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 |
|---|---|---|---|---|
| Junction City, KS | $89.93 | $89.65 – $95.61 | 5,450 | 3 |
| Cape Girardeau, MO | $118.90 | $36.70 – $190.28 | 5,444 | 11 |
| Alger, MI | $90.90 | $90.90 – $90.90 | 5,444 | 1 |
| Greenwood Village, CO | $249.15 | $95.75 – $252.85 | 5,432 | 3 |
| Oregon, OH | $74.12 | $59.86 – $125.03 | 5,422 | 4 |
| Hoboken, NJ | $104.23 | $56.28 – $128.22 | 5,416 | 3 |
| Mesquite, TX | $266.17 | $43.47 – $283.69 | 5,415 | 5 |
| Port Hueneme, CA | $112.26 | $82.06 – $120.52 | 5,402 | 3 |
| Naperville, IL | $69.86 | $48.58 – $103.42 | 5,401 | 14 |
| Robbinsdale, MN | $102.81 | $95.36 – $143.08 | 5,401 | 5 |
| Loveland, CO | $127.86 | $13.87 – $275.97 | 5,396 | 14 |
| Groton, MA | $92.42 | $81.35 – $100.73 | 5,394 | 2 |
| Lutz, FL | $39.22 | $22.54 – $39.77 | 5,386 | 2 |
| Greenwood, SC | $90.75 | $84.37 – $239.82 | 5,344 | 3 |
| Pelham, AL | $50.77 | $38.27 – $69.00 | 5,343 | 7 |
| Camp Hill, PA | $162.74 | $65.03 – $212.25 | 5,340 | 7 |
| Layton, UT | $48.44 | $7.75 – $109.69 | 5,333 | 11 |
| Toppenish, WA | $77.60 | $32.14 – $141.39 | 5,319 | 8 |
| Harlan, KY | $67.64 | $37.26 – $147.43 | 5,310 | 3 |
| Abingdon, VA | $57.13 | $0.00 – $89.70 | 5,303 | 12 |
| Alamogordo, NM | $65.09 | $0.00 – $112.18 | 5,302 | 9 |
| Bridgeport, MI | $102.73 | $102.73 – $102.73 | 5,295 | 1 |
| Louisville, MS | $64.18 | $56.42 – $65.17 | 5,287 | 2 |
| Roanoke Rapids, NC | $87.15 | $44.90 – $102.80 | 5,277 | 6 |
| Nutter Fort, WV | $73.88 | $59.65 – $85.82 | 5,270 | 3 |
| Three Rivers, MI | $53.71 | $53.71 – $53.71 | 5,266 | 1 |
| Mountain Home, AR | $68.91 | $67.35 – $85.60 | 5,264 | 3 |
| Hanover Park, IL | $71.01 | $43.06 – $71.26 | 5,258 | 3 |
| Baker, LA | $94.79 | $0.00 – $131.76 | 5,245 | 4 |
| Baldwinsville, NY | $72.31 | $72.31 – $72.31 | 5,233 | 1 |
| Franklin, TN | $60.18 | $47.55 – $134.53 | 5,232 | 11 |
| Thornton, CO | $79.59 | $0.00 – $138.76 | 5,230 | 17 |
| Franklin, LA | $1.43 | $0.27 – $3.70 | 5,219 | 3 |
| Homer, LA | $81.19 | $81.19 – $81.19 | 5,219 | 1 |
| Shelby, NC | $66.57 | $0.00 – $76.35 | 5,211 | 10 |
| Southbridge, MA | $80.52 | $80.23 – $88.19 | 5,199 | 2 |
| Slippery Rock, PA | $59.89 | $49.73 – $80.44 | 5,198 | 3 |
| Ashland, MS | $68.14 | $68.09 – $82.16 | 5,192 | 2 |
| Antlers, OK | $61.63 | $55.68 – $61.68 | 5,186 | 3 |
| Fruitland, ID | $65.38 | $18.34 – $124.78 | 5,173 | 2 |
| Old Bridge, NJ | $56.86 | $19.00 – $70.22 | 5,173 | 8 |
| Stevensville, MD | $107.56 | $102.02 – $107.72 | 5,172 | 2 |
| Brainerd, MN | $169.57 | $81.88 – $267.16 | 5,168 | 4 |
| Mount Orab, OH | $27.71 | $0.00 – $28.27 | 5,165 | 2 |
| Topeka, KS | $82.68 | $51.07 – $95.40 | 5,157 | 10 |
| Cupertino, CA | $127.10 | $53.47 – $165.91 | 5,154 | 6 |
| Lake Isabella, CA | $57.41 | $57.41 – $57.41 | 5,152 | 1 |
| Rainsville, AL | $54.47 | $54.47 – $54.47 | 5,149 | 1 |
| Renton, WA | $58.68 | $31.23 – $79.43 | 5,146 | 10 |
| El Cerrito, CA | $87.30 | $56.89 – $110.77 | 5,146 | 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.