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 |
|---|---|---|---|---|
| Signal Hill, CA | $57.40 | $57.40 – $57.40 | 270 | 1 |
| Highland Springs, VA | $0.00 | $0.00 – $0.00 | 270 | 1 |
| Howell, MI | $4.89 | $0.00 – $77.44 | 269 | 2 |
| Johnstown, CO | $98.82 | $98.82 – $98.82 | 269 | 1 |
| Raleigh, MS | $43.45 | $40.87 – $75.47 | 269 | 2 |
| Albion, IL | $54.73 | $54.73 – $54.73 | 268 | 1 |
| Town And Country, MO | $83.19 | $40.38 – $104.12 | 268 | 2 |
| Ogden, IA | $2.48 | $2.48 – $2.48 | 267 | 1 |
| South Richmond Hill, NY | $50.98 | $41.55 – $52.08 | 267 | 2 |
| League City, TX | $52.90 | $46.90 – $95.16 | 266 | 3 |
| College Place, WA | $47.11 | $46.42 – $47.24 | 266 | 2 |
| Mayfield, OH | $56.45 | $56.45 – $56.45 | 265 | 1 |
| Brookfield, CT | $98.54 | $81.57 – $107.93 | 264 | 2 |
| Weehawken, NJ | $16.81 | $16.81 – $16.81 | 264 | 1 |
| Breinigsville, PA | $69.24 | $69.24 – $69.24 | 264 | 1 |
| Exton, PA | $70.04 | $70.04 – $70.04 | 263 | 1 |
| Richland, MO | $25.09 | $1.29 – $82.57 | 263 | 2 |
| Arapahoe, WY | $0.00 | $0.00 – $0.00 | 263 | 1 |
| Rockingham, VA | $66.34 | $58.54 – $68.04 | 263 | 2 |
| Beaver, UT | $52.93 | $52.93 – $52.93 | 262 | 1 |
| Oxford, AL | $58.25 | $25.60 – $61.70 | 262 | 2 |
| Queens Village, NY | $47.64 | $43.46 – $50.71 | 262 | 2 |
| Havelock, NC | $61.53 | $61.53 – $61.53 | 262 | 1 |
| Osceola, MO | $140.13 | $140.13 – $140.13 | 262 | 1 |
| Royal Oak, MI | $135.90 | $135.90 – $135.90 | 262 | 1 |
| La Porte, TX | $104.69 | $104.69 – $104.69 | 261 | 1 |
| Athol, MA | $130.92 | $130.92 – $130.92 | 261 | 1 |
| Harlan, IA | $86.42 | $86.42 – $86.42 | 260 | 1 |
| Mountain House, CA | $103.04 | $55.15 – $114.73 | 260 | 2 |
| Worthington, OH | $58.33 | $58.33 – $58.33 | 259 | 1 |
| Kermit, WV | $37.15 | $37.15 – $37.15 | 258 | 1 |
| Freeport, NY | $50.52 | $50.52 – $50.52 | 256 | 1 |
| Prospect, KY | $114.48 | $114.48 – $114.48 | 255 | 1 |
| Cantonsville, MD | $128.95 | $128.95 – $128.95 | 255 | 1 |
| Sun Valley, CA | $118.46 | $24.73 – $144.90 | 254 | 3 |
| Wagoner, OK | $84.53 | $65.78 – $111.82 | 253 | 2 |
| Arrington, VA | $40.42 | $40.42 – $40.42 | 253 | 1 |
| Destrehan, LA | $69.72 | $67.01 – $73.97 | 252 | 2 |
| Sylacauga, AL | $22.78 | $4.94 – $54.89 | 252 | 2 |
| Roswell, GA | $54.49 | $54.49 – $54.49 | 252 | 1 |
| Hastings, MN | $144.90 | $144.90 – $144.90 | 252 | 1 |
| Canton, MO | $20.34 | $20.34 – $20.34 | 252 | 1 |
| Wellington, CO | $167.00 | $167.00 – $167.00 | 252 | 1 |
| Wilm, DE | $26.09 | $26.09 – $26.09 | 252 | 1 |
| Elgin, OR | $0.00 | $0.00 – $0.00 | 252 | 1 |
| Otisville, MI | $82.54 | $74.70 – $96.56 | 251 | 3 |
| Santurce, PR | $39.47 | $39.47 – $39.47 | 250 | 1 |
| Roselle Park, NJ | $76.19 | $75.62 – $76.70 | 250 | 2 |
| Granite City, IL | $7.05 | $0.00 – $134.97 | 249 | 2 |
| South Pasadena, CA | $108.52 | $57.40 – $119.00 | 248 | 3 |
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.