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 |
|---|---|---|---|---|
| South Shore, KY | $19.49 | $19.49 – $19.49 | 100 | 1 |
| Pekin, IL | $70.42 | $70.42 – $70.42 | 100 | 1 |
| Alvin, TX | $5.94 | $0.00 – $10.24 | 100 | 2 |
| Hutchinson, MN | $145.87 | $145.87 – $145.87 | 100 | 1 |
| Burton, OH | $54.02 | $54.02 – $54.02 | 100 | 1 |
| Greenfield, IL | $131.66 | $131.66 – $131.66 | 100 | 1 |
| Pickerington, OH | $59.18 | $59.18 – $59.18 | 99 | 1 |
| Newtown, CT | $53.40 | $35.25 – $80.17 | 99 | 2 |
| Templeton, CA | $56.82 | $56.82 – $56.82 | 99 | 1 |
| Lewisburg, TN | $58.04 | $58.04 – $58.04 | 99 | 1 |
| Mcdonough, GA | $55.85 | $55.85 – $55.85 | 99 | 1 |
| Hermosa Beach, CA | $57.40 | $57.40 – $57.40 | 99 | 1 |
| Old Hickory, TN | $88.77 | $44.80 – $137.70 | 99 | 3 |
| Stevenson, AL | $53.66 | $53.66 – $53.66 | 99 | 1 |
| Pikesville, MD | $277.00 | $277.00 – $277.00 | 98 | 1 |
| Sammamish, WA | $52.98 | $52.98 – $52.98 | 98 | 1 |
| Marina Del Rey, CA | $113.54 | $113.54 – $113.54 | 98 | 1 |
| Flat Rock, NC | $39.24 | $39.24 – $39.24 | 98 | 1 |
| Damascus, OR | $15.51 | $15.51 – $15.51 | 98 | 1 |
| Meadville, PA | $0.00 | $0.00 – $0.00 | 97 | 1 |
| Amesbury, MA | $73.71 | $73.71 – $73.71 | 97 | 1 |
| Ft Walton Beach, FL | $289.80 | $289.80 – $289.80 | 97 | 1 |
| Putnam Valley, NY | $2.06 | $2.06 – $2.06 | 97 | 1 |
| Carpentersville, IL | $31.95 | $0.00 – $57.40 | 97 | 2 |
| East Rochester, NY | $78.18 | $78.18 – $78.18 | 97 | 1 |
| Pickford, MI | $66.62 | $62.93 – $74.87 | 97 | 2 |
| Marysville, CA | $119.00 | $119.00 – $119.00 | 96 | 1 |
| Texarkana, AR | $40.84 | $22.18 – $62.90 | 96 | 2 |
| New Hampton, IA | $60.26 | $60.26 – $60.26 | 96 | 1 |
| California City, CA | $56.20 | $56.20 – $56.20 | 96 | 1 |
| Lowell, OR | $3.19 | $3.19 – $3.19 | 96 | 1 |
| O Fallon, MO | $43.22 | $43.22 – $43.22 | 95 | 1 |
| Pelham, NH | $96.54 | $96.54 – $96.54 | 95 | 1 |
| East Providence, RI | $109.66 | $0.00 – $128.62 | 95 | 2 |
| Caro, MI | $128.40 | $128.40 – $128.40 | 95 | 1 |
| North Grafton, MA | $73.33 | $73.33 – $73.33 | 95 | 1 |
| Fenton, MI | $32.93 | $12.85 – $42.66 | 95 | 2 |
| Emporia, KS | $44.98 | $44.98 – $44.98 | 94 | 1 |
| Trumbull, CT | $96.70 | $96.70 – $96.70 | 94 | 1 |
| Liberty Township, OH | $66.27 | $66.27 – $66.27 | 94 | 1 |
| Sullivan, MO | $71.94 | $71.94 – $71.94 | 94 | 1 |
| Coalinga, CA | $114.89 | $114.89 – $114.89 | 94 | 1 |
| Coldwater, MS | $56.23 | $56.23 – $56.23 | 94 | 1 |
| Ellenville, NY | $201.14 | $201.14 – $201.14 | 94 | 1 |
| Decorah, IA | $57.22 | $38.34 – $61.75 | 93 | 2 |
| Rocky River, OH | $69.67 | $56.11 – $84.76 | 93 | 2 |
| Centerville, MA | $93.86 | $93.86 – $93.86 | 93 | 1 |
| Thayer, MO | $75.30 | $75.30 – $75.30 | 93 | 1 |
| Roanoke, AL | $57.29 | $57.29 – $57.29 | 93 | 1 |
| Woodbury Heights, NJ | $148.66 | $148.66 – $148.66 | 93 | 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.