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 |
|---|---|---|---|---|
| Mangilao, GU | $294.08 | $294.08 – $294.08 | 213 | 1 |
| Lufkin, TX | $75.67 | $75.67 – $75.67 | 212 | 1 |
| Normandy Park, WA | $41.97 | $41.97 – $41.97 | 212 | 1 |
| Slaughter, LA | $5.33 | $5.33 – $5.33 | 211 | 1 |
| Pontotoc, MS | $67.87 | $67.87 – $67.87 | 211 | 1 |
| North Logan, UT | $234.85 | $234.85 – $234.85 | 211 | 1 |
| Lakeland, TN | $78.31 | $78.31 – $78.31 | 211 | 1 |
| Locust Grove, VA | $94.95 | $94.95 – $94.95 | 211 | 1 |
| Hazelwood, MO | $118.05 | $118.05 – $118.05 | 210 | 1 |
| Northfield, OH | $58.56 | $58.56 – $58.56 | 210 | 1 |
| Orocovis, PR | $22.04 | $21.72 – $22.41 | 210 | 4 |
| Eufaula, AL | $50.50 | $50.50 – $50.50 | 210 | 1 |
| Reading, MA | $64.51 | $30.97 – $136.61 | 210 | 3 |
| Calico Rock, AR | $30.46 | $30.46 – $30.46 | 210 | 1 |
| Hudson, WI | $155.78 | $31.39 – $179.11 | 209 | 2 |
| Thomasville, NC | $63.65 | $59.80 – $65.84 | 209 | 3 |
| Point Pleasant Beach, NJ | $32.06 | $32.06 – $32.06 | 209 | 1 |
| Marysville, MI | $66.57 | $66.57 – $66.57 | 208 | 1 |
| Richfield, MN | $209.27 | $209.27 – $209.27 | 207 | 1 |
| Leesberg, FL | $64.28 | $64.28 – $64.28 | 207 | 1 |
| Dodge, NE | $0.74 | $0.74 – $0.74 | 207 | 1 |
| Fruitland Park, FL | $51.45 | $51.45 – $51.45 | 206 | 1 |
| Banks, OR | $0.00 | $0.00 – $0.00 | 206 | 1 |
| East Hampton, CT | $86.39 | $86.39 – $86.39 | 204 | 1 |
| Pitsburgh, PA | $46.14 | $46.14 – $46.14 | 204 | 1 |
| Loomis, CA | $53.78 | $53.78 – $53.78 | 204 | 1 |
| West Seneca, NY | $54.97 | $35.00 – $57.15 | 203 | 2 |
| Mocksville, NC | $66.74 | $66.74 – $66.74 | 203 | 1 |
| Cloquet, MN | $99.59 | $88.66 – $111.77 | 203 | 2 |
| Watauga, TX | $58.41 | $32.03 – $64.89 | 203 | 2 |
| Duncan, OK | $80.11 | $60.34 – $133.43 | 202 | 3 |
| Castro Valley, CA | $57.12 | $57.12 – $57.12 | 202 | 1 |
| Killbuck, OH | $101.68 | $101.68 – $101.68 | 201 | 1 |
| Cheshire, CT | $95.50 | $95.50 – $95.50 | 201 | 1 |
| Toronto, OH | $53.01 | $53.01 – $53.01 | 201 | 1 |
| Catlettsburg, KY | $53.87 | $53.87 – $53.87 | 201 | 1 |
| Marshalls Creek, PA | $275.00 | $275.00 – $275.00 | 201 | 1 |
| Fallon, NV | $50.97 | $50.97 – $50.97 | 200 | 1 |
| Cleburne, TX | $50.44 | $50.44 – $50.44 | 200 | 1 |
| Bensenville, IL | $70.14 | $70.14 – $70.14 | 200 | 1 |
| New Castle, PA | $63.50 | $63.50 – $63.50 | 199 | 1 |
| Oxford, FL | $0.00 | $0.00 – $0.00 | 199 | 1 |
| Lafitte, LA | $89.93 | $89.93 – $89.93 | 199 | 1 |
| Part Jefferson Station, NY | $80.40 | $80.40 – $80.40 | 199 | 1 |
| San Ramon, CA | $173.30 | $119.00 – $184.16 | 198 | 3 |
| Valentine, NE | $65.38 | $65.38 – $65.38 | 198 | 1 |
| Huntingburg, IN | $145.10 | $145.10 – $145.10 | 198 | 1 |
| Seatac, WA | $86.03 | $56.39 – $115.84 | 198 | 3 |
| Pacific, MO | $48.80 | $48.80 – $48.80 | 198 | 1 |
| Southampton, PA | $48.38 | $46.26 – $51.22 | 197 | 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.