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 |
|---|---|---|---|---|
| American Fork, UT | $51.18 | $24.73 – $54.79 | 940 | 3 |
| Shoreview, MN | $43.38 | $43.38 – $43.38 | 939 | 1 |
| Spring Valley, CA | $77.75 | $57.40 – $80.52 | 939 | 3 |
| Charlotte Amalie, VI | $155.91 | $155.91 – $155.91 | 938 | 1 |
| Chickasha, OK | $69.71 | $64.18 – $133.00 | 936 | 3 |
| Rye, NY | $43.28 | $43.28 – $43.28 | 935 | 1 |
| Weslaco, TX | $12.69 | $10.43 – $48.05 | 934 | 5 |
| Fairlawn, VA | $35.79 | $35.79 – $35.79 | 932 | 1 |
| Brooksville, FL | $20.69 | $15.52 – $32.31 | 931 | 2 |
| Stanford, CA | $55.22 | $55.22 – $55.22 | 931 | 1 |
| Hampton, NH | $95.77 | $95.77 – $95.77 | 931 | 1 |
| Freedom, CA | $109.47 | $109.47 – $109.47 | 930 | 1 |
| Clintwood, VA | $93.04 | $93.04 – $93.04 | 930 | 1 |
| Louisburg, NC | $71.73 | $61.10 – $98.08 | 927 | 3 |
| Moore Haven, FL | $28.57 | $23.97 – $40.50 | 927 | 3 |
| Matawan, NJ | $91.99 | $34.59 – $97.75 | 926 | 3 |
| Mc Murray, PA | $102.13 | $102.13 – $102.13 | 925 | 1 |
| Parsons, TN | $56.06 | $56.06 – $56.06 | 923 | 1 |
| Williston Park, NY | $65.67 | $65.67 – $65.67 | 923 | 1 |
| Watertown, MA | $51.02 | $45.16 – $57.99 | 921 | 2 |
| Schriever, Afb, CO | $80.70 | $80.70 – $80.70 | 921 | 1 |
| Taylorsville, MS | $55.57 | $55.57 – $55.57 | 920 | 1 |
| Shadyside, OH | $77.54 | $77.54 – $77.54 | 918 | 1 |
| Belleville, MI | $64.86 | $64.86 – $64.86 | 918 | 1 |
| La Follette, TN | $53.77 | $53.77 – $53.77 | 916 | 1 |
| Mcarthur, OH | $29.83 | $29.83 – $29.83 | 914 | 1 |
| Morovis, PR | $31.96 | $30.90 – $35.93 | 913 | 3 |
| West Long Branch, NJ | $72.79 | $72.79 – $72.79 | 911 | 1 |
| Monrovia, CA | $57.15 | $57.15 – $57.15 | 910 | 1 |
| Park Ridge, IL | $62.65 | $51.30 – $63.04 | 910 | 2 |
| Sun City, AZ | $31.52 | $25.74 – $34.54 | 910 | 3 |
| Trussville, AL | $129.27 | $27.45 – $142.69 | 907 | 4 |
| Lexington, TN | $44.74 | $44.74 – $44.74 | 905 | 1 |
| Raceland, LA | $63.90 | $63.90 – $63.90 | 905 | 1 |
| Ridgeway, VA | $68.66 | $68.66 – $68.66 | 905 | 1 |
| Grantsville, MD | $107.76 | $107.76 – $107.76 | 903 | 1 |
| Cartersville, GA | $55.39 | $49.03 – $55.61 | 902 | 2 |
| Louisa, VA | $65.87 | $65.80 – $66.56 | 902 | 2 |
| Turnersville, NJ | $79.91 | $79.91 – $79.91 | 901 | 1 |
| Waxahachie, TX | $56.41 | $48.00 – $119.67 | 900 | 3 |
| Blacksburg, VA | $84.26 | $69.01 – $182.09 | 897 | 2 |
| Willimantic, CT | $70.03 | $0.00 – $93.85 | 897 | 4 |
| Roslindale, MA | $64.42 | $11.01 – $122.61 | 897 | 4 |
| Lakewood, WI | $5.95 | $4.22 – $8.46 | 894 | 2 |
| Denison, IA | $45.69 | $40.84 – $46.40 | 893 | 2 |
| Tokeland, WA | $48.66 | $31.56 – $49.69 | 892 | 2 |
| Paris, TX | $114.71 | $66.79 – $261.51 | 890 | 2 |
| Yorktown Heights, NY | $81.52 | $52.79 – $165.52 | 890 | 5 |
| Green Valley, AZ | $129.33 | $0.00 – $154.37 | 887 | 3 |
| Nashville, AR | $66.16 | $66.16 – $66.16 | 887 | 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.