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 |
|---|---|---|---|---|
| Cinnaminson, NJ | $70.66 | $17.31 – $78.68 | 1,976 | 4 |
| Paris, IL | $112.57 | $112.57 – $112.57 | 1,976 | 1 |
| Fergus Falls, MN | $116.81 | $41.63 – $124.07 | 1,975 | 8 |
| Boardman, OR | $4.43 | $2.85 – $6.15 | 1,973 | 3 |
| Burney, CA | $72.58 | $72.58 – $72.58 | 1,973 | 1 |
| Kenmore, WA | $3.04 | $3.04 – $3.04 | 1,972 | 1 |
| Woodbury, NJ | $79.80 | $52.75 – $134.83 | 1,969 | 3 |
| Dallas, OR | $77.09 | $0.00 – $158.20 | 1,968 | 6 |
| Broomfield, CO | $98.02 | $98.02 – $98.02 | 1,965 | 1 |
| Wylie, TX | $50.95 | $35.65 – $279.06 | 1,965 | 3 |
| Artesia, CA | $55.86 | $36.91 – $57.40 | 1,965 | 3 |
| Liberty, MO | $67.26 | $67.26 – $67.26 | 1,961 | 1 |
| Morgan City, LA | $29.84 | $6.85 – $75.68 | 1,961 | 2 |
| Naranjito, PR | $41.28 | $19.38 – $67.97 | 1,956 | 7 |
| Twentynine Palms, CA | $86.04 | $69.08 – $111.73 | 1,954 | 2 |
| Old Town, ME | $102.29 | $102.29 – $102.29 | 1,953 | 1 |
| Cut Off, LA | $67.51 | $27.73 – $76.86 | 1,953 | 2 |
| Las Marias, PR | $44.54 | $44.54 – $44.54 | 1,949 | 1 |
| Danville, IL | $52.03 | $0.00 – $61.80 | 1,948 | 2 |
| Imperial, CA | $114.79 | $56.34 – $119.00 | 1,945 | 3 |
| Dennison, OH | $92.55 | $55.45 – $96.61 | 1,944 | 3 |
| Kapolei, HI | $185.09 | $47.76 – $191.38 | 1,939 | 2 |
| Fort Huachuca, AZ | $100.58 | $100.58 – $100.58 | 1,938 | 1 |
| Rio Grande, PR | $28.58 | $23.59 – $52.83 | 1,937 | 5 |
| Calumet, MI | $93.97 | $93.06 – $137.25 | 1,937 | 2 |
| Springville, UT | $64.06 | $60.71 – $108.53 | 1,935 | 3 |
| Laguna Woods, CA | $40.69 | $13.92 – $58.83 | 1,931 | 2 |
| City Of Industry, CA | $64.33 | $57.11 – $119.00 | 1,929 | 3 |
| Murray, KY | $94.72 | $39.42 – $95.95 | 1,928 | 2 |
| Marble Hill, MO | $68.66 | $68.66 – $68.66 | 1,928 | 1 |
| Crest Hill, IL | $85.69 | $42.05 – $87.29 | 1,925 | 3 |
| Marshalltown, IA | $6.72 | $0.00 – $60.40 | 1,918 | 8 |
| Ponte Vedra Beach, FL | $41.41 | $22.62 – $54.85 | 1,916 | 3 |
| Conneaut, OH | $60.02 | $60.02 – $60.02 | 1,916 | 1 |
| East Wareham, MA | $137.10 | $137.10 – $137.10 | 1,915 | 1 |
| Milton, KY | $38.63 | $38.63 – $38.63 | 1,914 | 1 |
| Glen Allen, VA | $69.10 | $0.00 – $99.62 | 1,912 | 6 |
| West Hartford, CT | $49.91 | $34.72 – $107.76 | 1,908 | 5 |
| Sioux Falls, SD | $94.98 | $84.62 – $113.27 | 1,899 | 3 |
| Garland, TX | $49.14 | $8.55 – $86.05 | 1,899 | 11 |
| Eagan, MN | $123.43 | $112.34 – $124.51 | 1,897 | 3 |
| Laurinburg, NC | $63.15 | $63.15 – $63.27 | 1,894 | 2 |
| Yazoo City, MS | $64.08 | $56.65 – $89.69 | 1,892 | 4 |
| Sebring, FL | $52.96 | $42.80 – $62.81 | 1,891 | 3 |
| Woodbury, MN | $434.88 | $434.88 – $434.88 | 1,891 | 1 |
| Centerville, OH | $63.13 | $56.73 – $90.92 | 1,889 | 4 |
| Corona, NY | $46.56 | $36.50 – $80.86 | 1,887 | 7 |
| Box Elder, MT | $1.38 | $1.38 – $1.38 | 1,885 | 1 |
| Marble Falls, TX | $44.92 | $44.00 – $45.78 | 1,884 | 2 |
| Commerce, MI | $91.51 | $91.51 – $91.51 | 1,884 | 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.