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 |
|---|---|---|---|---|
| Maineville, OH | $69.56 | $69.56 – $69.56 | 1,146 | 1 |
| Colville, WA | $38.08 | $31.20 – $53.98 | 1,146 | 2 |
| Citrus Heights, CA | $55.40 | $7.67 – $119.00 | 1,144 | 6 |
| Christiansted, VI | $216.52 | $130.74 – $230.17 | 1,144 | 2 |
| North Providence, RI | $191.61 | $0.00 – $199.28 | 1,144 | 2 |
| Airmont, NY | $47.64 | $43.07 – $49.77 | 1,142 | 2 |
| Duncanville, TX | $58.25 | $36.61 – $135.23 | 1,141 | 6 |
| Gaffney, SC | $101.15 | $76.95 – $118.25 | 1,140 | 4 |
| Drexel Hill, PA | $64.14 | $42.51 – $67.06 | 1,136 | 4 |
| Poca, WV | $75.66 | $57.98 – $83.09 | 1,136 | 2 |
| Lemon Grove, CA | $58.24 | $56.87 – $119.00 | 1,134 | 2 |
| Pargould, AR | $62.77 | $62.77 – $62.77 | 1,134 | 1 |
| Fulton, NY | $77.23 | $77.23 – $77.23 | 1,133 | 1 |
| Salisbury, MO | $149.02 | $149.02 – $149.02 | 1,132 | 1 |
| Carmichael, CA | $68.67 | $11.95 – $119.00 | 1,131 | 4 |
| San Ysidro, CA | $56.46 | $56.46 – $56.46 | 1,131 | 1 |
| Dover, NJ | $40.12 | $29.89 – $84.33 | 1,130 | 4 |
| Pleasantville, IA | $1.08 | $1.08 – $1.08 | 1,130 | 1 |
| Lorena, TX | $57.21 | $57.21 – $57.21 | 1,130 | 1 |
| Westmont, IL | $84.13 | $60.62 – $84.83 | 1,129 | 2 |
| Byron, MN | $115.29 | $115.29 – $115.29 | 1,128 | 1 |
| Wallingford, CT | $58.13 | $52.82 – $62.34 | 1,126 | 2 |
| Troy, NC | $65.99 | $59.35 – $69.01 | 1,123 | 2 |
| Riverside, CT | $57.42 | $57.42 – $57.42 | 1,120 | 1 |
| Grapevine, TX | $122.20 | $48.11 – $164.39 | 1,119 | 2 |
| Purchase, NY | $58.91 | $56.55 – $59.24 | 1,119 | 2 |
| Washington, VA | $79.77 | $79.77 – $79.77 | 1,119 | 1 |
| Scarborough, ME | $103.33 | $79.12 – $113.07 | 1,117 | 4 |
| Raymond, WA | $52.86 | $52.86 – $52.86 | 1,116 | 1 |
| South Orange, NJ | $68.47 | $68.47 – $68.47 | 1,111 | 1 |
| Corning, NY | $61.46 | $61.46 – $61.46 | 1,110 | 1 |
| Denmark, SC | $82.53 | $82.19 – $82.86 | 1,110 | 2 |
| Sneads Ferry, NC | $69.48 | $60.40 – $69.98 | 1,109 | 3 |
| Noble, OK | $203.34 | $203.34 – $203.34 | 1,105 | 1 |
| Ada, MN | $140.08 | $139.87 – $142.18 | 1,105 | 2 |
| Riverview, FL | $48.33 | $20.50 – $113.11 | 1,104 | 3 |
| Hico, WV | $74.62 | $74.17 – $79.40 | 1,104 | 2 |
| Rome, NY | $141.91 | $58.03 – $193.69 | 1,101 | 3 |
| Logan, UT | $63.03 | $15.34 – $99.54 | 1,096 | 5 |
| Centerville, IA | $1.87 | $1.48 – $2.71 | 1,095 | 2 |
| Boydton, VA | $57.57 | $57.57 – $57.57 | 1,095 | 1 |
| Fort Payne, AL | $48.81 | $48.64 – $59.86 | 1,093 | 2 |
| Richland Center, WI | $36.38 | $36.19 – $37.40 | 1,090 | 2 |
| Smithville, TN | $68.39 | $68.39 – $68.39 | 1,089 | 1 |
| Seminole, FL | $108.56 | $108.56 – $108.56 | 1,088 | 1 |
| Dunbar, WV | $77.04 | $63.43 – $80.72 | 1,088 | 2 |
| Deerfield Beach, FL | $41.54 | $23.19 – $82.03 | 1,087 | 3 |
| Bennett, CO | $160.48 | $160.48 – $160.48 | 1,087 | 1 |
| Spencer, IA | $64.05 | $50.53 – $89.10 | 1,086 | 3 |
| Depew, NY | $143.03 | $47.03 – $190.02 | 1,084 | 3 |
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.