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 |
|---|---|---|---|---|
| Wautoma, WI | $7.04 | $0.00 – $8.71 | 3,391 | 4 |
| Melvindale, MI | $80.55 | $80.55 – $80.55 | 3,387 | 1 |
| Orange Cove, CA | $81.57 | $81.57 – $81.57 | 3,386 | 1 |
| Mt Prospect, IL | $101.74 | $101.74 – $101.74 | 3,383 | 1 |
| Austintown, OH | $62.22 | $49.08 – $62.82 | 3,379 | 3 |
| Youngsville, LA | $71.89 | $71.89 – $71.89 | 3,378 | 1 |
| Mankato, MN | $316.10 | $13.85 – $954.02 | 3,375 | 8 |
| Cleveland, MS | $104.76 | $29.50 – $285.30 | 3,371 | 7 |
| Logan, OH | $113.94 | $113.94 – $113.94 | 3,365 | 1 |
| North Canton, OH | $61.03 | $61.03 – $61.03 | 3,365 | 1 |
| Pacoima, CA | $65.49 | $56.01 – $119.00 | 3,364 | 5 |
| Thompsons Station, TN | $54.88 | $54.88 – $54.88 | 3,364 | 1 |
| Anacortes, WA | $53.76 | $1.05 – $59.14 | 3,363 | 3 |
| Alexandria, MN | $140.25 | $42.56 – $217.41 | 3,353 | 4 |
| Foley, AL | $104.89 | $52.53 – $165.40 | 3,352 | 4 |
| Medina, OH | $66.19 | $29.26 – $96.34 | 3,346 | 8 |
| Ruidoso, NM | $77.64 | $68.38 – $80.27 | 3,336 | 2 |
| Mount Vernon, OH | $55.17 | $0.00 – $110.83 | 3,334 | 5 |
| Pulaski, VA | $59.80 | $59.80 – $59.80 | 3,332 | 1 |
| Ithaca, NY | $76.01 | $47.18 – $222.08 | 3,328 | 4 |
| Lafayette, CO | $68.40 | $4.10 – $290.37 | 3,328 | 9 |
| El Dorado, AR | $78.12 | $59.80 – $265.43 | 3,328 | 4 |
| Preston, MN | $97.77 | $97.77 – $97.77 | 3,328 | 1 |
| Alameda, CA | $70.81 | $38.68 – $103.38 | 3,323 | 4 |
| Odessa, TX | $59.21 | $28.08 – $110.45 | 3,316 | 5 |
| Jbsa Ft Sam Houston, TX | $148.23 | $148.23 – $148.23 | 3,316 | 1 |
| Walsenburg, CO | $98.23 | $95.43 – $99.55 | 3,313 | 2 |
| West Deptford, NJ | $83.31 | $78.20 – $86.22 | 3,308 | 3 |
| Cass Lake, MN | $31.56 | $30.37 – $48.50 | 3,298 | 2 |
| Hazlet, NJ | $97.37 | $74.75 – $101.06 | 3,292 | 2 |
| Milledgeville, GA | $61.69 | $61.69 – $61.69 | 3,282 | 1 |
| Humble, TX | $74.12 | $27.30 – $222.86 | 3,275 | 8 |
| Lake Oswego, OR | $38.49 | $0.00 – $99.17 | 3,273 | 4 |
| Quincy, CA | $67.91 | $67.91 – $67.91 | 3,265 | 1 |
| Temple Hills, MD | $92.32 | $71.72 – $113.10 | 3,259 | 4 |
| Havre, MT | $0.00 | $0.00 – $0.00 | 3,258 | 1 |
| Sanger, CA | $56.57 | $55.63 – $56.69 | 3,255 | 2 |
| Butte, MT | $35.45 | $0.00 – $110.02 | 3,250 | 4 |
| Marion, NC | $87.58 | $56.83 – $170.42 | 3,244 | 7 |
| Fairmont, NC | $73.85 | $73.85 – $73.85 | 3,236 | 1 |
| Maple Grove, MN | $113.80 | $54.68 – $130.28 | 3,232 | 6 |
| Marana, AZ | $13.70 | $0.00 – $59.34 | 3,231 | 2 |
| Kingstree, SC | $91.46 | $77.72 – $136.38 | 3,230 | 4 |
| Kewanee, IL | $73.97 | $73.97 – $73.97 | 3,228 | 1 |
| Durant, OK | $65.93 | $65.93 – $65.93 | 3,225 | 1 |
| Heber City, UT | $84.08 | $18.53 – $87.09 | 3,225 | 2 |
| Frisco, TX | $57.15 | $25.68 – $286.65 | 3,219 | 9 |
| Altamonte Springs, FL | $32.98 | $27.31 – $54.33 | 3,219 | 3 |
| San Pedro, CA | $105.07 | $56.55 – $127.29 | 3,217 | 6 |
| Juana Diaz, PR | $42.95 | $22.46 – $54.12 | 3,204 | 6 |
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.