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 |
|---|---|---|---|---|
| Chipley, FL | $36.29 | $36.17 – $37.55 | 647 | 2 |
| Rotterdam, NY | $59.76 | $59.76 – $59.76 | 647 | 1 |
| Whitehall, OH | $57.87 | $52.49 – $65.74 | 646 | 4 |
| Waldorf, MD | $149.10 | $88.43 – $303.04 | 644 | 5 |
| Weston, MA | $57.40 | $57.40 – $57.40 | 643 | 1 |
| Independence, KY | $71.22 | $27.62 – $85.79 | 643 | 2 |
| Pickens, SC | $57.61 | $57.61 – $57.61 | 641 | 1 |
| Stuttgart, AR | $65.69 | $65.69 – $65.69 | 640 | 1 |
| Broken Bow, OK | $62.43 | $62.00 – $63.27 | 639 | 2 |
| Houlton, ME | $12.45 | $0.00 – $67.41 | 639 | 2 |
| Millsboro, DE | $181.62 | $181.62 – $181.62 | 638 | 1 |
| Dunkirk, MD | $121.92 | $65.97 – $209.81 | 637 | 6 |
| Denton, MD | $0.00 | $0.00 – $0.00 | 636 | 4 |
| Middleton, WI | $0.00 | $0.00 – $0.00 | 635 | 2 |
| Delta, OH | $55.39 | $55.39 – $55.39 | 635 | 1 |
| Hato Rey, PR | $77.59 | $31.94 – $160.84 | 634 | 3 |
| Firestone, CO | $148.29 | $99.01 – $153.38 | 632 | 3 |
| Oswego, IL | $70.58 | $70.58 – $70.58 | 630 | 1 |
| Murphysboro, IL | $54.10 | $53.40 – $57.11 | 629 | 2 |
| West St Paul, MN | $110.55 | $110.14 – $110.95 | 629 | 3 |
| Trinidad, CO | $58.41 | $58.41 – $58.41 | 628 | 1 |
| Hawaiian Gardens, CA | $81.31 | $81.31 – $81.31 | 627 | 1 |
| La Place, LA | $103.51 | $90.20 – $111.77 | 627 | 2 |
| Cambridge, MD | $46.63 | $0.00 – $77.95 | 627 | 4 |
| Claymont, DE | $154.37 | $154.37 – $154.37 | 627 | 1 |
| Worthington, MN | $115.88 | $110.16 – $149.95 | 626 | 2 |
| Killen, AL | $51.69 | $51.69 – $51.69 | 626 | 1 |
| Manti, UT | $55.65 | $55.65 – $55.65 | 626 | 1 |
| El Rito, NM | $62.56 | $62.56 – $62.56 | 625 | 1 |
| Pittsfield, IL | $61.45 | $0.00 – $90.03 | 624 | 4 |
| Paso Robles, CA | $80.97 | $55.09 – $100.80 | 624 | 3 |
| Milton, FL | $9.41 | $7.89 – $9.49 | 623 | 2 |
| Salem, VA | $42.92 | $0.00 – $62.82 | 621 | 3 |
| Grenada, MS | $68.92 | $55.24 – $80.14 | 621 | 4 |
| Seekonk, MA | $45.56 | $45.56 – $45.56 | 620 | 1 |
| Seymour, TN | $58.99 | $58.99 – $58.99 | 619 | 1 |
| Chester, SC | $109.27 | $85.02 – $118.94 | 617 | 2 |
| Gaylord, MI | $160.99 | $160.99 – $160.99 | 617 | 1 |
| Cleveland Hts, OH | $77.38 | $77.38 – $77.38 | 617 | 1 |
| Mount Vernon, IL | $62.81 | $62.81 – $62.81 | 615 | 1 |
| Chadron, NE | $0.00 | $0.00 – $0.00 | 615 | 1 |
| Eau Claire, MI | $101.92 | $101.92 – $101.92 | 615 | 1 |
| Beaver, PA | $61.30 | $61.29 – $61.59 | 614 | 2 |
| Socorro, NM | $68.90 | $67.04 – $107.52 | 610 | 2 |
| Marianna, FL | $42.03 | $42.03 – $42.03 | 609 | 1 |
| Saint Ignace, MI | $195.95 | $195.95 – $195.95 | 609 | 1 |
| Edenton, NC | $89.61 | $89.61 – $89.61 | 608 | 1 |
| Spotsylvania, VA | $58.89 | $58.89 – $58.89 | 608 | 1 |
| New Albany, OH | $34.03 | $34.03 – $34.03 | 606 | 1 |
| Fort Drum, NY | $30.96 | $30.96 – $30.96 | 605 | 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.