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 |
|---|---|---|---|---|
| Denton, TX | $93.07 | $9.83 – $143.37 | 2,398 | 9 |
| Fairfield, CA | $121.24 | $56.75 – $264.94 | 2,395 | 7 |
| South Jordan, UT | $95.79 | $47.37 – $212.28 | 2,395 | 7 |
| North Lauderdale, FL | $34.53 | $19.05 – $35.97 | 2,395 | 3 |
| Deptford, NJ | $66.79 | $54.23 – $80.00 | 2,393 | 3 |
| Newton, MS | $60.94 | $27.64 – $61.45 | 2,392 | 3 |
| Staunton, VA | $71.95 | $61.42 – $82.41 | 2,391 | 2 |
| Princeton, NJ | $55.38 | $55.38 – $55.38 | 2,391 | 1 |
| Hood River, OR | $75.79 | $0.00 – $114.42 | 2,390 | 7 |
| South Ogden, UT | $151.44 | $22.78 – $167.47 | 2,390 | 5 |
| Elyria, OH | $89.93 | $51.48 – $150.17 | 2,388 | 6 |
| Patillas, PR | $30.89 | $7.06 – $45.36 | 2,387 | 5 |
| Bakersfield (And Vicinity), CA | $56.57 | $56.57 – $56.57 | 2,387 | 1 |
| Woodridge, IL | $62.65 | $40.86 – $65.82 | 2,381 | 4 |
| Seaside, CA | $114.72 | $100.90 – $116.30 | 2,380 | 2 |
| Newburgh, NY | $74.34 | $44.28 – $111.90 | 2,377 | 4 |
| Huntsville, TN | $99.97 | $65.11 – $100.81 | 2,377 | 2 |
| Rowlett, TX | $82.74 | $11.11 – $126.79 | 2,369 | 5 |
| Reading, PA | $62.54 | $47.49 – $71.40 | 2,361 | 7 |
| Perris, CA | $82.78 | $57.26 – $116.10 | 2,360 | 9 |
| Sterling, VA | $61.01 | $50.61 – $187.92 | 2,357 | 5 |
| Hartsville, TN | $63.62 | $63.04 – $67.55 | 2,357 | 2 |
| West Sacramento, CA | $95.03 | $21.74 – $119.00 | 2,357 | 6 |
| Pottstown, PA | $82.89 | $0.00 – $257.65 | 2,356 | 6 |
| Dunkirk, NY | $56.05 | $55.89 – $56.53 | 2,356 | 2 |
| Chicago Heights, IL | $47.64 | $0.00 – $76.62 | 2,356 | 9 |
| South Point, OH | $58.22 | $58.22 – $58.22 | 2,354 | 1 |
| Kailua Kona, HI | $44.26 | $27.31 – $153.94 | 2,353 | 2 |
| South Portland, ME | $113.46 | $85.98 – $146.22 | 2,351 | 7 |
| Columbia, IL | $120.52 | $59.84 – $280.49 | 2,349 | 2 |
| Lake Jackson, TX | $107.52 | $91.36 – $131.02 | 2,343 | 2 |
| Warren, NJ | $79.42 | $78.23 – $103.85 | 2,343 | 2 |
| Catoosa, OK | $107.89 | $107.52 – $121.88 | 2,339 | 2 |
| Utuado, PR | $35.96 | $34.84 – $36.49 | 2,336 | 2 |
| So San Francisco, CA | $85.68 | $85.68 – $85.68 | 2,336 | 1 |
| Rocklin, CA | $55.98 | $7.13 – $113.52 | 2,335 | 7 |
| Seneca, SC | $95.29 | $82.46 – $97.56 | 2,332 | 4 |
| Jamaica Plain, MA | $71.58 | $3.46 – $119.66 | 2,331 | 5 |
| Columbus, GA | $68.62 | $41.16 – $174.49 | 2,330 | 10 |
| Ellington, MO | $166.35 | $44.52 – $173.45 | 2,327 | 2 |
| Plainfield, NJ | $39.67 | $36.89 – $49.75 | 2,326 | 5 |
| Perth Amboy, NJ | $48.89 | $16.96 – $117.58 | 2,324 | 9 |
| North Royalton, OH | $51.53 | $51.52 – $51.62 | 2,324 | 2 |
| Sonora, CA | $57.61 | $56.13 – $92.26 | 2,323 | 3 |
| Bellaire, TX | $42.49 | $24.59 – $53.54 | 2,321 | 3 |
| Waikoloa, HI | $147.41 | $147.41 – $147.41 | 2,314 | 1 |
| Arvin, CA | $56.92 | $56.92 – $57.40 | 2,312 | 2 |
| Livingston, MT | $0.00 | $0.00 – $0.00 | 2,309 | 1 |
| Dillon, SC | $65.66 | $64.72 – $67.40 | 2,307 | 2 |
| Hancock, MI | $87.26 | $87.26 – $87.26 | 2,305 | 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.