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 |
|---|---|---|---|---|
| Ionia, MI | $171.58 | $83.67 – $220.43 | 42 | 2 |
| Glendale, CO | $99.09 | $99.09 – $99.09 | 42 | 1 |
| Argos, IN | $126.37 | $126.37 – $126.37 | 42 | 1 |
| Moorefield, WV | $60.76 | $60.76 – $60.76 | 42 | 1 |
| Avon Lake, OH | $114.51 | $114.51 – $114.51 | 42 | 1 |
| Allenstown, NH | $0.00 | $0.00 – $0.00 | 42 | 1 |
| Avenal, CA | $119.00 | $119.00 – $119.00 | 42 | 1 |
| Washington, MI | $132.80 | $132.80 – $132.80 | 42 | 1 |
| Durant, MS | $76.98 | $76.98 – $76.98 | 42 | 1 |
| Basking Ridge, NJ | $24.88 | $24.88 – $24.88 | 41 | 1 |
| Live Oak, TX | $49.88 | $49.88 – $49.88 | 41 | 1 |
| Southbury, CT | $109.40 | $109.40 – $109.40 | 41 | 1 |
| Yorktown, VA | $57.22 | $57.22 – $57.22 | 41 | 1 |
| Doylestown, OH | $38.02 | $38.02 – $38.02 | 41 | 1 |
| Port Saint Lucie, FL | $71.32 | $71.32 – $71.32 | 41 | 1 |
| Pleasantville, NY | $51.69 | $51.69 – $51.69 | 41 | 1 |
| Belleville, KS | $90.48 | $90.48 – $90.48 | 41 | 1 |
| Richmond Hts, OH | $100.56 | $100.56 – $100.56 | 41 | 1 |
| Montville, NJ | $86.05 | $86.05 – $86.05 | 41 | 1 |
| Dewitt, AR | $57.02 | $57.02 – $57.02 | 41 | 1 |
| Jacksonville, IL | $48.51 | $48.51 – $48.51 | 40 | 1 |
| West Islip, NY | $61.17 | $61.17 – $61.17 | 40 | 1 |
| Oakland, ME | $82.85 | $82.85 – $82.85 | 40 | 1 |
| Mendota, IL | $0.00 | $0.00 – $0.00 | 40 | 1 |
| Washington, IN | $101.35 | $101.35 – $101.35 | 40 | 1 |
| Blasdell, NY | $100.31 | $100.31 – $100.31 | 40 | 1 |
| Gulport, MS | $72.55 | $72.55 – $72.55 | 40 | 1 |
| Elkview, WV | $72.60 | $72.60 – $72.60 | 40 | 1 |
| Warrenton, NC | $98.34 | $98.34 – $98.34 | 39 | 1 |
| Lynnfield, MA | $149.77 | $149.77 – $149.77 | 39 | 1 |
| Ord, NE | $41.13 | $41.13 – $41.13 | 39 | 1 |
| Montgomery, IL | $46.14 | $46.14 – $46.14 | 39 | 1 |
| Alvaton, KY | $0.00 | $0.00 – $0.00 | 39 | 1 |
| Maunabo, PR | $30.62 | $30.62 – $30.62 | 39 | 1 |
| Santa Ynez, CA | $0.00 | $0.00 – $0.00 | 39 | 1 |
| Norwich, VT | $97.58 | $97.58 – $97.58 | 39 | 1 |
| Byhalia, MS | $37.23 | $0.00 – $56.59 | 38 | 2 |
| Evans, CO | $4.63 | $0.00 – $11.00 | 38 | 2 |
| Gentry, AR | $72.09 | $72.09 – $72.09 | 38 | 1 |
| Pen Argyl, PA | $65.00 | $65.00 – $65.00 | 38 | 1 |
| Enumclaw, WA | $56.13 | $56.13 – $56.13 | 38 | 1 |
| Keller, TX | $44.63 | $33.72 – $55.55 | 38 | 2 |
| Dalton, MA | $139.00 | $139.00 – $139.00 | 38 | 1 |
| Bozrah, CT | $95.60 | $87.73 – $101.97 | 38 | 2 |
| Edgefield, SC | $89.87 | $89.87 – $89.87 | 38 | 1 |
| Loxley, AL | $56.91 | $56.91 – $56.91 | 38 | 1 |
| Bella Vista, AR | $80.16 | $80.16 – $80.16 | 38 | 1 |
| Alturas, CA | $119.00 | $119.00 – $119.00 | 38 | 1 |
| Taft, TX | $168.81 | $168.81 – $168.81 | 38 | 1 |
| Montogomery Village, MD | $125.15 | $125.15 – $125.15 | 38 | 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.