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 |
|---|---|---|---|---|
| Summerville, SC | $153.06 | $59.51 – $267.88 | 5,798 | 14 |
| Effingham, IL | $68.79 | $0.00 – $77.07 | 5,797 | 4 |
| Brighton, MI | $46.08 | $22.52 – $96.78 | 5,797 | 6 |
| Beaufort, SC | $144.66 | $51.00 – $194.78 | 5,787 | 7 |
| Marshfield, WI | $54.35 | $37.63 – $546.29 | 5,776 | 7 |
| Castle Rock, CO | $135.84 | $124.17 – $252.21 | 5,775 | 3 |
| Bolingbrook, IL | $70.67 | $56.72 – $75.83 | 5,767 | 4 |
| Fishersville, VA | $141.10 | $48.49 – $148.50 | 5,756 | 4 |
| Parkville, MD | $105.81 | $105.55 – $135.23 | 5,749 | 2 |
| Saluda, SC | $97.16 | $77.18 – $100.97 | 5,747 | 5 |
| Sarasota, FL | $30.88 | $14.07 – $84.21 | 5,706 | 5 |
| Fort Morgan, CO | $168.22 | $94.35 – $174.43 | 5,676 | 3 |
| Colleyville, TX | $79.58 | $45.35 – $260.46 | 5,673 | 4 |
| Nottingham, MD | $234.25 | $234.25 – $234.25 | 5,655 | 1 |
| Sioux City, IA | $76.78 | $0.00 – $209.26 | 5,651 | 5 |
| Avon, OH | $63.06 | $58.59 – $65.04 | 5,649 | 4 |
| Benton, AR | $64.28 | $41.10 – $66.39 | 5,628 | 2 |
| Hamilton Square, NJ | $78.93 | $74.14 – $83.09 | 5,623 | 5 |
| Burbank, IL | $73.69 | $48.67 – $77.55 | 5,615 | 5 |
| Camp Lejeune, NC | $100.22 | $52.59 – $160.83 | 5,614 | 8 |
| Casa Grande, AZ | $18.86 | $0.00 – $141.08 | 5,610 | 16 |
| Fountain Valley, CA | $113.99 | $0.00 – $184.32 | 5,609 | 8 |
| North Utica, IL | $82.74 | $76.55 – $105.27 | 5,609 | 3 |
| West Jefferson, OH | $135.48 | $135.48 – $135.48 | 5,608 | 1 |
| Corinth, MS | $76.84 | $24.61 – $122.08 | 5,605 | 10 |
| Marion, IL | $13.98 | $0.05 – $154.87 | 5,603 | 7 |
| Biloxi, MS | $74.89 | $39.17 – $230.87 | 5,598 | 10 |
| Cuyahoga Falls, OH | $61.84 | $48.71 – $264.81 | 5,588 | 5 |
| Lithia Springs, GA | $60.29 | $59.55 – $63.60 | 5,586 | 3 |
| Bethlehem, PA | $132.58 | $0.00 – $396.09 | 5,581 | 14 |
| Garner, NC | $84.78 | $35.41 – $128.70 | 5,574 | 11 |
| Garden City, NY | $79.66 | $28.32 – $92.88 | 5,552 | 8 |
| Berwyn, IL | $74.81 | $0.00 – $128.84 | 5,551 | 5 |
| West Roxbury, MA | $79.77 | $68.75 – $135.81 | 5,547 | 4 |
| Henrico, VA | $93.00 | $0.00 – $232.08 | 5,539 | 8 |
| Monticello, KY | $49.80 | $39.64 – $51.92 | 5,534 | 2 |
| Bowie, MD | $104.28 | $0.00 – $119.00 | 5,519 | 10 |
| Spanish Fork, UT | $145.46 | $35.09 – $152.54 | 5,519 | 3 |
| Maysville, KY | $39.81 | $26.89 – $49.87 | 5,518 | 4 |
| New Braunfels, TX | $160.66 | $42.71 – $263.72 | 5,494 | 2 |
| Martinez, GA | $63.14 | $57.24 – $100.15 | 5,492 | 5 |
| Victor, NY | $128.58 | $128.58 – $128.58 | 5,492 | 1 |
| Brewster, NY | $49.72 | $49.72 – $49.72 | 5,491 | 1 |
| Cudahy, CA | $18.84 | $0.00 – $112.39 | 5,482 | 8 |
| Humacao, PR | $53.71 | $23.51 – $82.63 | 5,477 | 10 |
| Opelika, AL | $170.27 | $51.77 – $263.40 | 5,475 | 5 |
| Chadds Ford, PA | $84.42 | $51.02 – $117.32 | 5,474 | 5 |
| Walnut Creek, CA | $60.30 | $24.20 – $151.67 | 5,473 | 11 |
| Tahlequah, OK | $77.54 | $59.15 – $121.86 | 5,465 | 7 |
| Randolph, MA | $117.38 | $116.69 – $139.34 | 5,454 | 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.