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 |
|---|---|---|---|---|
| Dunsmuir, CA | $0.00 | $0.00 – $0.00 | 288 | 1 |
| Middleton, MA | $94.50 | $94.50 – $94.50 | 287 | 1 |
| Marion, IN | $117.19 | $117.19 – $117.19 | 286 | 1 |
| Grayslake, IL | $54.17 | $54.17 – $54.17 | 286 | 1 |
| Crookston, MN | $129.59 | $129.59 – $129.59 | 286 | 1 |
| Mundelein, IL | $45.71 | $45.71 – $45.71 | 286 | 1 |
| Springfield, TN | $53.13 | $48.03 – $63.22 | 286 | 2 |
| Las Animas, CO | $115.52 | $115.52 – $115.52 | 286 | 1 |
| Hamilton, MT | $65.15 | $65.15 – $65.15 | 285 | 1 |
| Highland Mills, NY | $115.13 | $115.13 – $115.13 | 285 | 1 |
| Soldotna, AK | $126.51 | $126.51 – $126.51 | 284 | 1 |
| Stillwater, MN | $104.81 | $104.81 – $104.81 | 284 | 1 |
| Show Low, AZ | $76.94 | $76.94 – $76.94 | 284 | 1 |
| Lake Elmo, MN | $112.25 | $104.97 – $117.28 | 284 | 2 |
| Fort Campbell, KY | $62.67 | $51.05 – $79.39 | 283 | 4 |
| Donaldsonville, LA | $70.92 | $70.92 – $70.92 | 283 | 1 |
| Bastrop, TX | $48.55 | $48.55 – $48.55 | 283 | 1 |
| Elgin, TX | $57.59 | $57.59 – $57.59 | 283 | 1 |
| Summit Argo, IL | $58.61 | $58.61 – $58.61 | 283 | 1 |
| Madras, OR | $0.00 | $0.00 – $0.00 | 282 | 3 |
| St. Paul, MN | $90.73 | $34.68 – $166.41 | 282 | 2 |
| Mount Horeb, WI | $22.02 | $22.02 – $22.02 | 282 | 1 |
| Sicklerville, NJ | $83.16 | $45.90 – $98.17 | 282 | 4 |
| Leander, TX | $55.31 | $55.31 – $55.31 | 280 | 1 |
| Stanley, NC | $115.73 | $115.73 – $115.73 | 280 | 1 |
| Mogadore, OH | $56.30 | $56.30 – $56.30 | 279 | 1 |
| Lake Station, IN | $29.83 | $29.83 – $29.83 | 279 | 1 |
| New Middletown, OH | $49.20 | $49.20 – $49.20 | 279 | 1 |
| Park Hills, MO | $50.80 | $50.80 – $50.80 | 278 | 1 |
| Port Washington, WI | $44.37 | $44.37 – $44.37 | 278 | 1 |
| Ashland, ME | $0.00 | $0.00 – $0.00 | 278 | 1 |
| Anthem, AZ | $42.40 | $31.40 – $60.16 | 277 | 2 |
| Portales, NM | $18.38 | $0.00 – $65.27 | 277 | 2 |
| Arnold, MO | $111.80 | $48.66 – $218.49 | 277 | 5 |
| Landrum, SC | $85.62 | $85.62 – $85.62 | 277 | 1 |
| Lords Valley, PA | $83.43 | $83.43 – $83.43 | 277 | 1 |
| Springdale, OH | $29.11 | $29.11 – $29.11 | 276 | 1 |
| Yucca Valley, CA | $109.75 | $109.52 – $112.96 | 275 | 2 |
| Corning, CA | $55.82 | $55.82 – $55.82 | 275 | 1 |
| Maspeth, NY | $28.06 | $28.06 – $28.06 | 275 | 1 |
| Conowingo, MD | $38.55 | $38.55 – $38.55 | 274 | 1 |
| Harrison, NY | $48.21 | $46.62 – $49.30 | 273 | 2 |
| Mammoth Lakes, CA | $56.56 | $56.56 – $56.56 | 273 | 1 |
| Sparks, MD | $77.49 | $63.96 – $129.92 | 273 | 2 |
| Magna, UT | $67.00 | $59.03 – $121.14 | 273 | 2 |
| Union City, TN | $78.11 | $27.50 – $131.79 | 272 | 2 |
| Walker, LA | $98.00 | $98.00 – $98.00 | 272 | 1 |
| Newton, IL | $47.75 | $47.75 – $47.75 | 272 | 1 |
| Tarpon Springs, FL | $37.61 | $20.89 – $54.21 | 271 | 2 |
| Mcfarland, WI | $45.72 | $45.72 – $45.72 | 271 | 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.