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 |
|---|---|---|---|---|
| Newport, RI | $1.97 | $1.97 – $1.97 | 777 | 1 |
| Providence, UT | $30.52 | $24.32 – $68.16 | 776 | 4 |
| Donalsonville, GA | $59.77 | $59.77 – $59.77 | 774 | 1 |
| Beattyville, KY | $35.26 | $35.26 – $35.26 | 774 | 1 |
| Pomona, NY | $44.11 | $44.11 – $44.11 | 772 | 1 |
| Belmont, MA | $55.12 | $51.90 – $104.72 | 771 | 2 |
| Mt Pleasant, MI | $96.99 | $96.99 – $96.99 | 770 | 1 |
| Demotte, IN | $162.15 | $159.60 – $184.74 | 770 | 2 |
| Des Peres, MO | $56.51 | $56.51 – $56.51 | 769 | 1 |
| Lake Stevens, WA | $56.07 | $56.07 – $56.07 | 768 | 1 |
| Greenbrier, AR | $64.00 | $61.50 – $68.31 | 768 | 2 |
| Jefferson Valley, NY | $81.09 | $68.34 – $106.84 | 767 | 2 |
| Elizabethtown, IL | $0.00 | $0.00 – $0.00 | 767 | 1 |
| Oneida, TN | $57.58 | $55.62 – $59.53 | 766 | 2 |
| Lakeside, CA | $59.00 | $57.40 – $59.22 | 765 | 2 |
| Arcata, CA | $36.53 | $0.35 – $73.57 | 765 | 2 |
| Spring Hill, TN | $76.91 | $61.47 – $216.19 | 765 | 3 |
| Hiram, GA | $63.50 | $63.50 – $63.50 | 765 | 1 |
| Eagle River, AK | $192.65 | $93.61 – $257.60 | 765 | 2 |
| Bunn, NC | $63.41 | $63.41 – $63.41 | 765 | 1 |
| Oakhurst, NJ | $54.65 | $54.65 – $54.65 | 764 | 1 |
| Buford, GA | $83.65 | $77.35 – $86.12 | 764 | 3 |
| Bucksport, ME | $1.11 | $1.11 – $1.11 | 763 | 1 |
| Woodruff, WI | $71.18 | $71.18 – $71.18 | 762 | 1 |
| Wilburton, OK | $116.24 | $113.43 – $116.51 | 762 | 2 |
| Guadalupe, CA | $86.07 | $86.07 – $86.07 | 761 | 1 |
| Hamlet, NC | $61.47 | $60.41 – $66.09 | 760 | 3 |
| Sabana Grande, PR | $37.46 | $28.29 – $46.02 | 758 | 3 |
| Titusville, FL | $1.03 | $0.00 – $32.50 | 757 | 2 |
| Windsor, CO | $89.48 | $0.01 – $119.92 | 757 | 5 |
| Pearisburg, VA | $41.59 | $41.59 – $41.59 | 757 | 1 |
| Middleton, ID | $26.19 | $5.35 – $87.02 | 757 | 3 |
| Belle Glade, FL | $45.83 | $26.47 – $46.55 | 753 | 2 |
| Walkertown, NC | $68.18 | $62.42 – $93.18 | 753 | 2 |
| Norton, VA | $64.19 | $54.94 – $66.73 | 752 | 2 |
| Rayne, LA | $57.14 | $57.14 – $57.14 | 752 | 1 |
| Burlingame, CA | $97.62 | $55.47 – $318.54 | 749 | 2 |
| Harwich, MA | $61.98 | $44.75 – $93.81 | 749 | 2 |
| La Mesa, CA | $76.13 | $57.24 – $118.02 | 748 | 5 |
| Langhorne, PA | $158.62 | $62.36 – $216.58 | 745 | 2 |
| Hyde Park, MA | $82.96 | $78.24 – $95.30 | 745 | 2 |
| Stanton, CA | $68.10 | $56.92 – $119.00 | 744 | 4 |
| Grand Rapids, MN | $30.29 | $30.29 – $30.29 | 744 | 1 |
| Roslyn, NY | $79.37 | $49.50 – $81.95 | 743 | 2 |
| Richlands, VA | $167.61 | $167.61 – $167.61 | 742 | 1 |
| Michigan City, IN | $139.89 | $39.28 – $182.30 | 740 | 5 |
| Coventry Township, OH | $83.20 | $57.37 – $108.69 | 737 | 2 |
| Woodland Park, NJ | $75.79 | $75.79 – $75.79 | 737 | 1 |
| Bell Gardens, CA | $55.81 | $53.12 – $56.03 | 737 | 2 |
| Chestnut Ridge, NY | $71.26 | $71.26 – $71.26 | 735 | 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.