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 Illinois, Michigan, New Jersey, New York, Ohio, Pennsylvania, Texas, Wyoming; effective dates, source URLs and file hashes in the API file); "—" where no schedule was captured or the code is not on it. Michigan publishes $182 on its schedule but has no publishable paid row here (its Medicaid claims cannot be geolocated). 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: Illinois: first two fee columns captured (fee_usd = first column); New Jersey: fee_usd = specialist adult column; fee_alt_usd = non-specialist adult column (child columns not captured); Ohio: first two fee columns captured (fee_usd = first column); Texas: no single effective date printed on the schedule; fee = most frequent non-zero rate across provider types; 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.

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's published price list covers a simple tooth extraction at $290 on average ($150-$450), a step below the independent band of $75–$800 shown above for the surgical code, since a chain's advertised extraction price is rarely the surgical version. 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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