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 |
|---|---|---|---|---|
| Mcalester, OK | $57.68 | $0.00 – $118.69 | 6,163 | 7 |
| Aberdeen, MS | $226.48 | $53.60 – $689.09 | 6,162 | 3 |
| Paragould, AR | $63.25 | $59.33 – $75.11 | 6,151 | 4 |
| Roscoe, IL | $84.42 | $84.42 – $84.42 | 6,151 | 1 |
| Savannah, GA | $88.20 | $35.42 – $105.37 | 6,142 | 6 |
| Santa Rosa, NM | $83.63 | $69.18 – $85.26 | 6,140 | 2 |
| Hyden, KY | $52.36 | $49.43 – $344.34 | 6,133 | 3 |
| Port Allen, LA | $69.75 | $69.75 – $69.75 | 6,132 | 1 |
| Decatur, AL | $60.81 | $9.12 – $170.93 | 6,127 | 7 |
| Texarkana, TX | $113.91 | $44.55 – $238.78 | 6,123 | 7 |
| River Edge, NJ | $26.36 | $26.36 – $26.36 | 6,114 | 1 |
| Walterboro, SC | $92.74 | $83.93 – $119.40 | 6,112 | 7 |
| Post Falls, ID | $52.24 | $0.00 – $81.79 | 6,111 | 7 |
| Lewisburg, WV | $72.39 | $72.39 – $72.39 | 6,102 | 1 |
| State College, PA | $160.40 | $45.01 – $174.50 | 6,100 | 5 |
| Framingham, MA | $101.25 | $56.78 – $144.92 | 6,095 | 10 |
| Elizabeth, NJ | $51.42 | $17.07 – $216.07 | 6,074 | 13 |
| Pearland, TX | $49.22 | $11.19 – $88.80 | 6,073 | 6 |
| Barbourville, KY | $46.57 | $31.04 – $59.25 | 6,062 | 7 |
| Stockbridge, GA | $59.87 | $58.90 – $84.67 | 6,058 | 3 |
| Tyler, TX | $168.89 | $33.57 – $265.13 | 6,056 | 15 |
| East Setauket, NY | $2.16 | $2.16 – $2.16 | 6,043 | 1 |
| Brookhaven, MS | $80.83 | $0.00 – $309.94 | 6,038 | 5 |
| Pinellas Park, FL | $29.81 | $24.91 – $31.62 | 6,019 | 2 |
| Grundy, VI | $48.46 | $48.46 – $48.46 | 6,015 | 1 |
| Brooklyn, OH | $54.52 | $51.64 – $56.29 | 6,007 | 2 |
| Mt Juliet, TN | $58.67 | $54.88 – $159.71 | 6,003 | 3 |
| Shelbyville, KY | $58.49 | $26.98 – $83.93 | 6,001 | 4 |
| Vero Beach, FL | $40.02 | $3.88 – $101.97 | 5,988 | 11 |
| Fort Washington, MD | $157.89 | $102.01 – $165.41 | 5,987 | 2 |
| Elkins, WV | $89.10 | $62.67 – $102.66 | 5,986 | 4 |
| Port Matilda, PA | $95.10 | $92.80 – $96.88 | 5,982 | 4 |
| Johnston, RI | $57.32 | $0.00 – $85.00 | 5,978 | 6 |
| Guthrie Center, IA | $92.98 | $92.98 – $92.98 | 5,977 | 1 |
| Temple City, CA | $59.95 | $57.17 – $117.32 | 5,966 | 3 |
| Fort Stewart, GA | $272.53 | $66.60 – $273.29 | 5,951 | 2 |
| Dowagiac, MI | $74.79 | $58.74 – $145.73 | 5,951 | 2 |
| Chatsworth, CA | $65.35 | $54.54 – $110.15 | 5,931 | 5 |
| Fullerton, CA | $73.05 | $9.18 – $119.00 | 5,919 | 16 |
| Gresham, OR | $97.44 | $0.00 – $192.60 | 5,917 | 16 |
| Hartford, MI | $47.34 | $47.34 – $47.34 | 5,914 | 1 |
| Bloomington, IN | $198.45 | $109.34 – $237.39 | 5,908 | 9 |
| Riverton, WY | $93.73 | $70.00 – $94.08 | 5,892 | 2 |
| Martinez, CA | $73.37 | $56.44 – $146.58 | 5,883 | 2 |
| Elgin, IL | $56.32 | $0.19 – $85.44 | 5,881 | 12 |
| Weston, WI | $87.52 | $0.00 – $111.81 | 5,869 | 3 |
| Goodlettsville, TN | $68.12 | $48.77 – $106.59 | 5,867 | 4 |
| Grand Prairie, TX | $117.27 | $37.90 – $251.05 | 5,851 | 9 |
| Yauco, PR | $41.56 | $23.57 – $41.97 | 5,839 | 3 |
| Hannibal, MO | $126.02 | $93.60 – $147.91 | 5,828 | 5 |
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.