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 |
|---|---|---|---|---|
| Crowley, LA | $57.54 | $55.64 – $58.43 | 85 | 2 |
| Evergreen, CO | $114.58 | $98.03 – $118.13 | 85 | 2 |
| Hudson, MA | $83.86 | $83.86 – $83.86 | 85 | 1 |
| East Moline, IL | $56.80 | $56.80 – $56.80 | 84 | 1 |
| Santa Teresa, NM | $64.42 | $64.42 – $64.42 | 84 | 1 |
| Bandon, OR | $27.38 | $0.00 – $104.76 | 84 | 3 |
| Minden, NV | $30.43 | $30.43 – $30.43 | 83 | 1 |
| Sutherlin, OR | $1.20 | $1.20 – $1.20 | 83 | 1 |
| Owens Cross Roads, AL | $138.52 | $138.52 – $138.52 | 83 | 1 |
| Vian, OK | $72.91 | $72.91 – $72.91 | 83 | 1 |
| Kingsville, TX | $60.62 | $56.73 – $64.77 | 82 | 3 |
| Camden, NY | $190.12 | $190.12 – $190.12 | 82 | 1 |
| Haverstraw, NY | $10.57 | $10.57 – $10.57 | 82 | 1 |
| Cotati, CA | $57.40 | $57.40 – $57.40 | 82 | 1 |
| Wailuku, HI | $66.18 | $61.30 – $67.57 | 81 | 2 |
| Crown Point, IN | $47.81 | $36.82 – $50.73 | 81 | 2 |
| Lees Summit, MO | $47.77 | $47.77 – $47.77 | 81 | 1 |
| Griffin, GA | $80.37 | $80.37 – $80.37 | 81 | 1 |
| Lambertville, MI | $106.00 | $106.00 – $106.00 | 81 | 1 |
| Putnam, CT | $0.00 | $0.00 – $0.00 | 81 | 2 |
| Benson, AZ | $47.11 | $47.11 – $47.11 | 81 | 1 |
| Lakewood Ranch, FL | $133.85 | $133.85 – $133.85 | 81 | 1 |
| Salem, SC | $101.40 | $101.40 – $101.40 | 81 | 1 |
| Highland Heights, OH | $59.52 | $59.52 – $59.52 | 80 | 1 |
| Ashland, WI | $0.00 | $0.00 – $0.00 | 80 | 1 |
| Meeker, CO | $152.50 | $152.50 – $152.50 | 80 | 1 |
| Stony Point, NY | $52.25 | $52.25 – $52.25 | 80 | 1 |
| Ft Worth, TX | $31.91 | $31.91 – $31.91 | 80 | 1 |
| Anaconda, MT | $25.09 | $25.09 – $25.09 | 80 | 1 |
| Aberdeen, NJ | $80.00 | $80.00 – $80.00 | 80 | 1 |
| Malta, OH | $2.27 | $0.00 – $7.90 | 80 | 2 |
| New, NY | $24.87 | $24.87 – $24.87 | 80 | 1 |
| Hudson, NH | $109.88 | $98.28 – $133.54 | 79 | 2 |
| Cedar Park, TX | $80.22 | $55.10 – $109.33 | 79 | 3 |
| Dequincy, LA | $0.00 | $0.00 – $0.00 | 79 | 1 |
| Pueblo West, CO | $254.41 | $108.22 – $359.28 | 79 | 2 |
| West Linn, OR | $41.52 | $0.00 – $76.28 | 79 | 2 |
| Van Buren, AR | $70.37 | $70.37 – $70.37 | 79 | 1 |
| Barberton, OH | $0.00 | $0.00 – $0.00 | 79 | 1 |
| Carver, MA | $130.23 | $130.23 – $130.23 | 79 | 1 |
| Kingston, NY | $56.00 | $56.00 – $56.00 | 78 | 1 |
| Allen, TX | $107.92 | $68.64 – $133.83 | 78 | 2 |
| Macon, MO | $112.13 | $112.13 – $112.13 | 78 | 1 |
| Usaf Academy, CO | $113.36 | $113.36 – $113.36 | 78 | 1 |
| Greentown, IN | $139.01 | $139.01 – $139.01 | 78 | 1 |
| Radium Springs, NM | $107.53 | $107.53 – $107.53 | 78 | 1 |
| Hawkins, TX | $247.67 | $247.67 – $247.67 | 78 | 1 |
| Troy, MO | $163.13 | $163.13 – $163.13 | 77 | 1 |
| Jb Andrews, MD | $0.00 | $0.00 – $0.00 | 77 | 1 |
| Woodville, MS | $53.98 | $53.98 – $53.98 | 77 | 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.