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 |
|---|---|---|---|---|
| Seatlle, WA | $43.28 | $43.28 – $43.28 | 2,208 | 1 |
| Tishomingo, OK | $108.22 | $65.33 – $125.12 | 2,205 | 4 |
| Goldsboro, MD | $10.25 | $0.00 – $103.01 | 2,205 | 4 |
| Nashville, NC | $67.83 | $67.83 – $67.83 | 2,204 | 1 |
| Grandview, WA | $46.72 | $34.43 – $58.86 | 2,197 | 4 |
| Huntington Station, NY | $40.04 | $39.89 – $48.73 | 2,192 | 2 |
| Baker City, OR | $25.24 | $25.24 – $25.24 | 2,190 | 1 |
| Northampton, MA | $90.63 | $65.93 – $150.40 | 2,189 | 3 |
| Leland, NC | $90.25 | $38.95 – $111.52 | 2,183 | 4 |
| Buffalo, MN | $116.14 | $113.95 – $119.53 | 2,183 | 4 |
| Norfolk, NE | $17.19 | $8.82 – $100.63 | 2,182 | 4 |
| Newburyport, MA | $133.00 | $93.75 – $134.29 | 2,176 | 3 |
| Cabot, AR | $65.94 | $60.98 – $70.03 | 2,176 | 5 |
| Claremont, CA | $96.41 | $92.79 – $117.83 | 2,176 | 3 |
| Cave Junction, OR | $58.08 | $46.10 – $83.77 | 2,173 | 4 |
| Shelby, OH | $21.06 | $0.00 – $22.70 | 2,173 | 2 |
| Valley Stream, NY | $57.75 | $15.20 – $67.63 | 2,166 | 4 |
| Stratford, NJ | $90.54 | $66.41 – $99.31 | 2,165 | 3 |
| Wheeling, IL | $69.48 | $37.84 – $87.18 | 2,154 | 8 |
| Woodburn, OR | $65.42 | $27.42 – $81.03 | 2,154 | 5 |
| Comerio, PR | $34.33 | $21.92 – $55.53 | 2,151 | 3 |
| Newton, KS | $87.82 | $77.91 – $106.36 | 2,143 | 5 |
| Miami Beach, FL | $100.30 | $4.95 – $110.25 | 2,142 | 4 |
| Crossville, TN | $69.37 | $49.64 – $80.37 | 2,141 | 5 |
| Byron Center, MI | $182.25 | $105.39 – $222.41 | 2,134 | 3 |
| Jerome, ID | $72.87 | $38.30 – $95.85 | 2,131 | 2 |
| Mc Calla, AL | $54.53 | $54.53 – $54.53 | 2,131 | 1 |
| Springfield, NJ | $45.21 | $45.21 – $45.21 | 2,128 | 1 |
| Gardendale, AL | $54.08 | $22.31 – $55.34 | 2,127 | 4 |
| California, MD | $107.35 | $107.35 – $107.35 | 2,126 | 1 |
| New Brunswick, NJ | $78.06 | $28.89 – $90.00 | 2,125 | 4 |
| Beloit, WI | $74.59 | $0.00 – $108.83 | 2,125 | 6 |
| Avondale, AZ | $33.86 | $0.00 – $79.35 | 2,122 | 10 |
| Benton, LA | $3.78 | $3.78 – $3.78 | 2,122 | 1 |
| Palm Bay, FL | $35.85 | $19.94 – $65.67 | 2,121 | 4 |
| Sheridan, WY | $66.98 | $66.98 – $66.98 | 2,121 | 1 |
| Grimes, IA | $50.57 | $50.57 – $50.57 | 2,120 | 1 |
| Boswell, PA | $68.12 | $68.12 – $68.12 | 2,118 | 1 |
| Picayune, MS | $73.20 | $73.16 – $77.04 | 2,113 | 2 |
| Woodland, CA | $106.98 | $45.92 – $116.08 | 2,112 | 5 |
| Clayton, OK | $67.28 | $67.28 – $67.28 | 2,111 | 1 |
| Jacksonville, AR | $60.39 | $58.36 – $70.67 | 2,109 | 2 |
| Malden, MA | $114.11 | $78.58 – $144.82 | 2,106 | 10 |
| Magnolia, AR | $75.31 | $56.05 – $76.11 | 2,105 | 3 |
| Belton, TX | $44.28 | $41.42 – $61.13 | 2,103 | 4 |
| Heflin, AL | $54.04 | $54.04 – $54.04 | 2,103 | 1 |
| La Canada Flintridge, CA | $128.67 | $128.67 – $128.67 | 2,096 | 1 |
| Oak Ridge, TN | $120.22 | $45.64 – $250.69 | 2,094 | 4 |
| Great Neck, NY | $77.39 | $14.76 – $100.65 | 2,093 | 4 |
| Laguna Beach, CA | $89.94 | $85.30 – $119.00 | 2,093 | 3 |
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.