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 |
|---|---|---|---|---|
| Galion, OH | $53.94 | $53.94 – $53.94 | 2,699 | 1 |
| Dunn Loring, VA | $56.57 | $56.57 – $56.57 | 2,697 | 1 |
| Aberdeen, WA | $39.99 | $0.00 – $59.31 | 2,696 | 4 |
| Glen Burnie, MD | $94.22 | $21.41 – $135.23 | 2,695 | 11 |
| Alamosa, CO | $107.61 | $78.64 – $140.06 | 2,692 | 7 |
| Pendleton, OR | $66.95 | $0.75 – $165.59 | 2,687 | 3 |
| Swansea, IL | $39.08 | $39.08 – $39.08 | 2,683 | 1 |
| Bryan, TX | $59.42 | $47.23 – $60.53 | 2,681 | 3 |
| Semmes, AL | $53.14 | $40.29 – $55.05 | 2,681 | 3 |
| Webster, MA | $69.49 | $63.50 – $73.12 | 2,680 | 4 |
| Bennington, VT | $127.15 | $68.19 – $132.66 | 2,676 | 4 |
| Fraser, MI | $80.56 | $35.26 – $96.68 | 2,672 | 4 |
| Andover, MA | $93.04 | $90.70 – $94.95 | 2,669 | 2 |
| Absecon, NJ | $69.28 | $66.61 – $70.39 | 2,666 | 2 |
| Dorchester Center, MA | $73.08 | $72.30 – $78.08 | 2,657 | 3 |
| Farmington, WV | $77.98 | $77.98 – $77.98 | 2,656 | 1 |
| Normal, IL | $79.86 | $49.68 – $87.09 | 2,644 | 3 |
| Deming, NM | $79.91 | $64.39 – $83.09 | 2,641 | 3 |
| Eastvale, CA | $57.93 | $56.93 – $117.00 | 2,639 | 3 |
| Camarillo, CA | $104.44 | $51.91 – $227.98 | 2,638 | 7 |
| East Alton, IL | $10.72 | $8.81 – $134.97 | 2,638 | 3 |
| Pleasant View, UT | $52.22 | $50.45 – $64.34 | 2,631 | 2 |
| West Milwaukee, WI | $66.15 | $50.43 – $68.00 | 2,627 | 3 |
| Monterey, CA | $57.23 | $51.46 – $119.00 | 2,626 | 3 |
| San Tan Valley, AZ | $36.80 | $26.63 – $38.32 | 2,626 | 2 |
| Kokomo, IN | $130.92 | $0.00 – $192.50 | 2,620 | 9 |
| Saranac, MI | $82.99 | $80.47 – $86.18 | 2,615 | 2 |
| Sterling, IL | $53.10 | $0.00 – $57.00 | 2,614 | 2 |
| Kings Mountain, NC | $73.49 | $61.98 – $74.00 | 2,613 | 2 |
| Libby, MT | $0.00 | $0.00 – $0.00 | 2,613 | 1 |
| Toa Baja, PR | $46.08 | $25.10 – $66.02 | 2,605 | 5 |
| Chantilly, VA | $67.96 | $0.00 – $72.83 | 2,605 | 3 |
| Hillsborough, NJ | $121.32 | $48.81 – $187.10 | 2,601 | 4 |
| Albany, GA | $186.24 | $48.45 – $278.07 | 2,598 | 5 |
| Lincoln, IL | $29.26 | $0.70 – $101.55 | 2,597 | 5 |
| Caledonia, MI | $84.39 | $83.45 – $143.15 | 2,596 | 2 |
| Gardner, MA | $66.43 | $66.43 – $66.43 | 2,595 | 1 |
| Gassaway, WV | $66.80 | $66.80 – $66.80 | 2,587 | 1 |
| Tiffin, OH | $51.89 | $26.49 – $58.42 | 2,579 | 3 |
| Bristol, VA | $40.43 | $0.00 – $46.89 | 2,578 | 4 |
| Othello, WA | $52.02 | $39.59 – $433.59 | 2,578 | 6 |
| Hillsville, VA | $44.07 | $0.00 – $46.36 | 2,577 | 3 |
| Ontario, OR | $18.01 | $7.50 – $78.87 | 2,575 | 7 |
| Arkadelphia, AR | $62.14 | $62.14 – $62.14 | 2,575 | 1 |
| Berwyn Heights, MD | $240.38 | $67.98 – $277.23 | 2,575 | 3 |
| Mishawaka, IN | $62.19 | $56.66 – $136.58 | 2,574 | 3 |
| Highland, CA | $105.06 | $56.50 – $110.52 | 2,573 | 4 |
| Ponca City, OK | $102.35 | $66.91 – $113.37 | 2,572 | 3 |
| Papillion, NE | $133.27 | $70.55 – $153.16 | 2,571 | 3 |
| Bloomfield, CT | $70.60 | $70.60 – $70.60 | 2,567 | 1 |
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.