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 |
|---|---|---|---|---|
| Union Gap, WA | $73.60 | $57.80 – $80.79 | 30,155 | 3 |
| Bloomfield Hills, MI | $89.16 | $35.11 – $93.07 | 30,104 | 6 |
| Roxbury, MA | $101.42 | $1.70 – $213.97 | 30,102 | 11 |
| Kissimmee, FL | $105.98 | $32.84 – $148.77 | 30,063 | 9 |
| Chino, CA | $78.14 | $55.55 – $119.00 | 29,984 | 12 |
| Lawrence, KS | $176.35 | $65.43 – $218.32 | 29,850 | 10 |
| Helena, MT | $101.46 | $0.00 – $144.13 | 29,611 | 13 |
| Charlottesville, VA | $65.45 | $0.00 – $243.52 | 29,432 | 23 |
| Fredericksburg, VA | $102.48 | $0.00 – $152.00 | 29,419 | 23 |
| West Haven, CT | $126.10 | $107.55 – $155.53 | 29,391 | 6 |
| Alhambra, CA | $105.18 | $0.00 – $161.55 | 29,366 | 11 |
| Danville, VA | $95.52 | $0.00 – $182.85 | 29,298 | 14 |
| Auburn, ME | $92.40 | $82.71 – $97.29 | 29,052 | 4 |
| San Pablo, CA | $86.41 | $55.35 – $111.75 | 28,917 | 3 |
| Van Nuys, CA | $87.30 | $52.62 – $119.00 | 28,911 | 35 |
| Battle Creek, MI | $92.43 | $30.58 – $281.93 | 28,817 | 7 |
| Atlanta, GA | $122.48 | $0.00 – $678.74 | 28,720 | 37 |
| Lancaster, OH | $68.97 | $53.34 – $95.33 | 28,710 | 7 |
| Stoneham, MA | $151.18 | $76.46 – $161.19 | 28,682 | 5 |
| Hemet, CA | $146.21 | $52.62 – $166.79 | 28,540 | 14 |
| Irvine, CA | $80.70 | $37.75 – $174.90 | 28,540 | 31 |
| Cedar Rapids, IA | $58.55 | $2.32 – $190.46 | 28,522 | 15 |
| Jonesboro, AR | $141.99 | $46.88 – $265.12 | 28,367 | 17 |
| Henderson, NV | $43.89 | $23.68 – $124.90 | 28,147 | 30 |
| Dorchester, MA | $82.65 | $0.00 – $246.53 | 28,147 | 19 |
| Slidell, LA | $68.24 | $28.05 – $102.59 | 28,137 | 22 |
| Oxnard, CA | $92.98 | $53.06 – $140.36 | 28,035 | 25 |
| Hampton, VA | $63.99 | $0.00 – $166.40 | 27,983 | 21 |
| Chippewa Falls, WI | $47.60 | $30.63 – $85.27 | 27,945 | 12 |
| Olympia, WA | $62.04 | $0.00 – $160.52 | 27,850 | 23 |
| Cornelius, NC | $124.17 | $113.01 – $128.74 | 27,742 | 4 |
| Stony Brook, NY | $71.65 | $33.16 – $184.55 | 27,717 | 12 |
| Alexandria, LA | $83.06 | $1.77 – $222.42 | 27,627 | 10 |
| Vista, CA | $153.42 | $55.56 – $176.17 | 27,608 | 12 |
| Longview, WA | $64.13 | $0.00 – $107.12 | 27,593 | 19 |
| Maryville, TN | $128.27 | $54.60 – $242.00 | 27,567 | 10 |
| Bartlett, TN | $127.36 | $51.52 – $136.58 | 27,513 | 6 |
| Blue Ash, OH | $72.64 | $12.82 – $72.68 | 27,351 | 2 |
| Austin, TX | $110.00 | $0.00 – $286.65 | 27,036 | 48 |
| West Hollywood, CA | $146.96 | $54.11 – $148.03 | 27,020 | 4 |
| Middletown, OH | $51.20 | $0.00 – $99.11 | 26,966 | 16 |
| Marlton, NJ | $129.41 | $0.00 – $135.56 | 26,901 | 6 |
| Carlsbad, CA | $60.02 | $52.31 – $117.30 | 26,855 | 5 |
| Ruleville, MS | $184.16 | $73.08 – $225.30 | 26,767 | 4 |
| Allentown, PA | $90.59 | $0.00 – $249.97 | 26,739 | 21 |
| Lakewood, WA | $89.32 | $30.36 – $125.32 | 26,725 | 6 |
| Bristol, TN | $55.48 | $42.19 – $193.92 | 26,587 | 8 |
| Lima, OH | $62.29 | $0.44 – $174.39 | 26,529 | 12 |
| Red Bank, NJ | $148.69 | $55.56 – $150.22 | 26,529 | 5 |
| Lakewood, CO | $132.37 | $42.66 – $272.42 | 26,441 | 25 |
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.