2026 data Public-data reference. official source

Extraction of Erupted Tooth

Open-data reference.

CDT D7140 Oral Surgery · typical chair time: 30 min

About extraction of erupted tooth

What it is: Routine extraction of an erupted tooth The American Dental Association assigns this procedure CDT code D7140, which is the standardized billing code used by every Medicaid program and dental insurance carrier in the United States.

What it costs: The national private-market average is $209 based on the ADA Health Policy Institute Survey of Dental Fees (2024). State variation pushes this between $$184 (lowest cost-of-living states) and $$250 (highest). State Medicaid programs that cover extraction of erupted tooth for adults reimburse an average of $90 (range $61–$143 across covering states).

Why state matters: Two factors drive the spread. First, state Medicaid programs negotiate their own dental fee schedules — high-paying states pay roughly 1.5x what low-paying states pay for the identical CDT code. Second, the private market follows local cost of living, captured by the Bureau of Economic Analysis Regional Price Parities. The full state-by-state table is below.

$209
National avg. private cost
$90
Avg. Medicaid reimbursement
(across covering states)
40/51
States covering this procedure
36%
Max state spread (private)

Top 10 states: Extraction of Erupted Tooth private cost vs national average

New York$250District of Columbia$248California$242Hawaii$242New Jersey$242Massachusetts$236Maryland$235Washington$234Connecticut$233Alaska$225
Top 10 states: Extraction of Erupted Tooth private cost vs national average

Extraction of Erupted Tooth cost by state

State Medicaid fee Private estimate Adult coverage
Alabama Not covered $185 emergency
Alaska $143 $225 extensive
Arizona Not covered $206 emergency
Arkansas $64 $187 limited
California $104 $242 extensive
Colorado $83 $219 limited
Connecticut $116 $233 extensive
Delaware Not covered $214 none
District of Columbia $128 $248 extensive
Florida Not covered $212 emergency
Georgia Not covered $197 emergency
Hawaii $119 $242 limited
Idaho $69 $200 limited
Illinois $76 $213 extensive
Indiana $64 $194 limited
Iowa $95 $193 extensive
Kansas Not covered $193 emergency
Kentucky $71 $190 limited
Louisiana $70 $195 limited
Maine $81 $212 limited
Maryland $103 $235 extensive
Massachusetts $113 $236 extensive
Michigan $83 $202 extensive
Minnesota $125 $214 extensive
Mississippi Not covered $184 emergency
Missouri $65 $195 limited
Montana $85 $200 limited
Nebraska $80 $195 limited
Nevada $76 $212 limited
New Hampshire $90 $224 extensive
New Jersey $104 $242 extensive
New Mexico $74 $197 limited
New York $133 $250 extensive
North Carolina $77 $197 limited
North Dakota $116 $196 extensive
Ohio $70 $195 limited
Oklahoma Not covered $191 emergency
Oregon $103 $218 extensive
Pennsylvania $65 $208 limited
Rhode Island $92 $214 extensive
South Carolina $62 $195 limited
South Dakota Not covered $189 emergency
Tennessee Not covered $193 emergency
Texas Not covered $206 emergency
Utah $74 $206 limited
Vermont $102 $213 extensive
Virginia $95 $217 extensive
Washington $106 $234 extensive
West Virginia $61 $187 limited
Wisconsin $85 $204 limited
Wyoming $95 $203 limited

Analysis: how to think about extraction of erupted tooth costs

The roughly 36% spread between the lowest- and highest-cost states for extraction of erupted tooth comes almost entirely from cost of living, not from differences in clinical complexity. A dentist's fee for a D7140 procedure in Mississippi (BEA RPP 86.4) versus New York (BEA RPP 117.5) tracks the local rent, wages, and supply costs the practice has to cover. The ADA HPI national average we start from is the population-weighted survey value across all surveyed practices.

The Medicaid coverage column matters more than the Medicaid fee itself for most adults. In the 40 jurisdictions that do reimburse for extraction of erupted tooth under their adult Medicaid program, the reimbursement averages around $90 — about 43% of the average private fee. Practices that accept Medicaid are absorbing the gap, which is why "Medicaid-accepting dentist" is not always easy to find. For a state-specific look at adult dental coverage scope, see each state page.

When budgeting for this procedure: treat the private estimate as a midpoint, not a ceiling. Specialty providers (oral surgeons, prosthodontists, periodontists) typically charge 15–40% above the general dentist rate for procedures within their specialty. Get a written treatment estimate before treatment, and ask whether the figure is the procedure fee alone or whether it bundles diagnostic codes (X-rays, exams) commonly billed alongside.

Related

Compare across all procedures

Read our methodology — how this data is sourced, computed, and verified.

Source: ADA Health Policy Institute, Survey of Dental Fees (2024) and Medicaid Reimbursement Compendium. State Medicaid rates: each state's published dental fee schedule (current 2026 Q1). Disclaimer: Costs shown are estimates derived from publicly-published averages and a state-level cost-of-living adjustment. Actual fees depend on the specific dentist, the geographic submarket, and clinical complexity. This site does not provide medical or dental advice.

Frequently asked questions

How much does extraction of erupted tooth cost in the United States?
The national private-market average for extraction of erupted tooth (CDT D7140) is approximately $209 based on the ADA Health Policy Institute Survey of Dental Fees (2024). State variation runs from $184 (lowest cost-of-living states) to $250 (highest).
Does Medicaid cover extraction of erupted tooth?
40 state Medicaid programs cover extraction of erupted tooth for adults, with average reimbursement of $90 (range $61-$143). Coverage varies by state — see the per-state table on this page.
Why does extraction of erupted tooth cost so much more in some states?
Three drivers explain the variation: state cost of living (BEA Regional Price Parities, ranging from 86 to 117), state Medicaid policy (which affects provider supply), and dentist density per capita. See our analysis of state cost spread for the full breakdown.