Wisdom Teeth Removal Medicaid Rates by State

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.

Extraction of an impacted wisdom tooth, billed by how deeply the tooth is impacted: soft tissue, partially in bone, or fully in bone. Medicaid pays a higher rate the deeper the impaction, and every state publishes rates for these codes. It is listed in 51 of 51 states and DC. Pediatric dental is federally mandated under EPSDT; adult coverage is optional and varies by state. Confirm current coverage with the state Medicaid program.

Every state Medicaid program publishes rates for impacted-tooth extraction, but coverage for adults depends on your state's adult dental benefit, and many states require the extraction to be medically necessary (pain, infection, or damage to neighboring teeth) rather than preventive. Children and young adults under 21 are covered in every state under EPSDT. Simple erupted-tooth extractions are on the tooth extraction page.

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.