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 |
|---|---|---|---|---|
| Raytown, MO | $89.69 | $67.18 – $104.65 | 399 | 3 |
| Bunkie, LA | $59.45 | $59.45 – $59.45 | 398 | 1 |
| Red Lake, MN | $387.70 | $387.70 – $387.70 | 398 | 1 |
| Connell, WA | $57.27 | $57.27 – $57.27 | 398 | 1 |
| Chatham, NJ | $29.20 | $29.20 – $29.20 | 398 | 1 |
| Rutherford, NJ | $61.95 | $61.95 – $61.95 | 397 | 1 |
| Lihue, HI | $119.50 | $113.46 – $152.80 | 397 | 2 |
| Mineral Wells, TX | $139.68 | $139.68 – $139.68 | 397 | 1 |
| Port Royal, SC | $114.07 | $114.07 – $114.07 | 397 | 1 |
| Lowville, NY | $86.05 | $86.05 – $86.05 | 396 | 1 |
| Aston, PA | $72.66 | $72.66 – $72.66 | 396 | 1 |
| Perkins, OK | $67.32 | $65.96 – $69.96 | 396 | 2 |
| Lisle, NY | $49.94 | $49.94 – $49.94 | 396 | 1 |
| Bridgeton, MO | $81.37 | $62.02 – $221.27 | 395 | 2 |
| Metuchen, NJ | $18.05 | $18.05 – $18.05 | 394 | 1 |
| Prairie Village, KS | $72.46 | $58.60 – $78.90 | 394 | 2 |
| Nettleton, MS | $54.52 | $54.52 – $54.52 | 394 | 1 |
| Wauchula, FL | $27.56 | $20.96 – $28.42 | 392 | 2 |
| Wallkill, NY | $61.02 | $57.06 – $61.93 | 391 | 2 |
| Dacula, GA | $61.18 | $51.45 – $64.31 | 390 | 3 |
| Lake Havasu, AZ | $231.19 | $231.19 – $231.19 | 389 | 1 |
| Concordia, KS | $71.56 | $71.56 – $71.56 | 388 | 1 |
| Nyssa, OR | $75.39 | $75.39 – $75.39 | 388 | 1 |
| Bingham Farms, MI | $79.95 | $74.18 – $141.95 | 388 | 2 |
| Jefferson City, TN | $52.45 | $52.45 – $52.45 | 387 | 1 |
| Glen Ellyn, IL | $72.09 | $53.90 – $74.48 | 387 | 2 |
| Apache Junction, AZ | $57.08 | $55.09 – $57.19 | 386 | 2 |
| Ashdown, AR | $53.13 | $46.89 – $56.44 | 386 | 2 |
| Birchwood, WI | $0.00 | $0.00 – $0.00 | 386 | 1 |
| Port Richey, FL | $32.72 | $32.72 – $32.72 | 385 | 1 |
| Harrington, ME | $76.87 | $76.87 – $76.87 | 385 | 1 |
| Goodyear, AZ | $67.45 | $13.12 – $103.82 | 384 | 2 |
| Gladstone, MO | $49.39 | $43.80 – $104.74 | 383 | 5 |
| Guayanilla, PR | $32.04 | $23.31 – $40.73 | 383 | 2 |
| Pauls Valley, OK | $127.14 | $127.14 – $127.14 | 382 | 1 |
| Pace, FL | $0.00 | $0.00 – $0.00 | 382 | 1 |
| Metaire, LA | $74.34 | $74.34 – $74.34 | 382 | 1 |
| Fort Bragg, CA | $52.74 | $0.00 – $55.35 | 381 | 2 |
| Chapin, SC | $86.62 | $86.62 – $86.62 | 379 | 1 |
| Westbrook, CT | $122.35 | $122.35 – $122.35 | 379 | 1 |
| Bellevue, KY | $35.58 | $34.28 – $38.63 | 378 | 2 |
| Agawam, MA | $103.26 | $97.15 – $116.07 | 378 | 2 |
| Wyandanch, NY | $39.40 | $38.65 – $59.06 | 378 | 2 |
| Annville, PA | $75.22 | $75.22 – $75.22 | 377 | 1 |
| Strong, ME | $2.08 | $2.08 – $2.08 | 377 | 1 |
| Cedar Falls, IA | $14.07 | $0.01 – $46.28 | 375 | 2 |
| Highland Heights, KY | $65.28 | $65.28 – $65.28 | 375 | 1 |
| Las Vegas, NM | $65.41 | $65.41 – $65.41 | 374 | 1 |
| Woodbury, NY | $71.93 | $71.30 – $75.49 | 374 | 2 |
| Carterville, IL | $0.00 | $0.00 – $0.00 | 374 | 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.