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 |
|---|---|---|---|---|
| Granville, OH | $60.40 | $60.40 – $60.40 | 307 | 1 |
| Bemidji, MN | $102.42 | $51.20 – $136.20 | 307 | 3 |
| Tocoma, WA | $136.82 | $136.82 – $136.82 | 307 | 1 |
| Cuba, NY | $90.61 | $90.61 – $90.61 | 306 | 1 |
| La Junta, CO | $95.82 | $95.82 – $95.82 | 306 | 1 |
| Vandenberg Afb, CA | $261.46 | $261.46 – $261.46 | 306 | 1 |
| Fairborn, OH | $43.13 | $43.13 – $43.13 | 305 | 1 |
| Killeen, TX | $69.68 | $58.90 – $92.32 | 305 | 3 |
| Brigham City, UT | $174.45 | $174.45 – $174.45 | 305 | 1 |
| Cherokee, OK | $71.98 | $71.98 – $71.98 | 305 | 1 |
| Graham, WA | $84.37 | $57.05 – $104.91 | 305 | 3 |
| Seabrook, MD | $104.13 | $104.13 – $104.13 | 305 | 1 |
| Powhatan, VA | $55.15 | $55.15 – $55.15 | 304 | 1 |
| Eunice, LA | $27.00 | $27.00 – $27.00 | 303 | 1 |
| Natick, MA | $17.03 | $13.57 – $59.13 | 303 | 2 |
| Buckner, MO | $130.81 | $51.34 – $137.03 | 303 | 2 |
| Front Royal, VA | $38.86 | $38.86 – $38.86 | 302 | 1 |
| Rockland, ME | $48.83 | $48.83 – $48.83 | 302 | 1 |
| Fort Sam Houston, TX | $189.54 | $189.54 – $189.54 | 302 | 1 |
| Spring Lake, NJ | $12.03 | $12.03 – $12.03 | 301 | 1 |
| Americus, GA | $83.62 | $63.48 – $84.61 | 299 | 2 |
| Festus, MO | $96.79 | $52.00 – $132.41 | 298 | 2 |
| South Plainfield, NJ | $0.00 | $0.00 – $0.00 | 298 | 1 |
| Clark, NJ | $76.33 | $76.33 – $76.33 | 298 | 1 |
| Ballwin, MO | $48.63 | $48.63 – $48.63 | 298 | 1 |
| Payson, UT | $86.12 | $57.16 – $113.65 | 298 | 4 |
| Wilmington, CA | $26.70 | $0.00 – $69.18 | 298 | 3 |
| Holly Springs, MS | $70.96 | $70.96 – $70.96 | 297 | 1 |
| Bridgeport, WA | $51.67 | $45.05 – $127.00 | 297 | 2 |
| Babylon, NY | $36.92 | $36.92 – $36.92 | 296 | 1 |
| Bagley, MN | $112.99 | $112.99 – $112.99 | 296 | 1 |
| New Brighton, MN | $116.37 | $96.14 – $118.00 | 295 | 2 |
| Santa Paula, CA | $97.42 | $92.44 – $106.56 | 295 | 2 |
| Medical Lake, WA | $43.07 | $43.07 – $43.07 | 295 | 1 |
| Bowling Green, VA | $41.49 | $41.49 – $41.49 | 294 | 1 |
| Sodus, NY | $52.28 | $48.75 – $57.00 | 294 | 3 |
| Baxter, KY | $79.41 | $79.41 – $79.41 | 294 | 1 |
| Bay City, TX | $42.26 | $34.94 – $42.85 | 293 | 2 |
| Woodland, WA | $41.38 | $28.70 – $115.17 | 293 | 3 |
| Linton, IN | $121.26 | $121.26 – $121.26 | 292 | 1 |
| N Hollywood, CA | $116.96 | $111.56 – $119.00 | 292 | 2 |
| Conway, NH | $95.36 | $95.36 – $95.36 | 292 | 1 |
| Centreville, VA | $51.34 | $51.34 – $51.34 | 292 | 1 |
| Hollister, MO | $63.68 | $63.68 – $63.68 | 292 | 1 |
| San Marino, CA | $269.80 | $269.80 – $269.80 | 291 | 1 |
| Clinton, MD | $86.98 | $77.88 – $104.92 | 290 | 3 |
| Eldora, IA | $72.98 | $42.61 – $80.12 | 289 | 2 |
| Liburn, GA | $85.14 | $85.14 – $85.14 | 289 | 1 |
| Arroyo, PR | $21.81 | $21.39 – $22.08 | 288 | 2 |
| Ft Wainwright, AK | $155.39 | $155.39 – $155.39 | 288 | 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.