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 |
|---|---|---|---|---|
| Paris, KY | $58.95 | $35.24 – $131.42 | 4,081 | 9 |
| Gwinn, MI | $92.16 | $92.16 – $92.16 | 4,078 | 1 |
| Montclair, NJ | $27.43 | $19.70 – $63.60 | 4,077 | 7 |
| Hixson, TN | $81.16 | $59.93 – $99.96 | 4,076 | 5 |
| West Columbia, SC | $130.94 | $66.60 – $264.76 | 4,075 | 6 |
| Manalapan, NJ | $37.93 | $28.18 – $90.02 | 4,074 | 5 |
| Fort Dodge, IA | $43.80 | $0.01 – $170.15 | 4,063 | 7 |
| Oak Park, MI | $70.66 | $39.95 – $121.76 | 4,058 | 5 |
| Lexington, VA | $47.68 | $41.03 – $87.97 | 4,052 | 5 |
| Farmersville, CA | $114.82 | $114.82 – $114.82 | 4,051 | 1 |
| Sandy, UT | $84.74 | $16.33 – $202.61 | 4,041 | 7 |
| Berea, KY | $49.23 | $44.60 – $75.16 | 4,039 | 4 |
| Union City, CA | $57.84 | $55.25 – $113.75 | 4,030 | 5 |
| Doylestown, PA | $121.63 | $38.61 – $153.04 | 4,007 | 5 |
| Okmulgee, OK | $114.18 | $69.86 – $129.84 | 4,007 | 3 |
| Bridgeton, NJ | $17.97 | $16.33 – $30.00 | 4,005 | 3 |
| Sewell, NJ | $72.04 | $64.67 – $72.61 | 4,001 | 2 |
| Azusa, CA | $77.92 | $62.34 – $119.00 | 4,001 | 4 |
| Imlay City, MI | $96.25 | $96.25 – $96.25 | 3,989 | 1 |
| Santa Clara, CA | $96.52 | $10.54 – $119.00 | 3,970 | 8 |
| Lebanon, OH | $58.11 | $58.11 – $58.11 | 3,964 | 1 |
| Danville, PA | $82.75 | $30.40 – $129.25 | 3,952 | 10 |
| Salyersville, KY | $58.93 | $57.28 – $60.73 | 3,951 | 2 |
| Brookfield, WI | $37.71 | $0.00 – $64.64 | 3,945 | 5 |
| Irvington, NJ | $68.02 | $0.00 – $88.41 | 3,940 | 9 |
| Hollywood, FL | $38.88 | $19.04 – $63.88 | 3,928 | 6 |
| Terre Haute, IN | $128.09 | $0.00 – $196.29 | 3,925 | 15 |
| Riverdale, MD | $116.43 | $109.94 – $116.81 | 3,921 | 2 |
| Middleboro, MA | $182.15 | $117.87 – $185.33 | 3,920 | 2 |
| Okanogan, WA | $51.09 | $32.79 – $129.14 | 3,917 | 7 |
| Brookline, MA | $93.93 | $44.07 – $104.45 | 3,916 | 8 |
| Greer, SC | $129.08 | $80.25 – $211.42 | 3,915 | 7 |
| Neillsville, WI | $37.65 | $35.98 – $38.19 | 3,914 | 4 |
| Wayland, MI | $79.67 | $36.39 – $129.62 | 3,914 | 2 |
| Lathrup Village, MI | $44.75 | $33.08 – $65.12 | 3,909 | 4 |
| Clifton, NJ | $32.25 | $15.72 – $79.12 | 3,904 | 10 |
| Desert Hot Springs, CA | $112.07 | $108.73 – $115.28 | 3,903 | 3 |
| Commerce City, CO | $51.79 | $27.32 – $174.54 | 3,899 | 8 |
| Murrells Inlet, SC | $90.65 | $87.40 – $92.58 | 3,897 | 3 |
| Reedley, CA | $88.81 | $0.00 – $93.10 | 3,896 | 5 |
| Superior, WI | $69.09 | $0.00 – $180.48 | 3,892 | 5 |
| Washington, PA | $84.28 | $54.45 – $95.18 | 3,882 | 5 |
| Oakland, MD | $101.34 | $101.30 – $103.49 | 3,871 | 2 |
| Encinitas, CA | $63.88 | $56.63 – $117.63 | 3,865 | 4 |
| Canton, MS | $254.98 | $37.37 – $450.13 | 3,864 | 6 |
| Liberty, NY | $53.09 | $53.09 – $53.09 | 3,855 | 1 |
| Poland, OH | $58.28 | $58.28 – $58.29 | 3,854 | 2 |
| Bourbonnais, IL | $58.88 | $51.81 – $85.42 | 3,843 | 5 |
| Astoria, NY | $74.71 | $41.00 – $82.60 | 3,837 | 7 |
| Bogalusa, LA | $60.72 | $57.46 – $64.01 | 3,835 | 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.