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 |
|---|---|---|---|---|
| Woodmere, NY | $82.03 | $35.08 – $99.88 | 1,195 | 3 |
| Warrenton, VA | $51.41 | $0.00 – $53.19 | 1,194 | 2 |
| Paris, TN | $59.76 | $59.18 – $60.42 | 1,191 | 2 |
| Somerset, NJ | $50.51 | $33.31 – $62.67 | 1,191 | 3 |
| Pflugerville, TX | $59.17 | $42.71 – $86.83 | 1,187 | 3 |
| Lehigh Acres, FL | $112.73 | $100.52 – $181.25 | 1,186 | 5 |
| Speedway, IN | $71.46 | $71.46 – $71.46 | 1,186 | 1 |
| Offutt Afb, NE | $169.45 | $163.81 – $212.57 | 1,185 | 2 |
| Ammon, ID | $40.45 | $34.56 – $52.42 | 1,185 | 2 |
| Livingston, TX | $44.62 | $32.55 – $50.79 | 1,184 | 3 |
| Gooding, ID | $103.89 | $103.89 – $103.89 | 1,184 | 1 |
| Selma, NC | $60.68 | $59.14 – $65.39 | 1,181 | 3 |
| Cortez, CO | $96.93 | $96.93 – $96.93 | 1,180 | 1 |
| Batavia, NY | $88.71 | $69.42 – $117.49 | 1,179 | 4 |
| Fort Defiance, AZ | $30.85 | $0.00 – $51.03 | 1,179 | 3 |
| Southborough, MA | $94.33 | $94.33 – $94.33 | 1,177 | 1 |
| Natrona Heights, PA | $62.53 | $62.53 – $62.53 | 1,175 | 1 |
| Astoria, OR | $3.08 | $0.00 – $5.93 | 1,175 | 6 |
| Boulder, CO | $102.41 | $20.07 – $107.12 | 1,175 | 4 |
| Sisters, OR | $4.43 | $0.00 – $22.43 | 1,172 | 3 |
| Bradley, IL | $4.11 | $4.11 – $4.11 | 1,172 | 1 |
| Saint George, UT | $49.75 | $38.46 – $53.66 | 1,171 | 2 |
| Pearl, MS | $68.40 | $68.00 – $78.55 | 1,171 | 2 |
| Washington Ch, OH | $48.86 | $48.86 – $48.86 | 1,170 | 1 |
| Hamtrack, MI | $51.02 | $51.02 – $51.02 | 1,170 | 1 |
| Branson, MO | $66.56 | $66.56 – $66.56 | 1,168 | 1 |
| Mansfield Center, CT | $107.40 | $107.40 – $107.40 | 1,168 | 1 |
| Centuria, WI | $103.50 | $101.56 – $109.90 | 1,167 | 4 |
| Ashton, MD | $74.10 | $74.10 – $74.10 | 1,165 | 1 |
| Evansville, IN | $130.18 | $27.39 – $148.89 | 1,164 | 9 |
| Nacogdoches, TX | $77.16 | $41.31 – $265.94 | 1,164 | 5 |
| Immokalee, FL | $47.17 | $12.21 – $52.69 | 1,164 | 3 |
| Annapolis, MD | $111.05 | $103.01 – $135.23 | 1,162 | 8 |
| Lebanon, OR | $2.25 | $1.12 – $4.20 | 1,162 | 3 |
| Howards Grove, WI | $58.58 | $58.58 – $58.58 | 1,159 | 1 |
| Coffeyville, KS | $78.39 | $78.39 – $78.39 | 1,158 | 1 |
| Torrington, CT | $72.89 | $0.00 – $96.87 | 1,157 | 6 |
| Crestwood, KY | $52.38 | $45.20 – $71.10 | 1,157 | 2 |
| Goode, VA | $61.18 | $61.18 – $61.18 | 1,157 | 1 |
| Wendell, NC | $64.06 | $64.06 – $64.06 | 1,156 | 1 |
| Angier, NC | $44.64 | $40.83 – $61.50 | 1,156 | 2 |
| Philadelphia, MS | $58.33 | $57.03 – $125.40 | 1,156 | 2 |
| Willoughby Hills, OH | $69.30 | $46.98 – $111.98 | 1,156 | 3 |
| Carleton, MI | $105.21 | $105.21 – $105.21 | 1,155 | 1 |
| Rome, GA | $58.59 | $55.14 – $184.41 | 1,154 | 3 |
| Indiana, PA | $443.46 | $443.46 – $443.46 | 1,154 | 1 |
| Cape Coral, FL | $44.87 | $9.80 – $161.50 | 1,153 | 5 |
| Melrose, MA | $118.79 | $55.70 – $133.58 | 1,151 | 4 |
| Henryetta, OK | $77.91 | $57.04 – $118.18 | 1,149 | 3 |
| Merritt Island, FL | $61.54 | $15.98 – $64.37 | 1,147 | 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.