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 |
|---|---|---|---|---|
| Madison, FL | $38.46 | $10.78 – $40.07 | 1,530 | 2 |
| Jefferson City, MO | $152.71 | $60.57 – $208.53 | 1,529 | 6 |
| Tooele, UT | $42.06 | $41.38 – $72.00 | 1,525 | 2 |
| Glen Rock, NJ | $53.94 | $33.64 – $124.09 | 1,525 | 3 |
| Hayden, ID | $86.36 | $32.50 – $181.16 | 1,524 | 3 |
| Del Rio, TX | $79.67 | $56.79 – $100.06 | 1,524 | 2 |
| Mattawan, MI | $45.83 | $45.83 – $45.83 | 1,524 | 1 |
| Shelton, WA | $55.25 | $32.82 – $58.27 | 1,523 | 3 |
| San Dimas, CA | $56.70 | $54.52 – $71.99 | 1,523 | 2 |
| Anasco, PR | $40.54 | $29.18 – $43.98 | 1,521 | 3 |
| Parsons, KS | $70.04 | $52.44 – $84.43 | 1,518 | 3 |
| South Windsor, CT | $67.59 | $49.73 – $159.92 | 1,518 | 2 |
| North Wales, PA | $71.11 | $52.96 – $74.59 | 1,517 | 2 |
| Hawthorne, NY | $168.26 | $76.00 – $169.81 | 1,512 | 2 |
| Easton, PA | $212.69 | $65.00 – $232.69 | 1,509 | 2 |
| Newark, CA | $104.01 | $56.48 – $131.76 | 1,509 | 4 |
| Springfield, VT | $75.67 | $75.67 – $75.67 | 1,508 | 1 |
| Cedar City, UT | $56.01 | $0.00 – $198.08 | 1,506 | 5 |
| Sioux Center, IA | $30.25 | $0.00 – $61.82 | 1,504 | 4 |
| Grafton, WV | $71.06 | $71.05 – $72.47 | 1,504 | 2 |
| Meadville, MS | $353.96 | $353.96 – $353.96 | 1,504 | 1 |
| Borger, TX | $101.92 | $101.92 – $101.92 | 1,502 | 1 |
| Princeton, WV | $153.78 | $40.00 – $196.88 | 1,497 | 5 |
| Ecorse, MI | $41.65 | $41.65 – $41.65 | 1,497 | 1 |
| Waynesboro, VA | $74.25 | $74.25 – $74.25 | 1,494 | 1 |
| Ridge Spring, SC | $85.05 | $81.69 – $92.89 | 1,493 | 2 |
| Mount Airy, NC | $64.09 | $50.28 – $81.15 | 1,492 | 3 |
| Richardson, TX | $59.03 | $19.90 – $131.91 | 1,491 | 8 |
| Cicero, NY | $87.50 | $82.16 – $95.17 | 1,491 | 3 |
| Sallisaw, OK | $66.79 | $63.53 – $69.38 | 1,489 | 4 |
| Dover, NH | $93.25 | $47.00 – $101.20 | 1,488 | 4 |
| Elmhurst, IL | $46.69 | $43.44 – $53.41 | 1,486 | 3 |
| Shelton, CT | $77.09 | $61.63 – $90.73 | 1,485 | 3 |
| Mattapan, MA | $68.62 | $44.70 – $137.54 | 1,485 | 4 |
| Madison Heights, MI | $94.38 | $73.03 – $110.51 | 1,485 | 2 |
| Sesser, IL | $5.22 | $0.00 – $33.02 | 1,480 | 2 |
| Douglasville, GA | $79.00 | $31.62 – $127.79 | 1,479 | 4 |
| Houghton, NY | $44.06 | $43.32 – $86.92 | 1,478 | 3 |
| Gun Allen, VA | $73.17 | $73.17 – $73.17 | 1,478 | 1 |
| Atoka, TN | $50.93 | $37.26 – $51.77 | 1,475 | 2 |
| Santa Cruz, CA | $47.77 | $32.42 – $61.87 | 1,473 | 3 |
| Great Barrington, MA | $45.66 | $45.66 – $45.66 | 1,470 | 1 |
| Oconto, WI | $0.00 | $0.00 – $0.00 | 1,470 | 2 |
| Marmora, NJ | $150.67 | $42.67 – $152.69 | 1,468 | 2 |
| Roslyn Heights, NY | $48.86 | $48.86 – $48.86 | 1,468 | 1 |
| Inez, KY | $46.30 | $46.30 – $46.30 | 1,467 | 1 |
| Florence, OR | $2.25 | $0.00 – $5.07 | 1,467 | 6 |
| Camp Pendleton, CA | $124.20 | $114.82 – $137.52 | 1,467 | 2 |
| Belington, WV | $59.10 | $59.10 – $59.10 | 1,467 | 1 |
| Goleta, CA | $62.30 | $62.30 – $62.30 | 1,466 | 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.