Based on public Medicaid payment data.

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
Pomeroy, OH	$43.31	$0.00 – $59.64	2,090	4
Waianae, HI	$60.20	$42.07 – $78.23	2,089	6
Gales Ferry, CT	$103.16	$56.86 – $105.62	2,086	3
Owings Mills, MD	$101.80	$90.22 – $106.51	2,081	3
Bedford, VA	$37.24	$36.36 – $39.87	2,080	2
Parkville, MO	$71.30	$50.13 – $72.61	2,080	2
Elmwood Park, NJ	$18.74	$14.38 – $19.09	2,076	2
Owings, MD	$80.32	$80.32 – $80.32	2,076	1
Palos Heights, IL	$67.52	$36.56 – $71.99	2,075	3
North Riverside, IL	$52.61	$35.72 – $68.67	2,073	6
Groton, CT	$30.45	$29.70 – $48.14	2,072	2
Hiawatha, IA	$111.46	$97.49 – $115.82	2,072	3
Lansing, IL	$72.55	$38.66 – $90.14	2,066	7
Camden, SC	$85.08	$82.46 – $108.99	2,059	5
Addison, IL	$59.02	$41.91 – $77.24	2,059	13
Gilford, NH	$95.43	$93.96 – $96.70	2,057	2
Northlake, IL	$76.40	$70.11 – $80.17	2,047	2
Oneonta, NY	$164.63	$82.08 – $263.99	2,045	2
Irmo, SC	$95.75	$91.57 – $106.49	2,043	2
Foothill Ranch, CA	$112.11	$57.40 – $123.90	2,039	4
Norwalk, OH	$29.70	$29.70 – $29.70	2,036	1
Alpine, CA	$56.34	$55.54 – $56.45	2,034	2
Middletown, RI	$71.06	$71.06 – $71.06	2,030	1
Bellmead, TX	$33.74	$33.74 – $33.74	2,023	1
Waverly, IA	$49.84	$49.84 – $49.84	2,018	1
Zelienople, PA	$70.86	$57.69 – $71.25	2,018	2
Lucedale, MS	$67.93	$46.16 – $76.88	2,017	4
Chariton, IA	$44.89	$44.78 – $54.02	2,016	2
Tuscola, IL	$98.33	$66.15 – $118.02	2,015	3
Guilford, CT	$61.27	$59.07 – $104.72	2,013	2
Kirkwood, MO	$60.71	$60.71 – $60.71	2,009	1
Garfield Heights, OH	$68.48	$60.29 – $70.29	2,006	2
Batesburg-Leesville, SC	$108.03	$108.03 – $108.03	2,006	1
Norton Shores, MI	$158.16	$74.20 – $284.21	2,004	5
Luling, LA	$33.57	$1.83 – $85.82	2,003	2
Ocean Springs, MS	$75.92	$71.88 – $99.87	2,002	2
Hazlehurst, MS	$62.14	$59.15 – $64.48	1,995	2
Muscatine, IA	$55.58	$51.50 – $84.92	1,994	2
Westlake Village, CA	$115.24	$45.33 – $153.11	1,993	6
Willingboro, NJ	$70.56	$70.56 – $70.56	1,992	1
Sumrall, MS	$89.56	$89.56 – $89.56	1,990	1
Dublin, VA	$57.50	$57.50 – $57.50	1,990	1
Downingtown, PA	$79.61	$67.95 – $89.60	1,983	4
Clearfield, UT	$83.53	$40.32 – $132.57	1,982	3
Little Egg Harbor Twp, NJ	$78.11	$76.83 – $81.05	1,982	2
West Chester, PA	$64.07	$0.00 – $74.29	1,981	9
Davidson, NC	$58.46	$53.80 – $70.11	1,980	3
Butler, PA	$61.48	$57.26 – $64.91	1,978	4
Olympia Fields, IL	$55.30	$5.95 – $62.87	1,978	2
Aventura, FL	$40.54	$20.38 – $63.66	1,976	5

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.