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 |
|---|---|---|---|---|
| Gonzales, LA | $119.61 | $74.22 – $159.64 | 2,856 | 7 |
| Browns Mills, NJ | $90.14 | $90.14 – $90.14 | 2,852 | 1 |
| Bonney Lake, WA | $54.26 | $53.92 – $55.03 | 2,849 | 3 |
| Aguas Buenas, PR | $36.72 | $28.17 – $43.02 | 2,848 | 5 |
| Ogema, MN | $72.90 | $72.90 – $72.90 | 2,848 | 1 |
| Clinton, MS | $70.88 | $60.75 – $232.92 | 2,843 | 4 |
| Upper Marlboro, MD | $153.96 | $78.64 – $175.26 | 2,842 | 5 |
| Elmendorf Afb, AK | $212.67 | $212.67 – $212.67 | 2,833 | 1 |
| Glasgow, KY | $50.15 | $50.15 – $50.15 | 2,830 | 1 |
| Pahrump, NV | $80.55 | $77.36 – $83.53 | 2,827 | 2 |
| Vienna, VA | $81.89 | $0.00 – $182.33 | 2,821 | 6 |
| West Orange, NJ | $40.86 | $0.00 – $99.55 | 2,814 | 6 |
| Pulaski, TN | $90.28 | $48.30 – $90.96 | 2,808 | 3 |
| San Angelo, TX | $54.68 | $27.39 – $58.33 | 2,800 | 6 |
| Riverdale Park, MD | $115.21 | $107.08 – $133.55 | 2,799 | 4 |
| Marshall, AR | $68.69 | $68.69 – $68.69 | 2,798 | 1 |
| Hurricane, UT | $32.88 | $32.88 – $32.88 | 2,794 | 1 |
| Bad Axe, MI | $93.38 | $93.38 – $93.38 | 2,793 | 1 |
| Lamesa, TX | $58.93 | $58.93 – $58.93 | 2,789 | 1 |
| Wyomissing, PA | $91.88 | $68.42 – $102.05 | 2,777 | 3 |
| Vernon, CT | $67.44 | $25.85 – $95.02 | 2,773 | 4 |
| Hope Valley, RI | $0.93 | $0.72 – $6.77 | 2,771 | 2 |
| Bryan, OH | $23.08 | $0.00 – $24.36 | 2,770 | 2 |
| Hudsonville, MI | $76.69 | $34.04 – $85.35 | 2,770 | 3 |
| Egg Harbor Township, NJ | $85.55 | $74.55 – $117.05 | 2,764 | 5 |
| Sumterville, FL | $53.83 | $15.01 – $71.37 | 2,758 | 5 |
| White House, TN | $49.36 | $49.36 – $49.36 | 2,757 | 1 |
| Lindsay, CA | $87.62 | $0.00 – $114.03 | 2,755 | 5 |
| Plano, TX | $158.73 | $18.65 – $286.65 | 2,752 | 11 |
| Wilsonville, OR | $13.24 | $13.24 – $13.24 | 2,746 | 1 |
| Mansfield, TX | $53.17 | $6.48 – $256.60 | 2,742 | 9 |
| Belvidere, IL | $66.54 | $0.00 – $111.98 | 2,742 | 5 |
| Gambrills, MD | $130.24 | $116.45 – $148.03 | 2,740 | 3 |
| Snyder, NY | $29.74 | $15.89 – $52.27 | 2,738 | 2 |
| San German, PR | $53.87 | $31.57 – $65.47 | 2,734 | 5 |
| Barceloneta, PR | $36.62 | $36.01 – $43.90 | 2,731 | 2 |
| Whitinsville, MA | $70.76 | $70.43 – $71.43 | 2,728 | 2 |
| Brisbane, CA | $131.67 | $131.67 – $131.67 | 2,728 | 1 |
| Olney, MD | $201.82 | $68.60 – $206.11 | 2,724 | 2 |
| Hardwick, VT | $26.74 | $26.74 – $26.74 | 2,724 | 1 |
| Syosset, NY | $84.92 | $49.73 – $86.23 | 2,723 | 3 |
| Bentonville, AR | $61.48 | $57.40 – $85.91 | 2,721 | 4 |
| Magnolia, TX | $56.86 | $56.52 – $62.46 | 2,718 | 3 |
| Hayes, VA | $59.88 | $59.88 – $59.88 | 2,717 | 1 |
| Follansbee, WV | $57.61 | $57.61 – $57.61 | 2,715 | 1 |
| Society Hill, SC | $54.10 | $53.66 – $88.02 | 2,711 | 2 |
| Saugus, MA | $103.19 | $100.17 – $139.88 | 2,709 | 2 |
| Parlier, CA | $67.91 | $56.83 – $82.33 | 2,709 | 4 |
| Coamo, PR | $25.76 | $21.71 – $29.64 | 2,705 | 4 |
| Eatontown, NJ | $48.96 | $47.69 – $78.25 | 2,702 | 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.