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 |
|---|---|---|---|---|
| Alamo, CA | $53.73 | $53.73 – $53.73 | 248 | 1 |
| Trexlertown, PA | $75.89 | $75.89 – $75.89 | 248 | 1 |
| Hays, KS | $67.45 | $67.45 – $67.45 | 247 | 1 |
| Cooperstown, NY | $163.85 | $163.85 – $163.85 | 247 | 1 |
| Brawley, CA | $57.17 | $57.17 – $57.17 | 247 | 1 |
| Bellerose, NY | $216.97 | $131.90 – $224.87 | 247 | 2 |
| Quincy, MI | $61.40 | $61.40 – $61.40 | 247 | 1 |
| Aguada, PR | $29.48 | $21.82 – $48.31 | 246 | 3 |
| Versailles, OH | $52.51 | $52.51 – $52.51 | 245 | 1 |
| Columbia City, IN | $126.02 | $126.02 – $126.02 | 244 | 1 |
| Collinsville, IL | $14.75 | $0.00 – $53.72 | 244 | 2 |
| Minersville, PA | $64.73 | $64.73 – $64.73 | 244 | 1 |
| East Palo Alto, CA | $37.51 | $34.11 – $37.90 | 243 | 2 |
| Laceys Spring, AL | $52.96 | $52.96 – $52.96 | 242 | 1 |
| Coatesville, PA | $58.66 | $58.66 – $58.66 | 242 | 1 |
| Crystal, MN | $87.03 | $43.89 – $90.70 | 242 | 2 |
| Charlestown, MA | $73.50 | $73.50 – $73.50 | 242 | 1 |
| Altus Afb, OK | $64.79 | $64.79 – $64.79 | 242 | 1 |
| Hershey, PA | $63.80 | $63.30 – $63.86 | 241 | 2 |
| La Jolla, CA | $64.55 | $56.63 – $115.28 | 241 | 3 |
| Oceanside, NY | $37.22 | $23.04 – $62.85 | 241 | 3 |
| Windham, ME | $115.88 | $110.40 – $119.50 | 241 | 3 |
| Sedalia, MO | $82.70 | $53.00 – $105.00 | 240 | 6 |
| San Benito, TX | $50.32 | $11.47 – $54.64 | 240 | 2 |
| Lake City, IA | $70.19 | $70.19 – $70.19 | 240 | 1 |
| El Reno, OK | $102.30 | $63.23 – $128.04 | 240 | 3 |
| Fort Gay, WV | $62.63 | $0.00 – $66.51 | 240 | 2 |
| Cresskill, NJ | $83.23 | $71.35 – $88.56 | 239 | 2 |
| Truckee, CA | $67.84 | $45.35 – $97.52 | 239 | 2 |
| Flushing, MI | $70.46 | $70.46 – $70.46 | 239 | 1 |
| Cliffside Park, NJ | $43.93 | $35.12 – $53.83 | 238 | 2 |
| Elizabeth, WV | $124.52 | $124.52 – $124.52 | 238 | 1 |
| Spring Lake Park, MN | $112.81 | $112.81 – $112.81 | 238 | 1 |
| Hooksett, NH | $139.00 | $139.00 – $139.00 | 238 | 1 |
| North Quincy, MA | $74.60 | $74.60 – $74.60 | 238 | 1 |
| Springdale, WA | $30.26 | $30.26 – $30.26 | 237 | 1 |
| Fredench, MD | $152.70 | $152.70 – $152.70 | 236 | 1 |
| Holland, PA | $36.97 | $36.97 – $36.97 | 236 | 1 |
| Peebles, OH | $58.56 | $58.56 – $58.56 | 236 | 1 |
| Prospect Park, NJ | $112.47 | $48.97 – $119.00 | 236 | 2 |
| Mira Loma, CA | $96.31 | $96.31 – $96.31 | 236 | 1 |
| Camp Springs, MD | $105.13 | $105.13 – $105.13 | 235 | 1 |
| Essex Junction, VT | $218.48 | $218.48 – $218.48 | 235 | 1 |
| Carmi, IL | $0.00 | $0.00 – $0.00 | 235 | 1 |
| Ottawa Hills, OH | $53.93 | $53.93 – $53.93 | 235 | 1 |
| Winona, MN | $6.33 | $6.33 – $6.33 | 234 | 1 |
| Brookings, OR | $2.14 | $2.14 – $2.14 | 233 | 1 |
| West Liberty, KY | $26.38 | $9.50 – $34.56 | 233 | 2 |
| Williston, FL | $40.12 | $39.76 – $43.55 | 233 | 2 |
| Blackfoot, ID | $62.98 | $62.98 – $62.98 | 231 | 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.