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 |
|---|---|---|---|---|
| Derry, NH | $103.67 | $82.51 – $124.42 | 6,801 | 8 |
| Gainesville, GA | $115.41 | $35.37 – $219.05 | 6,797 | 6 |
| Farmington Hills, MI | $91.81 | $34.48 – $170.52 | 6,791 | 7 |
| Woodhaven, NY | $44.64 | $40.45 – $85.00 | 6,790 | 3 |
| Spring Branch, TX | $77.80 | $77.80 – $77.80 | 6,786 | 1 |
| Saint Martinville, LA | $33.98 | $5.30 – $55.32 | 6,782 | 2 |
| Newark, OH | $61.39 | $17.44 – $67.81 | 6,779 | 6 |
| Spring Valley, NY | $41.82 | $38.54 – $103.01 | 6,776 | 3 |
| Rocky Mount, NC | $86.32 | $53.11 – $107.31 | 6,767 | 10 |
| Vega Baja, PR | $44.47 | $24.77 – $83.81 | 6,755 | 13 |
| Urbana, IL | $158.92 | $60.32 – $187.31 | 6,739 | 3 |
| Jbsa Lackland, TX | $235.86 | $55.33 – $264.37 | 6,734 | 6 |
| Bayside, NY | $65.23 | $43.86 – $182.95 | 6,732 | 6 |
| Parlin, NJ | $57.13 | $53.98 – $71.65 | 6,730 | 2 |
| Rockville Centre, NY | $96.33 | $32.85 – $107.72 | 6,725 | 4 |
| Cayey, PR | $76.43 | $19.90 – $113.24 | 6,724 | 10 |
| Sunnyvale, CA | $62.80 | $52.30 – $154.20 | 6,718 | 10 |
| Dothan, AL | $113.63 | $42.39 – $224.74 | 6,705 | 13 |
| Vega Alta, PR | $71.26 | $20.86 – $93.69 | 6,686 | 7 |
| West Bloomfield, MI | $64.43 | $40.02 – $90.00 | 6,667 | 6 |
| Erwin, NC | $101.35 | $94.10 – $101.64 | 6,653 | 2 |
| Owosso, MI | $97.60 | $95.14 – $299.51 | 6,643 | 2 |
| Maricopa, AZ | $67.47 | $26.93 – $76.65 | 6,641 | 4 |
| Cockeysville, MD | $199.74 | $101.42 – $211.36 | 6,600 | 3 |
| New Hartford, NY | $570.06 | $48.39 – $571.72 | 6,597 | 2 |
| Kingman, AZ | $71.50 | $0.00 – $76.04 | 6,597 | 5 |
| Shrewsbury, NJ | $121.42 | $94.41 – $121.56 | 6,597 | 2 |
| Wakefield, RI | $76.15 | $25.55 – $79.48 | 6,590 | 2 |
| Perry Hall, MD | $118.89 | $109.86 – $125.91 | 6,560 | 3 |
| Wasilla, AK | $126.11 | $0.00 – $400.97 | 6,554 | 19 |
| Vicksburg, MS | $73.17 | $28.06 – $426.49 | 6,553 | 6 |
| Denham Springs, LA | $77.59 | $68.91 – $120.30 | 6,545 | 9 |
| Black River Falls, WI | $37.65 | $32.20 – $42.66 | 6,542 | 4 |
| Kingsport, TN | $135.42 | $49.83 – $236.10 | 6,537 | 6 |
| Fort Collins, CO | $67.18 | $0.01 – $166.33 | 6,530 | 16 |
| West New York, NJ | $25.67 | $20.44 – $175.00 | 6,527 | 6 |
| North Olmsted, OH | $68.55 | $43.17 – $105.40 | 6,515 | 5 |
| Wooster, OH | $62.65 | $30.98 – $92.24 | 6,510 | 6 |
| Wellington, FL | $30.33 | $25.41 – $61.95 | 6,497 | 5 |
| Jackson, WY | $113.85 | $113.85 – $113.85 | 6,492 | 1 |
| Auburn, AL | $83.31 | $50.18 – $243.12 | 6,487 | 9 |
| Bellevue, NE | $86.24 | $43.10 – $111.22 | 6,480 | 4 |
| Nicholasville, KY | $50.45 | $45.45 – $80.85 | 6,478 | 5 |
| Mission, TX | $6.24 | $5.21 – $25.05 | 6,474 | 6 |
| Lincoln City, OR | $3.30 | $0.00 – $42.50 | 6,472 | 6 |
| San Antonio, PR | $98.69 | $25.94 – $103.93 | 6,468 | 3 |
| Glendale, NY | $51.95 | $40.73 – $63.42 | 6,459 | 3 |
| Coeur D Alene, ID | $38.33 | $0.00 – $157.00 | 6,458 | 13 |
| Springfield, VA | $125.28 | $47.15 – $151.51 | 6,457 | 5 |
| Germantown, TN | $217.21 | $0.00 – $221.99 | 6,448 | 3 |
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.