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 |
|---|---|---|---|---|
| Yelm, WA | $31.21 | $31.13 – $31.47 | 373 | 2 |
| Naguabo, PR | $42.96 | $11.06 – $71.04 | 373 | 4 |
| E. Amherst, NY | $59.56 | $59.56 – $59.56 | 373 | 1 |
| Hooper Bay, AK | $98.03 | $98.03 – $98.03 | 373 | 1 |
| Brush, CO | $100.28 | $99.90 – $100.75 | 372 | 2 |
| Chillicothe, MO | $52.85 | $50.29 – $103.24 | 372 | 2 |
| Andalusia, AL | $48.22 | $47.22 – $48.27 | 371 | 2 |
| Elkin, NC | $61.87 | $61.87 – $61.87 | 370 | 1 |
| Walcott, IA | $49.86 | $49.86 – $49.86 | 370 | 1 |
| Canton, TX | $51.40 | $51.40 – $51.40 | 369 | 1 |
| Taylorsville, KY | $34.04 | $34.04 – $34.04 | 369 | 1 |
| Hogansburg, NY | $47.71 | $47.71 – $47.71 | 369 | 1 |
| New Canton, VA | $64.98 | $64.98 – $64.98 | 368 | 1 |
| Butler, MO | $174.17 | $118.00 – $248.31 | 368 | 5 |
| North Aurora, IL | $54.63 | $51.89 – $62.39 | 368 | 2 |
| Wayne, PA | $63.26 | $63.26 – $63.26 | 368 | 1 |
| Malvern, AR | $67.94 | $58.40 – $70.55 | 368 | 4 |
| Mount Morris, NY | $54.81 | $54.81 – $54.81 | 368 | 1 |
| Somerset, PA | $67.33 | $67.33 – $67.33 | 367 | 1 |
| Guttenberg, NJ | $24.61 | $23.45 – $29.71 | 367 | 2 |
| Central Point, OR | $29.09 | $0.00 – $82.91 | 367 | 4 |
| Bear, DE | $181.85 | $178.97 – $198.88 | 367 | 2 |
| Round Lake Beach, IL | $26.33 | $0.00 – $54.90 | 367 | 2 |
| Hawthorne, NV | $47.93 | $39.16 – $57.35 | 367 | 2 |
| Universal City, TX | $89.07 | $89.07 – $89.07 | 367 | 1 |
| Estero, FL | $19.06 | $10.31 – $20.81 | 366 | 2 |
| West Hempstead, NY | $26.53 | $24.33 – $52.00 | 366 | 2 |
| Ceiba, PR | $23.46 | $21.73 – $26.78 | 366 | 2 |
| Arab, AL | $51.30 | $47.11 – $52.50 | 365 | 2 |
| New City, NY | $42.74 | $38.23 – $77.35 | 364 | 2 |
| Langley, KY | $32.32 | $32.32 – $32.32 | 364 | 1 |
| Country Club Hills, IL | $56.08 | $56.08 – $56.08 | 364 | 1 |
| Limon, CO | $179.98 | $179.98 – $179.98 | 363 | 1 |
| Billerica, MA | $128.19 | $122.95 – $159.38 | 363 | 3 |
| Aurora, OH | $17.96 | $0.00 – $53.42 | 363 | 3 |
| Ocean Isle Beach, NC | $42.17 | $42.17 – $42.17 | 362 | 1 |
| Winter Garden, FL | $49.31 | $43.30 – $110.39 | 361 | 3 |
| Rochester, NH | $97.91 | $81.99 – $125.00 | 361 | 4 |
| Pacific Grove, CA | $55.27 | $55.27 – $55.27 | 361 | 1 |
| Tse Bonito, NM | $71.17 | $71.17 – $71.17 | 360 | 1 |
| Mt Pleasant, SC | $109.76 | $87.50 – $123.49 | 359 | 2 |
| Luquillo, PR | $22.96 | $22.96 – $22.96 | 359 | 1 |
| Dillingham, AK | $150.89 | $77.66 – $330.75 | 358 | 3 |
| Savannah, TN | $63.97 | $59.68 – $72.99 | 357 | 2 |
| Snellville, GA | $65.17 | $55.19 – $75.70 | 357 | 3 |
| Pawleys Island, SC | $83.76 | $39.73 – $87.07 | 357 | 2 |
| Gosport, IN | $168.09 | $168.09 – $168.09 | 357 | 1 |
| South Russell, OH | $53.27 | $53.27 – $53.27 | 356 | 1 |
| Delhi, LA | $6.91 | $6.91 – $6.91 | 355 | 1 |
| Fairmount Heights, MD | $103.01 | $103.01 – $103.01 | 355 | 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.