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 |
|---|---|---|---|---|
| East Brunswick, NJ | $49.44 | $2.98 – $70.68 | 3,021 | 5 |
| Sartell, MN | $120.78 | $57.34 – $122.40 | 3,014 | 2 |
| Louisville, CO | $100.89 | $97.32 – $228.88 | 3,010 | 6 |
| Bryant, AR | $61.74 | $51.32 – $68.80 | 3,008 | 5 |
| Cottonwood, AZ | $28.82 | $0.00 – $98.97 | 3,007 | 6 |
| Lyndhurst, OH | $64.55 | $54.26 – $111.91 | 2,999 | 8 |
| Culver City, CA | $81.16 | $0.00 – $119.00 | 2,994 | 9 |
| Honesdale, PA | $58.63 | $0.00 – $81.42 | 2,994 | 3 |
| Moody, AL | $51.51 | $51.47 – $53.92 | 2,988 | 2 |
| Cumberland, RI | $84.93 | $84.91 – $85.04 | 2,987 | 2 |
| Manteca, CA | $55.55 | $39.98 – $114.75 | 2,985 | 3 |
| Glendale Heights, IL | $93.72 | $25.26 – $118.66 | 2,984 | 6 |
| La Grange, KY | $60.33 | $60.33 – $60.33 | 2,982 | 1 |
| Brookville, NY | $86.26 | $86.26 – $86.26 | 2,982 | 1 |
| Winnetka, CA | $110.23 | $0.00 – $114.68 | 2,977 | 3 |
| Wake Forest, NC | $59.21 | $0.01 – $67.31 | 2,973 | 6 |
| Salinas, PR | $36.58 | $22.17 – $49.45 | 2,970 | 4 |
| Nogales, AZ | $60.15 | $0.00 – $73.87 | 2,968 | 2 |
| Hermantown, MN | $101.74 | $35.81 – $181.21 | 2,959 | 4 |
| Linden, NJ | $26.36 | $9.86 – $69.71 | 2,958 | 3 |
| Mclean, VA | $68.94 | $52.31 – $240.83 | 2,956 | 4 |
| Fitchburg, WI | $73.77 | $62.19 – $92.70 | 2,954 | 3 |
| Farmville, VA | $62.70 | $48.15 – $72.22 | 2,953 | 3 |
| Draper, UT | $55.96 | $35.64 – $102.84 | 2,948 | 4 |
| Edmonds, WA | $39.57 | $29.97 – $116.75 | 2,940 | 9 |
| Woodstock, GA | $66.87 | $45.34 – $135.23 | 2,940 | 6 |
| Pearl City, HI | $76.03 | $46.07 – $147.33 | 2,938 | 5 |
| Surprise, AZ | $23.64 | $0.00 – $72.87 | 2,934 | 7 |
| Lebanon, TN | $84.00 | $57.20 – $186.42 | 2,930 | 5 |
| Adrian, MI | $95.89 | $58.31 – $101.35 | 2,916 | 4 |
| West Springfield, MA | $116.99 | $87.52 – $136.36 | 2,913 | 5 |
| Lauderdale Lake, FL | $33.59 | $33.59 – $33.59 | 2,913 | 1 |
| Waipahu, HI | $71.65 | $50.15 – $80.98 | 2,904 | 4 |
| Redford, MI | $52.68 | $45.58 – $89.26 | 2,902 | 4 |
| Burlington, IA | $56.19 | $56.19 – $56.19 | 2,895 | 1 |
| Orangeburg, SC | $89.03 | $69.33 – $127.08 | 2,895 | 8 |
| North Syracuse, NY | $283.38 | $55.70 – $300.86 | 2,893 | 4 |
| Ridgefield Park, NJ | $48.97 | $39.12 – $82.12 | 2,890 | 4 |
| Batesville, AR | $63.13 | $38.28 – $64.10 | 2,884 | 3 |
| Bastrop, LA | $61.63 | $0.00 – $82.23 | 2,883 | 3 |
| Pacific Palisades, CA | $97.06 | $93.47 – $155.00 | 2,876 | 2 |
| Keene, NH | $98.48 | $93.33 – $128.95 | 2,875 | 5 |
| Keizer, OR | $88.56 | $32.41 – $117.99 | 2,864 | 4 |
| Moscow, ID | $16.67 | $14.33 – $17.76 | 2,864 | 2 |
| Milton Freewater, OR | $35.77 | $35.77 – $35.77 | 2,864 | 1 |
| West Orange, TX | $95.58 | $95.58 – $95.58 | 2,863 | 1 |
| Harlingon, TX | $247.09 | $247.09 – $247.09 | 2,863 | 1 |
| Carlsbad, NM | $69.74 | $34.94 – $151.58 | 2,862 | 5 |
| Richland, IA | $2.70 | $1.07 – $3.58 | 2,860 | 2 |
| Mauston, WI | $5.60 | $1.01 – $7.84 | 2,857 | 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.