D7210 Dental Code: Surgical extraction of an erupted tooth Cost in 2026

What D7210 means on your bill

D7210 is the code for a surgical extraction: a visible tooth that cannot be removed with a simple pull because the root shape, a prior root canal, or brittle enamel forces the dentist to lift a gum flap, remove bone, or section the tooth. It sits above a simple extraction (D7140), covering a tooth that comes out with forceps alone, and below the impaction codes used when a tooth has not erupted through the gum. The same visit sometimes adds a suture line or a bone-graft code when the site needs to heal for a future implant. Which extraction code a dentist bills changes the fee and how a plan classes the visit. More detail: tooth extraction cost.

D7210 cost: cash fair price vs what Medicaid paid (2026)

D7210 sits above a simple extraction in both technique and price, and the chart reflects that: the cash fair price for a surgical extraction runs $75–$800, typical $300, above what a simple pull usually costs. Medicaid paid dentists a national average of $116 per claim line across 3,748,991 claim lines in 2023-2024, a gap of 2.6x against the cash figure. That paid amount is a weighted-average program payment to the dentist, derived from HHS T-MSIS, not a bill the patient receives. Only about 20% of active dentists billed Medicaid at all in 2023-2024, so the gap below says as much about which offices take Medicaid patients as about price.

What Medicaid paid dentists for D7210, by state (2023-2024)

46 states publish a figure for D7210 below; the rest either fail the data-quality gate or report too few claim lines. The highest payment is $199 in Delaware, the lowest $69 in Nevada, a range that widens once a flap or sectioning is added to a plain extraction. The cash column next to each state is that state's independent average outside insurance, listed for comparison, not calculated from the Medicaid number. A state paying well for D7210 is not proof its Medicaid program covers adult extractions broadly; see Medicaid adult dental by state for what is actually covered. These figures track this surgical code alone. Surgical extractions are where the printed schedule rates run lowest against restorative work: Illinois publishes $79 and Wyoming $161 for D7210, and North Carolina's line is unreadable in the source PDF, so it shows a dash in the Official Medicaid fee column.

Medicaid paid: per claim line, weighted average 2023-2024, derived from HHS T-MSIS Medicaid provider spending (Real Dental Costs, DOI 10.7910/DVN/7F2BZI); states with a data-quality flag or too few lines are omitted. Official Medicaid fee: the fee-for-service rate for this code on the state's published Medicaid dental fee schedule (captured for Alaska, Alabama, Arkansas, Arizona, California, Colorado, Connecticut, District of Columbia, Delaware, Florida, Georgia, Hawaii, Iowa, Illinois, Indiana, Kansas, Kentucky, Massachusetts, Maryland, Maine, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, North Dakota, Nebraska, New Hampshire, New Jersey, New Mexico, Nevada, New York, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Vermont, Washington, Wisconsin, West Virginia, Wyoming; effective dates, source URLs and file hashes in the API file); "—" where no schedule was captured or the code is not on it. Arizona publishes $133 on its schedule but has no publishable paid row here (data-quality flag or too few claim lines). Florida publishes $40 on its schedule but has no publishable paid row here (data-quality flag or too few claim lines). Michigan publishes $182 on its schedule but has no publishable paid row here (its Medicaid claims cannot be geolocated). Oregon publishes $201 on its schedule but has no publishable paid row here (data-quality flag or too few claim lines). Virginia publishes $171 on its schedule but has no publishable paid row here (data-quality flag or too few claim lines). Fee and paid differ by design: paid mixes managed-care encounters, reduced and bundled lines and 2023-2024 rates, while the schedule is the current fee-for-service rate. Schedule notes: Alaska: fee_usd = Services for Adults amount; code priced only under Services for Children -> fee_usd = null and fee_alt_usd = children's rate (ages 0-20) (column fix 2026-09-18); Arizona: fee_usd = statewide FFS rate; fee_alt_usd = Flagstaff rate when different; source = AHCCCS Dental FFS schedule effective 2026-07-01; BR (By Report) = null; California: fee_usd = adult / general row; D1206-D1208 fee_alt_usd = children's rate, D4341-D4342 fee_alt_usd = SNF/ICF resident rate, D8080/D8670 = handicapping malocclusion row (column fix 2026-09-18 on 10 codes); Colorado: fee_usd = fee column; codes with Max Age below 21 -> fee_usd = null and fee_alt_usd = children's rate with the printed age band; manually priced = null (column fix 2026-09-18); Connecticut: fee_usd = Max Fee of the row in force; the Husky B Copay column is not a rate (column fix 2026-09-18); District of Columbia: fee_usd = Fee 21 Or Over of the row in force (BegDate/EndDate); fee_alt_usd = Fee Under 21 when different = children's rate (ages 0-20); 21+ fee $0.00 -> fee_usd = null (column fix 2026-09-18); Illinois: fee_usd = adult (21+) Maximum Allowance; when the adult column is N/A, fee_usd = null and fee_alt_usd = children's rate (ages 0-20); pregnant-women column ignored; source = HFS dental fee schedule xlsx effective 2026-07-01 (column fix 2026-09-18); Kentucky: fee_usd = OVER AGE 21 rate; when the adult column is n/c, fee_usd = null and fee_alt_usd = children's rate (ages 0-20); oral surgeon rate ignored (column fix 2026-09-18); Maine: fee_usd = Maximum Allowance 7/1/2026 when filled, else 1/1/2026; fee_prev_usd = 1/1/2026 amount when different (column fix 2026-09-18); Minnesota: fee_usd = printed TOTAL ALLOW x 1.98 (page 1: an additional 98% must be added to the fee schedule total amount for dental services on or after 01/01/22); fee_alt_usd = printed TOTAL ALLOW; APC/ASC facility column not used (column fix 2026-09-18); Montana: fee_usd = Office Fee; codes with Max Age below 21 -> fee_usd = null and fee_alt_usd = children's rate with the printed age band (column fix 2026-09-18); New Jersey: fee_usd = non-specialist adult column; fee_alt_usd = specialist adult column; when no adult rate, fee_usd = null and fee_alt_usd = children's non-specialist rate (column fix 2026-09-14); New York: fee_usd = Fee; codes with Max Age below 21 -> fee_usd = null and fee_alt_usd = children's rate with the printed age band (column fix 2026-09-18); Ohio: fee_usd = Current Maximum Payment (BR / NC / D / PA = null); fee_prev_usd = Previous Maximum Payment when different; no second fee column (column fix 2026-09-18); Oregon: fee_usd = Price of the latest dated row per code; 'Manual' = null (column fix 2026-09-18); Pennsylvania: fee_usd = MA Fee; codes limited '(under 21 years of age only)' -> fee_usd = null and fee_alt_usd = children's rate (ages 0-20) (column fix 2026-09-18); Rhode Island: fee_usd = MAX_ALW_AMT of the row in force; fee_prev_usd = previous period amount; no row in force or $0.01 placeholder = null (column fix 2026-09-18); Texas: Texas Health Steps children-only schedule (ages 0-20), not adult Medicaid coverage; 45 THSteps codes revised effective 2026-09-01 per HHSC Special Review (TMHP dental_services.xlsx), other codes 2025-09-01 ADA compilation; Utah: fee_usd = standard row (Enhancement = None); fee_alt_usd = Rural Enhancement rate; DENTAL_ADULT Excluded or covered ages below 21 -> fee_usd = null and fee_alt_usd = children's rate (column fix 2026-09-18); Wisconsin: fee_usd = general dentist rate (ForwardHealth PT 27, adult 21+, no BAF/modifier); fee_alt_usd = child rate when different (age band in label); source = ForwardHealth Max Fee extract 2026-09-05; effective_date = latest active rate begin date (per-code date in fee_effective; most rates unchanged since 2022-01-01); West Virginia: fee_usd = 2026 fee when the code is covered for adults 21+ per BMS Chapter 505 Appendix 505B (emergent services, effective 2026-01-01) or Appendix 505C (preventative and restorative services, effective 2025-05-01, $2,000 per two fiscal years); other codes -> fee_usd = null and fee_alt_usd = children's rate (ages 0-20); an N/A adult effective date in the fee schedule does not mean not covered (column fix 2026-09-18); Wyoming: XLSX master schedule substituted for the ADA-indexed PDF (which carries no dental codes); effective date = latest active rate begin date. Cash: Real Dental Costs procedure API, surgical extraction of an erupted tooth proxy = Tooth extraction (basis estimated). Program payments, not patient bills; not a quote.

Idaho: its numerical fee schedule (July to September 2026) prints "N/A" in the practitioner price columns for dental codes; the amounts it lists, such as $560.67 for D7210, sit in its ambulatory surgical center (ASC) column, a facility rate, so no Idaho schedule rate is shown in the table.

How insurance classes D7210

Coverage for D7210 depends on the plan: some class a surgical extraction as basic, others as major, and either way reimbursement usually runs 50-80% after the deductible, capped by the annual maximum. A pre-treatment estimate filed on the exact extraction code, before the tooth comes out, is the only way to see which tier a plan applies. The annual maximum, commonly $1,000-$2,000 for the year, is often the tighter limit once a surgical extraction is combined with a bone graft or a later implant. If the office bills D7210 where a simple extraction (D7140) was estimated, ask what made the tooth surgical. Background: dental insurance guide.

Chains, schools and where D7210 costs less

Aspen Dental publishes a surgical tooth extraction at $389 on average ($184-$488) on its extraction cost page, to compare with the independent band of $75–$800 shown above for this code. Dental school clinics, staffed by supervised students, typically charge 30-60% below private-practice fees for the same procedures; see dental school cost. The complete list of procedure prices on this site is at every procedure price. Cash prices for a surgical extraction range from $250 in Alabama to $380 in California.

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