Does Medicaid Cover Wisdom Teeth Removal?

Often, yes. Medicaid covers wisdom teeth removal for anyone under 21 in every state, and for adults 21 and older in states whose adult dental benefit includes extractions, most reliably when the tooth is impacted, infected, or causing pain. Under 21: Yes, in all 50 states and DC. Federal EPSDT rules require state Medicaid programs to cover medically necessary dental care for enrollees under 21, and an impacted or painful wisdom tooth is a standard example. Adults 21 and older: It depends on the state. Adult dental is optional for states, so benefits range from none to emergency-only to extensive, and the same state can pay to remove an infected wisdom tooth while declining a routine one. Every state publishes a Medicaid rate for these procedure codes, which is not the same as covering adults, so check what your state's adult benefit includes.

An impacted tooth, an infection or cyst, damage to the neighboring tooth, or pain that interferes with eating are the usual grounds. Removing healthy, fully erupted wisdom teeth as a precaution is rarely covered for adults.

Across published Medicaid dental fee schedules, wisdom teeth removal is reimbursed in 51 of 51 jurisdictions, at a national median near $165 and ranging from about $77 in Florida to $369 in Delaware. These are fee-for-service rates; Medicaid managed-care plan rates differ.

Delaware has the highest listed Medicaid rate for wisdom teeth removal at about $369, and Florida the lowest among covered states at about $77. The full state ranking is above.

These rates reflect each state's most recently published Medicaid dental fee schedule, the newest being the 2026 schedule. ProviderSignal refreshes them on the cadence each program publishes, typically quarterly or annually.