Skip to content
Based on public Medicaid payment data.

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 β€” 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
San Jose, CA $63.45 $11.02 – $217.45 89,937 85
Pueblo, CO $145.84 $0.00 – $267.79 88,884 39
Charlevoix, MI $63.44 $63.38 – $84.90 86,821 2
Somerset, KY $96.53 $30.79 – $119.48 86,133 16
Wichita, KS $121.22 $36.85 – $191.40 86,106 44
Greensboro, NC $83.62 $0.00 – $145.45 85,485 47
Durham, NC $93.64 $42.52 – $314.07 82,051 38
Eugene, OR $34.37 $0.00 – $313.07 81,820 43
Akron, OH $84.08 $30.19 – $543.52 81,024 38
Shreveport, LA $59.84 $0.00 – $297.24 80,118 45
Denver, CO $126.47 $0.00 – $285.96 79,593 118
Grand Rapids, MI $93.00 $40.79 – $272.80 79,415 41
New Orleans, LA $79.64 $0.00 – $281.53 79,259 76
Fayetteville, NC $98.36 $7.48 – $151.78 78,313 40
Jacksonville, FL $114.65 $11.29 – $289.43 78,170 49
Dayton, OH $80.63 $0.00 – $532.60 78,136 32
Santa Ana, CA $85.58 $0.00 – $206.39 77,967 62
Anaheim, CA $119.49 $47.25 – $183.38 77,573 52
Reno, NV $79.16 $0.00 – $182.93 75,922 29
Tucson, AZ $40.35 $0.00 – $173.41 75,572 76
Colorado Springs, CO $108.99 $0.00 – $269.67 75,324 80
Brockton, MA $127.00 $43.48 – $175.51 74,853 26
Toledo, OH $63.51 $0.00 – $615.86 74,791 39
Bexley, OH $85.95 $85.95 – $85.95 74,709 1
Aurora, CO $124.09 $0.42 – $270.30 74,451 91
San Antonio, TX $132.44 $0.00 – $410.36 73,738 98
Baton Rouge, LA $65.77 $1.78 – $241.35 73,241 50
Dearborn, MI $83.77 $39.56 – $239.50 71,549 39
Spartanburg, SC $100.86 $66.60 – $217.23 71,396 28
Roanoke, VA $61.25 $0.00 – $247.00 71,045 32
Omaha, NE $71.82 $0.00 – $228.12 70,516 62
Columbia, SC $130.39 $0.00 – $283.57 68,768 63
Bangor, ME $121.74 $5.59 – $3,678 67,998 13
El Paso, TX $126.75 $0.00 – $283.90 67,805 56
Indianapolis, IN $98.71 $0.00 – $344.48 67,787 103
Rochester, NY $95.94 $0.13 – $512.89 66,163 71
Orlando, FL $119.52 $0.00 – $214.91 66,023 48
Anchorage, AK $133.51 $18.93 – $329.14 65,903 67
Wilmington, NC $96.83 $0.00 – $132.35 64,773 30
Ocean, NJ $149.69 $16.00 – $171.82 63,359 8
Poway, CA $132.81 $36.29 – $191.27 62,945 7
Chula Vista, CA $106.55 $32.80 – $166.25 62,706 33
San Bernardino, CA $98.67 $0.00 – $162.10 62,240 54
Cranston, RI $90.20 $3.48 – $98.58 61,979 9
Worcester, MA $105.45 $43.77 – $240.98 60,744 36
Riverside, CA $99.54 $39.51 – $190.05 60,135 55
Springfield, MA $85.45 $0.00 – $239.63 58,986 55
Des Moines, IA $80.14 $0.00 – $213.02 58,277 39
Vancouver, WA $81.37 $0.00 – $181.68 58,184 37
Glendale, CA $94.43 $45.17 – $173.58 57,069 47

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.