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 |
|---|---|---|---|---|
| Santo Domingo Pueblo, NM | $84.32 | $84.32 – $84.32 | 170 | 1 |
| Manila, AR | $69.45 | $69.45 – $69.45 | 170 | 1 |
| East Peoria, IL | $75.60 | $46.16 – $118.82 | 170 | 5 |
| Briarcliff Manor, NY | $109.93 | $81.62 – $164.58 | 170 | 2 |
| Sweetwater, TN | $60.70 | $60.70 – $60.70 | 169 | 1 |
| Homestead, PA | $52.62 | $52.62 – $52.62 | 169 | 1 |
| Ellijay, GA | $62.29 | $62.29 – $62.29 | 169 | 1 |
| Lockport, NY | $58.35 | $57.59 – $60.65 | 168 | 2 |
| Northborough, MA | $95.84 | $73.21 – $128.77 | 168 | 3 |
| Frenchburg, KY | $46.21 | $46.21 – $46.21 | 168 | 1 |
| Carmel, IN | $121.80 | $36.67 – $200.08 | 167 | 2 |
| Angleton, TX | $44.26 | $36.35 – $47.63 | 167 | 2 |
| El Campo, TX | $52.46 | $52.46 – $52.46 | 167 | 1 |
| Laurel Springs, NJ | $68.72 | $45.22 – $99.74 | 167 | 3 |
| Mont Belvieu, TX | $78.51 | $8.60 – $90.24 | 167 | 2 |
| Los Alamitos, CA | $142.11 | $142.11 – $142.11 | 166 | 1 |
| Beale Afb, CA | $98.04 | $98.04 – $98.04 | 166 | 1 |
| Hilton Head, SC | $79.30 | $79.30 – $79.30 | 166 | 1 |
| Veneta, OR | $33.24 | $33.24 – $33.24 | 166 | 1 |
| Bartow, FL | $170.18 | $170.18 – $170.18 | 165 | 1 |
| West Mifflin, PA | $60.81 | $60.81 – $60.81 | 165 | 1 |
| Newmarket, NH | $103.10 | $103.10 – $103.10 | 165 | 1 |
| Carthage, IL | $136.59 | $54.58 – $147.91 | 165 | 2 |
| Highland Park, IL | $102.93 | $102.93 – $102.93 | 164 | 1 |
| Rupert, ID | $0.00 | $0.00 – $0.00 | 164 | 1 |
| Millstadt, IL | $49.62 | $49.62 – $49.62 | 164 | 1 |
| North Kingstown, RI | $16.13 | $5.91 – $70.00 | 163 | 2 |
| Watseka, IL | $0.00 | $0.00 – $0.00 | 163 | 1 |
| Rushville, NY | $63.88 | $48.66 – $66.77 | 163 | 2 |
| Fort Wainwright, AK | $161.40 | $161.40 – $161.40 | 163 | 1 |
| Williamston, NC | $64.47 | $64.47 – $64.47 | 162 | 1 |
| Carthage, MO | $107.02 | $107.02 – $107.02 | 162 | 1 |
| Virginia, MN | $124.06 | $124.06 – $124.06 | 161 | 1 |
| Sayre, PA | $86.09 | $86.09 – $86.09 | 161 | 1 |
| Hurst, TX | $74.90 | $57.38 – $133.62 | 161 | 2 |
| Bristol, NH | $92.01 | $92.01 – $92.01 | 161 | 1 |
| Keesler Afb, MS | $54.09 | $54.09 – $54.09 | 161 | 1 |
| Grampian, PA | $48.86 | $48.86 – $48.86 | 161 | 1 |
| Longwood, FL | $118.55 | $118.55 – $118.55 | 160 | 1 |
| Havre De Grace, MD | $79.10 | $79.10 – $79.10 | 160 | 1 |
| Glenwood, IA | $46.74 | $46.24 – $47.28 | 160 | 2 |
| Marco Island, FL | $53.82 | $53.82 – $53.82 | 160 | 1 |
| South Vienna, OH | $89.22 | $89.22 – $89.22 | 160 | 1 |
| Palmetto, LA | $66.74 | $66.74 – $66.74 | 160 | 1 |
| Utica, IL | $88.61 | $88.61 – $88.61 | 160 | 1 |
| Safford, AZ | $37.94 | $0.00 – $79.93 | 159 | 4 |
| Worth, IL | $79.44 | $46.11 – $86.57 | 159 | 2 |
| Fultondale, AL | $37.11 | $37.11 – $37.11 | 158 | 1 |
| Baxter Springs, KS | $81.02 | $81.02 – $81.02 | 158 | 1 |
| North Andover, MA | $247.75 | $247.75 – $247.75 | 158 | 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.