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 |
|---|---|---|---|---|
| Fulton, MD | $100.80 | $100.80 – $100.80 | 485 | 1 |
| Star, ID | $14.08 | $10.11 – $64.13 | 485 | 3 |
| South Euclid, OH | $59.52 | $55.20 – $59.69 | 484 | 2 |
| Lindsay, OK | $62.68 | $62.68 – $62.68 | 484 | 1 |
| Thomaston, ME | $96.73 | $96.73 – $96.73 | 483 | 1 |
| Delevan, NY | $71.30 | $71.30 – $71.30 | 481 | 1 |
| Saint Charles, MO | $94.01 | $43.51 – $152.69 | 479 | 3 |
| Kingston, TN | $61.81 | $57.35 – $62.20 | 479 | 2 |
| Oakwood, GA | $46.15 | $46.15 – $46.15 | 479 | 1 |
| Rainier, OR | $5.61 | $5.61 – $5.61 | 478 | 1 |
| Chelan, WA | $34.37 | $34.37 – $34.37 | 477 | 1 |
| Millbrae, CA | $73.93 | $57.40 – $76.40 | 477 | 2 |
| Whitefish, MT | $48.76 | $0.29 – $77.69 | 477 | 3 |
| Massapequa Park, NY | $40.20 | $40.20 – $40.20 | 476 | 1 |
| Lac Du Flambeau, WI | $70.13 | $50.25 – $92.11 | 476 | 3 |
| Windsor, NC | $106.82 | $106.82 – $106.82 | 476 | 1 |
| Seneca, MO | $75.51 | $75.51 – $75.51 | 475 | 1 |
| Apex, NC | $94.04 | $94.04 – $94.04 | 473 | 1 |
| Deer Park, NY | $84.91 | $84.91 – $84.91 | 472 | 1 |
| Tewksbury, MA | $94.10 | $94.10 – $94.10 | 472 | 1 |
| Mooresville, IN | $128.33 | $120.06 – $181.73 | 470 | 2 |
| Cottage Grove, OR | $3.26 | $2.95 – $4.63 | 470 | 2 |
| Edgewood, KY | $31.88 | $31.88 – $31.88 | 469 | 1 |
| Schertz, TX | $47.74 | $47.74 – $47.74 | 469 | 1 |
| Jackson, KY | $35.45 | $35.01 – $36.11 | 469 | 2 |
| Summit, NJ | $170.38 | $170.38 – $170.38 | 469 | 1 |
| Lewisville, NC | $59.35 | $59.22 – $59.93 | 468 | 2 |
| West Chester, OH | $150.38 | $56.77 – $185.01 | 466 | 3 |
| Decatur, MI | $1.29 | $1.29 – $1.29 | 465 | 1 |
| Crossett, AR | $67.49 | $56.88 – $68.31 | 464 | 2 |
| Hopewell Junction, NY | $48.89 | $45.56 – $49.22 | 464 | 2 |
| Plaistow, NH | $238.96 | $238.96 – $238.96 | 463 | 1 |
| Sneedville, TN | $60.57 | $60.57 – $60.57 | 462 | 1 |
| Neosho, MO | $114.57 | $112.21 – $138.05 | 461 | 2 |
| Northfield, IL | $50.13 | $50.13 – $50.13 | 459 | 1 |
| Willow Spring, NC | $65.23 | $65.23 – $65.23 | 459 | 1 |
| St. Louis, MO | $117.79 | $109.76 – $119.19 | 457 | 2 |
| Frederick, CO | $102.54 | $100.34 – $102.76 | 456 | 4 |
| Loiza, PR | $24.75 | $22.12 – $39.91 | 456 | 5 |
| Spanish Fort, AL | $45.74 | $38.54 – $53.00 | 455 | 3 |
| Storm Lake, IA | $18.03 | $2.72 – $35.76 | 454 | 3 |
| Mouthcard, KY | $36.79 | $36.79 – $36.79 | 454 | 1 |
| Swissvale, PA | $107.25 | $107.25 – $107.25 | 454 | 1 |
| Anthony, NM | $52.17 | $45.22 – $64.06 | 453 | 2 |
| Water Valley, MS | $41.63 | $41.63 – $41.63 | 453 | 1 |
| Grant, MI | $78.85 | $78.85 – $78.85 | 453 | 1 |
| Topeka, IN | $109.23 | $94.83 – $110.63 | 452 | 2 |
| Mount Vernon, AL | $47.91 | $47.91 – $47.91 | 451 | 1 |
| Lake Orion, MI | $98.65 | $92.64 – $110.13 | 451 | 2 |
| Selmer, TN | $56.87 | $46.16 – $58.68 | 450 | 2 |
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.