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 |
|---|---|---|---|---|
| Hawley, MN | $123.64 | $115.32 – $279.02 | 1,462 | 4 |
| Sheboygan, WI | $17.26 | $0.00 – $46.80 | 1,458 | 6 |
| East Greenwich, RI | $79.20 | $46.09 – $86.04 | 1,458 | 5 |
| Brick, NJ | $79.77 | $32.11 – $109.41 | 1,455 | 3 |
| Laconia, NH | $108.65 | $108.65 – $108.65 | 1,455 | 1 |
| West Allis, WI | $101.03 | $0.00 – $109.82 | 1,454 | 3 |
| Fort Benning, GA | $60.25 | $60.25 – $60.25 | 1,453 | 1 |
| West Chicago, IL | $56.34 | $48.90 – $56.83 | 1,452 | 3 |
| Hauppauge, NY | $73.76 | $48.18 – $88.53 | 1,451 | 4 |
| Cutler Bay, FL | $50.70 | $24.94 – $54.15 | 1,448 | 2 |
| Omro, WI | $70.28 | $30.96 – $83.26 | 1,447 | 2 |
| Fayetteville, GA | $65.42 | $55.47 – $106.87 | 1,447 | 6 |
| Evergreen Park, IL | $73.52 | $53.55 – $73.79 | 1,444 | 2 |
| West Plains, MO | $73.01 | $41.40 – $124.29 | 1,444 | 6 |
| Conyers, GA | $54.72 | $14.05 – $66.40 | 1,444 | 5 |
| Somerdale, NJ | $17.15 | $17.15 – $17.15 | 1,443 | 1 |
| Geneseo, IL | $53.95 | $53.95 – $53.95 | 1,442 | 1 |
| Helper, UT | $81.65 | $74.79 – $84.42 | 1,441 | 2 |
| Norwood, OH | $53.09 | $53.09 – $53.09 | 1,439 | 1 |
| Auburn, MA | $97.84 | $76.62 – $149.91 | 1,436 | 3 |
| Plainview, NY | $70.81 | $20.19 – $118.87 | 1,435 | 4 |
| Fort Belvoir, VA | $62.40 | $54.96 – $303.04 | 1,435 | 2 |
| Dodgeville, WI | $0.00 | $0.00 – $0.00 | 1,432 | 2 |
| Sequim, WA | $129.17 | $25.70 – $133.55 | 1,430 | 2 |
| Carencro, LA | $28.48 | $28.48 – $28.48 | 1,426 | 1 |
| Kenton, OH | $51.49 | $0.00 – $56.45 | 1,423 | 2 |
| Verona, WI | $97.75 | $48.46 – $109.36 | 1,422 | 2 |
| Glenn Dale, MD | $157.12 | $135.23 – $157.84 | 1,422 | 2 |
| Dexter, ME | $14.99 | $14.99 – $14.99 | 1,422 | 1 |
| Crofton, MD | $103.06 | $103.01 – $103.08 | 1,418 | 3 |
| Powers, MI | $85.67 | $85.67 – $85.67 | 1,416 | 1 |
| Ferndale, MI | $52.02 | $52.02 – $52.02 | 1,413 | 1 |
| Boutte, LA | $89.06 | $53.27 – $108.89 | 1,412 | 4 |
| Parsippany, NJ | $71.55 | $4.31 – $80.49 | 1,411 | 6 |
| Saint James, MO | $56.52 | $39.71 – $58.27 | 1,410 | 2 |
| Durham, CT | $0.00 | $0.00 – $0.00 | 1,410 | 1 |
| Kenner, LA | $63.59 | $0.18 – $93.99 | 1,409 | 3 |
| Charleston, MS | $63.50 | $63.50 – $63.50 | 1,409 | 1 |
| Aitkin, MN | $132.39 | $132.39 – $132.39 | 1,408 | 1 |
| Braintree, MA | $126.69 | $126.69 – $126.69 | 1,407 | 1 |
| Exeter, PA | $69.40 | $69.40 – $69.40 | 1,406 | 1 |
| Littleton, NH | $91.62 | $89.03 – $125.84 | 1,405 | 3 |
| Noblesville, IN | $156.55 | $45.68 – $256.41 | 1,405 | 6 |
| Kosciusko, MS | $65.45 | $18.40 – $108.58 | 1,405 | 5 |
| White Bear Lake, MN | $133.12 | $108.94 – $136.05 | 1,404 | 2 |
| Point Pleasant, WV | $113.73 | $113.73 – $113.73 | 1,404 | 1 |
| Chatham, VA | $67.22 | $67.22 – $67.22 | 1,403 | 1 |
| Webster, NY | $46.01 | $46.01 – $46.01 | 1,402 | 1 |
| Dalton, GA | $67.37 | $67.37 – $67.37 | 1,401 | 1 |
| New Church, VA | $39.71 | $37.63 – $69.00 | 1,401 | 2 |
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.