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 |
|---|---|---|---|---|
| Roeland Park, KS | $129.67 | $129.67 – $129.67 | 49 | 1 |
| Clarksville, IN | $200.86 | $200.86 – $200.86 | 49 | 1 |
| Forsyth, MT | $0.00 | $0.00 – $0.00 | 49 | 1 |
| Bayfield, WI | $0.00 | $0.00 – $0.00 | 49 | 1 |
| Acampo, CA | $114.14 | $114.14 – $114.14 | 49 | 1 |
| Levittown, PA | $50.74 | $50.74 – $50.74 | 48 | 1 |
| Milton, WV | $0.00 | $0.00 – $0.00 | 48 | 1 |
| Lake Katrine, NY | $191.67 | $182.35 – $214.29 | 48 | 2 |
| West Simsbury, CT | $50.12 | $50.12 – $50.12 | 48 | 1 |
| Mill Valley, CA | $57.40 | $57.40 – $57.40 | 48 | 1 |
| Bronson, FL | $46.88 | $43.31 – $56.49 | 48 | 2 |
| Auburndale, MA | $80.67 | $80.67 – $80.67 | 48 | 1 |
| Vine Grove, KY | $54.71 | $54.71 – $54.71 | 48 | 1 |
| Scottsburg, IN | $120.81 | $120.81 – $120.81 | 47 | 1 |
| Vestavia, AL | $55.48 | $55.48 – $55.48 | 47 | 1 |
| La Pine, OR | $0.00 | $0.00 – $0.00 | 47 | 1 |
| Shelbyville, TN | $61.82 | $61.82 – $61.82 | 47 | 1 |
| Ft Carson, CO | $31.08 | $31.08 – $31.08 | 47 | 1 |
| Mount Sinai, NY | $54.49 | $54.49 – $54.49 | 47 | 1 |
| Leoma, TN | $70.93 | $70.93 – $70.93 | 47 | 1 |
| Englewood Cliffs, PR | $6.04 | $6.04 – $6.04 | 47 | 1 |
| Burnsville, MN | $97.36 | $97.36 – $97.36 | 46 | 1 |
| Lake Worth, TX | $48.49 | $48.49 – $48.49 | 46 | 1 |
| Clinton, MA | $115.09 | $115.09 – $115.09 | 46 | 1 |
| Brockport, NY | $52.99 | $51.06 – $54.76 | 46 | 2 |
| Tamworth, NH | $128.61 | $128.61 – $128.61 | 46 | 1 |
| Cornelia, CA | $27.55 | $27.55 – $27.55 | 46 | 1 |
| Aberdeen, MD | $103.01 | $103.01 – $103.01 | 45 | 1 |
| Harrodsburg, KY | $63.25 | $63.25 – $63.25 | 45 | 1 |
| Mountain Home A F B, ID | $127.92 | $127.92 – $127.92 | 45 | 1 |
| Perkasie, PA | $42.95 | $42.95 – $42.95 | 45 | 1 |
| Rush City, MN | $186.67 | $186.67 – $186.67 | 45 | 1 |
| Frontenac, KS | $78.00 | $78.00 – $78.00 | 45 | 1 |
| Homer, AK | $154.91 | $154.91 – $154.91 | 44 | 1 |
| Covington, GA | $95.43 | $95.43 – $95.43 | 44 | 1 |
| Preston, ID | $54.35 | $54.35 – $54.35 | 44 | 1 |
| Newton Centre, MA | $107.50 | $107.50 – $107.50 | 44 | 1 |
| Portland, TX | $138.57 | $138.57 – $138.57 | 44 | 1 |
| Waynesboro, GA | $44.41 | $44.41 – $44.41 | 44 | 1 |
| Hughes, AR | $50.76 | $50.76 – $50.76 | 44 | 1 |
| Park Rapids, MN | $110.70 | $110.70 – $110.70 | 43 | 1 |
| Kernersville, NC | $291.23 | $291.23 – $291.23 | 43 | 1 |
| Johnstown, NY | $124.01 | $96.06 – $166.76 | 43 | 2 |
| Lutherville Timonium, MD | $115.42 | $94.66 – $135.23 | 43 | 2 |
| Belhaven, NC | $61.73 | $61.73 – $61.73 | 43 | 1 |
| Hawley, PA | $0.00 | $0.00 – $0.00 | 43 | 1 |
| Kealakekua, HI | $80.37 | $80.37 – $80.37 | 43 | 1 |
| Grand Ledge, MI | $164.28 | $164.28 – $164.28 | 43 | 1 |
| Ouray, CO | $95.82 | $95.82 – $95.82 | 43 | 1 |
| Bothell, WA | $32.03 | $32.03 – $32.03 | 42 | 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.