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 |
|---|---|---|---|---|
| Landover, MD | $122.44 | $122.44 – $122.44 | 182 | 1 |
| Mountain City, TN | $63.09 | $63.09 – $63.09 | 181 | 1 |
| Emporia, VA | $68.24 | $68.16 – $69.00 | 181 | 2 |
| Ardmore, PA | $48.82 | $48.82 – $48.82 | 181 | 1 |
| Canby, OR | $1.66 | $1.66 – $1.66 | 180 | 1 |
| Mitchellville, MD | $103.83 | $103.83 – $103.83 | 180 | 1 |
| Greenville, AL | $54.55 | $54.55 – $54.55 | 180 | 1 |
| Brewer, ME | $86.45 | $86.45 – $86.45 | 180 | 1 |
| Swanton, VT | $65.67 | $45.56 – $94.12 | 180 | 3 |
| Washington, UT | $54.44 | $11.65 – $99.16 | 180 | 2 |
| Taylors, SC | $85.52 | $82.28 – $96.36 | 179 | 3 |
| Holmdel, NJ | $77.60 | $77.60 – $77.60 | 179 | 1 |
| Antelope, CA | $89.86 | $89.86 – $89.86 | 179 | 1 |
| Mustang, OK | $92.57 | $92.57 – $92.57 | 178 | 1 |
| Center Point, IA | $46.74 | $46.74 – $46.74 | 178 | 1 |
| Manassas Park, VA | $120.92 | $120.92 – $120.92 | 178 | 1 |
| Desoto, TX | $54.86 | $54.06 – $57.40 | 177 | 2 |
| Luling, TX | $74.75 | $74.75 – $74.75 | 177 | 1 |
| Mc Guire Afb, NJ | $60.37 | $60.37 – $60.37 | 176 | 1 |
| Villa Grove, IL | $59.09 | $59.09 – $59.09 | 176 | 1 |
| Manor, TX | $56.02 | $56.02 – $56.02 | 176 | 1 |
| Satellite Beach, FL | $48.41 | $48.41 – $48.41 | 176 | 1 |
| Delafield, WI | $4.23 | $4.23 – $4.23 | 175 | 1 |
| Salem, MO | $45.90 | $45.90 – $45.90 | 175 | 1 |
| Millville, NJ | $82.83 | $80.00 – $84.23 | 175 | 2 |
| Ft Stewart, GA | $161.18 | $161.18 – $161.18 | 175 | 1 |
| Waynesboro, MS | $58.71 | $58.71 – $58.71 | 175 | 1 |
| Holbrook, NY | $91.10 | $91.10 – $91.10 | 175 | 1 |
| Whitmire, SC | $88.47 | $88.47 – $88.47 | 175 | 1 |
| Ft Lauderdale, FL | $151.54 | $151.54 – $151.54 | 174 | 1 |
| Converse, TX | $57.32 | $57.32 – $57.32 | 174 | 1 |
| Hadley, MA | $99.63 | $99.63 – $99.63 | 174 | 1 |
| Suisun City, CA | $118.32 | $118.32 – $118.32 | 174 | 1 |
| Port Clinton, OH | $38.81 | $38.81 – $38.81 | 173 | 1 |
| Lake Ozark, MO | $119.29 | $119.29 – $119.29 | 173 | 1 |
| Mckeesport, PA | $50.18 | $50.18 – $50.18 | 173 | 1 |
| Saint Petersburg, FL | $49.96 | $49.96 – $49.96 | 172 | 1 |
| Perry, FL | $41.15 | $28.55 – $43.81 | 172 | 2 |
| New Baltimore, MI | $58.68 | $58.68 – $58.68 | 172 | 1 |
| Ephrata, PA | $108.07 | $74.88 – $140.13 | 171 | 2 |
| Fletcher, NC | $62.63 | $62.63 – $62.63 | 171 | 1 |
| Yabucoa, PR | $36.92 | $36.92 – $36.92 | 171 | 1 |
| Sudbury, MA | $144.83 | $144.83 – $144.83 | 171 | 1 |
| Poteau, OK | $97.03 | $97.03 – $97.03 | 171 | 1 |
| Graham, TX | $131.27 | $131.27 – $131.27 | 170 | 1 |
| Waseca, MN | $115.36 | $111.03 – $116.83 | 170 | 3 |
| Coto Laurel, PR | $30.19 | $30.19 – $30.19 | 170 | 1 |
| Halfmoon, NY | $49.03 | $49.03 – $49.03 | 170 | 1 |
| Montgomery Village, MD | $125.09 | $103.01 – $135.23 | 170 | 3 |
| Vidalia, LA | $90.17 | $90.17 – $90.17 | 170 | 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.