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 |
|---|---|---|---|---|
| Moultonboro, NH | $62.62 | $62.62 – $62.62 | 4,557 | 1 |
| Gurnee, IL | $113.64 | $60.16 – $261.83 | 4,554 | 5 |
| Oceana, WV | $66.79 | $31.82 – $88.00 | 4,544 | 4 |
| Woodinville, WA | $122.70 | $56.35 – $127.58 | 4,540 | 2 |
| Mukilteo, WA | $53.75 | $50.40 – $55.33 | 4,539 | 3 |
| Ansonia, CT | $101.77 | $72.96 – $102.01 | 4,538 | 2 |
| Braselton, GA | $231.66 | $231.66 – $231.66 | 4,533 | 1 |
| Morton, PA | $113.49 | $113.49 – $113.49 | 4,532 | 1 |
| Gilbertsville, PA | $49.03 | $49.03 – $49.03 | 4,530 | 1 |
| Hudson, OH | $66.39 | $65.80 – $79.44 | 4,526 | 2 |
| Simpsonville, SC | $131.41 | $57.60 – $274.85 | 4,524 | 11 |
| Bermuda Run, NC | $127.88 | $127.88 – $127.88 | 4,523 | 1 |
| Parkersburg, WV | $120.81 | $73.58 – $130.12 | 4,522 | 7 |
| Montebello, CA | $87.61 | $56.27 – $231.00 | 4,518 | 13 |
| Potsdam, NY | $158.92 | $158.92 – $158.92 | 4,514 | 1 |
| Clinton, NC | $70.57 | $61.37 – $86.13 | 4,484 | 4 |
| Midfield, AL | $50.46 | $33.56 – $65.76 | 4,484 | 7 |
| New Albany, IN | $135.91 | $0.00 – $148.63 | 4,476 | 6 |
| Plymouth, MA | $56.10 | $43.47 – $141.90 | 4,474 | 3 |
| Deland, FL | $96.78 | $27.03 – $140.47 | 4,474 | 2 |
| Concord, NH | $105.32 | $68.29 – $131.06 | 4,469 | 8 |
| New Bern, NC | $94.70 | $57.87 – $117.23 | 4,458 | 5 |
| Sheffield, AL | $99.92 | $65.31 – $186.04 | 4,449 | 4 |
| Bel Air, MD | $51.16 | $0.00 – $110.87 | 4,442 | 5 |
| Tumwater, WA | $79.99 | $35.47 – $113.52 | 4,432 | 3 |
| Conover, NC | $50.88 | $49.19 – $108.36 | 4,425 | 3 |
| Spring, TX | $155.19 | $11.16 – $274.57 | 4,417 | 10 |
| Lagrange, KY | $74.65 | $74.65 – $74.65 | 4,416 | 1 |
| Raeford, NC | $64.16 | $57.52 – $64.49 | 4,411 | 3 |
| Newnan, GA | $81.69 | $33.23 – $221.70 | 4,409 | 5 |
| San Clemente, CA | $58.58 | $56.62 – $109.02 | 4,408 | 3 |
| Mount Vernon, KY | $41.94 | $36.20 – $45.84 | 4,406 | 2 |
| Cheraw, SC | $96.03 | $55.81 – $96.86 | 4,404 | 3 |
| Arlington Heights, IL | $112.22 | $43.13 – $296.10 | 4,403 | 12 |
| Middletown, CT | $76.35 | $0.00 – $128.38 | 4,400 | 6 |
| Roseville, MI | $122.04 | $33.43 – $265.90 | 4,400 | 9 |
| Natchez, MS | $78.35 | $13.46 – $93.79 | 4,390 | 5 |
| Starkville, MS | $95.22 | $27.17 – $334.42 | 4,387 | 6 |
| Greenville, MI | $83.65 | $83.65 – $83.65 | 4,387 | 1 |
| Athens, AL | $53.76 | $47.38 – $59.38 | 4,375 | 6 |
| Cynthiana, KY | $42.76 | $42.76 – $42.76 | 4,369 | 1 |
| Port Angeles, WA | $34.97 | $0.00 – $53.23 | 4,359 | 6 |
| Bismarck, ND | $77.98 | $0.00 – $160.87 | 4,347 | 9 |
| Sparks, NV | $73.68 | $36.07 – $159.17 | 4,344 | 4 |
| Soddy Daisy, TN | $59.96 | $59.28 – $60.01 | 4,339 | 2 |
| Conroe, TX | $56.52 | $42.50 – $71.64 | 4,329 | 5 |
| Peyton, CO | $134.37 | $134.37 – $134.37 | 4,314 | 1 |
| Jackson, OH | $36.03 | $0.00 – $62.40 | 4,313 | 3 |
| Lake Mary, FL | $182.60 | $182.60 – $182.60 | 4,312 | 1 |
| Boone, NC | $79.83 | $60.31 – $124.45 | 4,310 | 8 |
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.