97 | $75.97 – $75.97 | 10,454 | 1 |
| Morganfield, KY | $58.87 | $58.87 – $58.87 | 10,452 | 1 |
| Valparaiso, IN | $92.52 | $90.42 – $187.56 | 10,438 | 3 |
| Hendersonville, TN | $62.87 | $41.70 – $261.47 | 10,437 | 11 |
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.