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 |
|---|---|---|---|---|
| Romeoville, IL | $87.80 | $42.99 – $96.68 | 1,251 | 4 |
| Prescott, AZ | $33.92 | $0.00 – $119.45 | 1,250 | 5 |
| Brandenburg, KY | $55.31 | $50.78 – $60.19 | 1,248 | 2 |
| Commerce, GA | $57.55 | $57.55 – $57.55 | 1,248 | 1 |
| South Charleston, WV | $80.52 | $80.52 – $80.52 | 1,247 | 1 |
| Troy, OH | $69.37 | $34.62 – $97.04 | 1,246 | 4 |
| Mc Arthur, OH | $23.01 | $0.00 – $30.37 | 1,246 | 3 |
| Ocean Shores, WA | $31.83 | $31.69 – $32.31 | 1,245 | 2 |
| North Muskegon, MI | $84.41 | $84.41 – $84.41 | 1,244 | 1 |
| Mcminnville, TN | $59.25 | $59.05 – $68.30 | 1,243 | 2 |
| Sturgeon Bay, WI | $25.11 | $0.00 – $37.42 | 1,240 | 3 |
| Manahawkin, NJ | $75.14 | $74.72 – $80.00 | 1,239 | 3 |
| Leesburg, FL | $78.20 | $26.71 – $95.35 | 1,239 | 4 |
| Charlotte Hall, MD | $109.19 | $103.01 – $109.30 | 1,236 | 2 |
| Mansfield, CT | $112.90 | $112.90 – $112.90 | 1,235 | 1 |
| Tolleson, AZ | $24.66 | $24.66 – $24.66 | 1,235 | 1 |
| Gilroy, CA | $60.16 | $55.01 – $115.91 | 1,234 | 4 |
| Solana Beach, CA | $67.61 | $67.61 – $67.61 | 1,234 | 1 |
| Whitehall, PA | $37.67 | $25.41 – $65.42 | 1,233 | 3 |
| University Heights, OH | $52.48 | $27.27 – $57.00 | 1,232 | 3 |
| Aubrey, TX | $56.80 | $45.66 – $57.50 | 1,230 | 2 |
| Bellbrook, OH | $64.98 | $56.81 – $66.56 | 1,229 | 2 |
| Bolivar, MO | $75.46 | $72.03 – $88.55 | 1,228 | 2 |
| Gainesville, VA | $53.26 | $35.67 – $66.70 | 1,227 | 4 |
| Citronelle, AL | $41.05 | $41.05 – $41.05 | 1,226 | 1 |
| Fairmont, MN | $35.37 | $4.88 – $111.58 | 1,225 | 2 |
| Lexington, MA | $59.44 | $57.93 – $72.69 | 1,224 | 2 |
| Centerville, UT | $62.80 | $62.80 – $62.80 | 1,221 | 1 |
| Hartland, MI | $215.27 | $215.27 – $215.27 | 1,221 | 1 |
| Clinton, CT | $71.74 | $71.74 – $71.74 | 1,220 | 1 |
| Dexter, MO | $118.17 | $118.17 – $118.17 | 1,218 | 1 |
| Dewey, OK | $129.75 | $129.75 – $129.75 | 1,218 | 1 |
| Chigago, IL | $68.91 | $68.91 – $68.91 | 1,217 | 1 |
| Leonardtown, MD | $121.50 | $119.48 – $128.11 | 1,216 | 2 |
| Brandywine, MD | $100.61 | $42.88 – $114.88 | 1,216 | 2 |
| Bethpage, NY | $49.83 | $43.05 – $76.82 | 1,215 | 2 |
| Dorado, PR | $64.50 | $25.42 – $66.18 | 1,214 | 2 |
| Hopewell, VA | $100.50 | $83.08 – $111.25 | 1,211 | 2 |
| Valatie, NY | $85.05 | $85.05 – $85.05 | 1,211 | 1 |
| Fort Branch, IN | $20.78 | $6.88 – $47.08 | 1,209 | 2 |
| Slc, UT | $182.55 | $66.69 – $222.91 | 1,208 | 4 |
| Lansdale, PA | $137.70 | $46.25 – $192.43 | 1,207 | 4 |
| Greenville, IL | $89.01 | $89.01 – $89.01 | 1,207 | 1 |
| Villalba, PR | $30.14 | $21.35 – $32.76 | 1,205 | 4 |
| Rio Piedras, PR | $31.29 | $22.35 – $48.52 | 1,204 | 4 |
| Greensburg, KY | $36.69 | $36.07 – $37.09 | 1,204 | 2 |
| South San Francisco, CA | $50.73 | $50.73 – $50.73 | 1,203 | 1 |
| Hormigueros, PR | $30.87 | $29.90 – $106.62 | 1,198 | 2 |
| Port Jefferson, NY | $92.64 | $92.64 – $92.64 | 1,196 | 1 |
| Trappe, PA | $110.42 | $110.42 – $110.42 | 1,196 | 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.