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 |
|---|---|---|---|---|
| West Fargo, ND | $137.58 | $137.58 – $137.58 | 1,401 | 1 |
| Earlysville, VA | $61.42 | $61.42 – $61.42 | 1,395 | 1 |
| Henderson, TX | $49.62 | $49.62 – $49.62 | 1,394 | 1 |
| Kiln, MS | $53.41 | $48.14 – $75.13 | 1,394 | 2 |
| Coconut Creek, FL | $58.26 | $35.99 – $58.88 | 1,393 | 2 |
| Gainesville, MO | $120.44 | $120.44 – $120.44 | 1,386 | 1 |
| Stillwater, OK | $88.21 | $64.94 – $127.07 | 1,386 | 3 |
| Lee, MA | $92.43 | $92.43 – $92.43 | 1,385 | 1 |
| West Hills, CA | $67.59 | $54.68 – $117.05 | 1,385 | 3 |
| Litchfield Park, AZ | $15.97 | $2.68 – $33.62 | 1,385 | 3 |
| Leesville, LA | $7.54 | $6.71 – $74.36 | 1,384 | 2 |
| Harts, WV | $38.72 | $38.72 – $38.72 | 1,384 | 1 |
| Point Pleasant Boro, NJ | $93.83 | $93.83 – $93.83 | 1,380 | 1 |
| Temple Terrace, FL | $42.03 | $42.03 – $42.03 | 1,379 | 1 |
| St Louis Park, MN | $32.10 | $29.53 – $156.06 | 1,379 | 2 |
| Fort Thomas, KY | $34.24 | $34.24 – $34.24 | 1,379 | 1 |
| Albemarle, NC | $71.78 | $71.78 – $71.78 | 1,377 | 1 |
| Monroe, WA | $50.67 | $42.33 – $78.07 | 1,376 | 3 |
| Aliso Viejo, CA | $56.94 | $55.88 – $57.34 | 1,375 | 2 |
| Stone Mountain, GA | $101.91 | $54.88 – $127.47 | 1,373 | 3 |
| Sturtevant, WI | $134.15 | $134.15 – $134.15 | 1,372 | 1 |
| Studio City, CA | $70.54 | $57.14 – $119.00 | 1,370 | 4 |
| Evergreen, AL | $56.09 | $56.09 – $56.09 | 1,366 | 1 |
| Uniontown, PA | $108.73 | $108.73 – $108.73 | 1,365 | 1 |
| Niles, IL | $56.29 | $47.36 – $98.22 | 1,365 | 5 |
| Latta, SC | $86.65 | $86.65 – $86.65 | 1,364 | 1 |
| Madison, CT | $102.89 | $102.89 – $102.89 | 1,362 | 1 |
| Debary, FL | $30.29 | $30.29 – $30.29 | 1,360 | 1 |
| Stayton, OR | $1.35 | $0.44 – $2.43 | 1,358 | 4 |
| Ozark, MO | $148.09 | $88.70 – $153.74 | 1,358 | 2 |
| Calumet Park, IL | $59.71 | $59.71 – $59.71 | 1,358 | 1 |
| Havertown, PA | $61.52 | $54.65 – $77.67 | 1,355 | 5 |
| Oak Creek, WI | $59.71 | $31.92 – $62.22 | 1,355 | 2 |
| Harvey, IL | $2.83 | $0.00 – $89.65 | 1,353 | 3 |
| Whittier, CA | $45.62 | $0.00 – $119.00 | 1,351 | 9 |
| East Windsor, CT | $104.71 | $104.71 – $104.71 | 1,351 | 1 |
| Zachary, LA | $71.86 | $66.43 – $72.31 | 1,348 | 2 |
| Purcell, OK | $107.64 | $70.88 – $125.11 | 1,347 | 2 |
| Jefferson, NC | $66.80 | $60.84 – $67.28 | 1,347 | 3 |
| Corinth, TX | $61.06 | $10.96 – $63.77 | 1,345 | 2 |
| Anahuac, TX | $8.60 | $8.60 – $8.60 | 1,341 | 1 |
| Waynesville, OH | $59.44 | $59.44 – $59.44 | 1,339 | 1 |
| Bingham, ME | $1.76 | $1.76 – $1.76 | 1,338 | 1 |
| Beaver Dam, WI | $50.42 | $50.42 – $50.42 | 1,335 | 1 |
| Melbourne, FL | $46.70 | $14.24 – $219.06 | 1,334 | 12 |
| Clarksdale, MS | $74.04 | $66.63 – $84.68 | 1,330 | 3 |
| Chesterfield, MI | $63.87 | $55.27 – $92.05 | 1,329 | 3 |
| Bloomington, MN | $119.30 | $113.04 – $124.14 | 1,328 | 3 |
| Holbrook, MA | $93.94 | $93.94 – $93.94 | 1,324 | 1 |
| Locust, NC | $61.96 | $59.52 – $62.14 | 1,320 | 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.