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 |
|---|---|---|---|---|
| Panorama City, CA | $65.73 | $0.00 – $119.00 | 23,057 | 15 |
| Compton, CA | $60.31 | $55.48 – $119.00 | 23,047 | 12 |
| Roselle, NJ | $183.05 | $167.52 – $184.74 | 22,737 | 2 |
| Harker Heights, TX | $103.10 | $35.58 – $104.77 | 22,691 | 4 |
| Rancho Cucamonga, CA | $118.64 | $10.61 – $167.25 | 22,685 | 29 |
| Rockville, MD | $176.90 | $50.19 – $287.16 | 22,672 | 32 |
| Lafayette, LA | $68.99 | $3.69 – $296.85 | 22,590 | 25 |
| Visalia, CA | $62.82 | $38.29 – $231.00 | 22,530 | 31 |
| Homestead, FL | $123.98 | $20.78 – $135.65 | 22,484 | 9 |
| Waterbury, CT | $77.00 | $0.00 – $229.47 | 22,415 | 20 |
| Dover, DE | $106.03 | $0.00 – $187.81 | 22,397 | 13 |
| Mayaguez, PR | $113.92 | $18.80 – $142.94 | 22,317 | 19 |
| Smyrna, GA | $182.37 | $45.25 – $188.61 | 22,251 | 7 |
| Amarillo, TX | $122.34 | $31.50 – $250.45 | 22,175 | 21 |
| Campbellsville, KY | $110.01 | $45.42 – $176.81 | 22,109 | 3 |
| Alexandria, VA | $120.02 | $0.00 – $168.53 | 22,093 | 24 |
| Suffolk, VA | $64.05 | $46.00 – $377.26 | 22,079 | 6 |
| Richmond, KY | $53.76 | $41.78 – $63.90 | 21,879 | 10 |
| Tuscaloosa, AL | $73.22 | $47.03 – $207.06 | 21,807 | 17 |
| Fort Lee, NJ | $121.96 | $0.06 – $297.24 | 21,582 | 15 |
| Hammond, LA | $80.37 | $42.29 – $223.89 | 21,561 | 13 |
| Richmond, MI | $66.89 | $59.06 – $86.79 | 21,510 | 4 |
| Palmdale, CA | $67.43 | $0.00 – $119.62 | 21,428 | 31 |
| Bardstown, KY | $87.78 | $35.30 – $672.58 | 21,427 | 5 |
| Durango, CO | $158.41 | $0.00 – $193.17 | 21,403 | 10 |
| Colton, CA | $134.99 | $0.00 – $182.06 | 21,232 | 15 |
| Hazard, KY | $57.00 | $33.90 – $610.17 | 21,144 | 12 |
| Yukon, OK | $78.01 | $54.76 – $214.17 | 21,052 | 12 |
| Clearwater, FL | $134.82 | $27.80 – $166.38 | 20,998 | 9 |
| Appleton, WI | $41.15 | $0.00 – $110.90 | 20,932 | 15 |
| Great Falls, MT | $101.79 | $0.00 – $164.31 | 20,857 | 8 |
| South Gate, CA | $60.22 | $55.06 – $119.00 | 20,816 | 21 |
| Plantation, FL | $66.41 | $0.97 – $824.58 | 20,751 | 14 |
| North Little Rock, AR | $115.37 | $59.65 – $254.54 | 20,741 | 10 |
| Hot Springs, AR | $193.73 | $24.53 – $245.01 | 20,739 | 12 |
| Katy, TX | $210.64 | $36.64 – $262.99 | 20,700 | 10 |
| Woodbridge, VA | $61.57 | $0.00 – $104.05 | 20,643 | 18 |
| El Centro, CA | $80.45 | $54.63 – $125.34 | 20,641 | 10 |
| Heath, OH | $103.25 | $57.98 – $144.19 | 20,591 | 5 |
| North Las Vegas, NV | $55.43 | $30.47 – $98.40 | 20,538 | 20 |
| Mount Pleasant, WI | $91.16 | $48.66 – $130.21 | 20,516 | 14 |
| Milpitas, CA | $69.31 | $34.44 – $91.58 | 20,491 | 10 |
| San Fernando, CA | $96.83 | $56.14 – $119.00 | 20,462 | 6 |
| Newport News, VA | $89.14 | $0.00 – $176.07 | 20,380 | 19 |
| Ashburn, VA | $72.90 | $0.00 – $86.44 | 20,296 | 8 |
| Midlothian, VA | $87.65 | $0.00 – $196.65 | 20,295 | 22 |
| Greenfield, MA | $130.89 | $78.11 – $174.81 | 20,205 | 3 |
| Apple Valley, CA | $110.91 | $95.40 – $116.33 | 20,117 | 4 |
| Northridge, CA | $60.64 | $46.64 – $139.71 | 20,115 | 9 |
| Woodlake, CA | $55.86 | $55.68 – $88.47 | 20,066 | 2 |
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.