Average Medicaid Dental Cleaning & Exam Payments in Albany, NY: $43.30
Avg. Paid
$43.30
Range
$0.00 – $74.04
Total Claims
201,497
Providers
51
Typical Payment Range
Typical Medicaid Dental Cleaning & Exam payments fall between $25.53 and $40.26 per claim (median: $32.14). The top 10% of payments exceed $55.10.
Based on per-provider averages across all Medicaid claims in this category.
Routine dental cleaning (prophylaxis) and oral examination. Includes scaling, polishing, and assessment of oral health.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Dental Cleaning & Exam in Albany, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cheryl L Sorbero
1465 Western Ave |
$29.64 | 25 | 25 |
|
Adirondack Oral & Maxillofacial Surgery
5 Palisades Dr |
$58.61 | 33 | 33 |
|
Kate E Perham
1092 Madison Ave |
$26.78 | 57 | 57 |
|
Pediatric Dentistry Of Albany, Pllc
980 Western Ave |
$0.00 | 98 | 98 |
|
Janet Allwood
12 Wolf Rd |
$34.13 | 137 | 137 |
|
Le Thi Nguyen
920 Lark Dr |
$61.45 | 152 | 152 |
|
Whitney M. Young, Jr. Health Center, Inc.
920 Lark Dr |
$0.00 | 192 | 192 |
|
Christopher Unger
900 Lark Dr |
$34.15 | 260 | 199 |
|
Thomas Clemente
1873 Western Ave |
$27.53 | 270 | 270 |
|
Mary Njie
979 Central Ave Ste 400 |
$25.22 | 293 | 293 |
|
James Galati
920 Lark Dr |
$33.12 | 347 | 86 |
|
Amritpal Singh Johar
5 Palisades Dr |
$53.62 | 365 | 361 |
|
Vijaya Sen Reddy Gaddam
1873 Western Ave |
$34.30 | 399 | 399 |
|
Maya Rajendra Velhankar
1092 Madison Ave |
$36.50 | 690 | 689 |
|
Veronica Schmidt
1092 Madison Ave |
$41.60 | 893 | 892 |
|
Wajidul Hussain
65 Wolf Rd |
$41.83 | 914 | 914 |
|
Subrata Mukherjee
4 Executive Park Dr |
$37.16 | 953 | 927 |
|
Richard Dana Thayer
435 New Karner Rd |
$33.64 | 954 | 954 |
|
Pierpaolo Preceruti
5 Palisades Dr |
$72.64 | 1,011 | 1,011 |
|
Amrutha Chandra Mandava
1662 Central Ave |
$53.94 | 1,117 | 1,117 |
|
Robert Chang
5 Palisades Dr |
$71.83 | 1,412 | 1,411 |
|
Jeremy Lassetter
5 Palisades Dr |
$73.33 | 1,422 | 1,421 |
|
Raymond L Eggert
1945 Central Ave |
$35.98 | 1,479 | 1,472 |
|
Michael Evan Gelfman
5 Palisades Dr |
$73.01 | 1,602 | 1,599 |
|
Chelese Rocenia Moore
920 Lark Dr |
$37.78 | 1,632 | 1,325 |
|
John Juwon Park
4 Executive Park Dr |
$39.83 | 1,882 | 1,875 |
|
Srinivas Iragavarapu
1021 Western Ave |
$32.14 | 2,427 | 2,334 |
|
Joseph Tyrone Nista
1035 Washington Ave |
$34.58 | 2,466 | 2,465 |
|
Gregory Lewis
29 Colvin Ave |
$38.80 | 2,485 | 2,482 |
|
Timothy Joseph Francis Lynch
5 Palisades Dr |
$74.04 | 2,779 | 2,776 |
|
Tana Lee Fagan
314 S Manning Blvd |
$38.86 | 2,787 | 2,374 |
|
Christiane S. Myhre
175 Green St |
$33.93 | 2,943 | 2,921 |
|
Ehab Amr
319 S Manning Blvd |
$37.60 | 3,637 | 3,634 |
|
Balu M Krishna
540 Broadway Ste 100 |
$38.95 | 3,804 | 3,802 |
|
Mustafa Sabai
165 Manning Blvd |
$36.33 | 4,448 | 4,443 |
|
Arvind Subramanian
562 Albany Shaker |
$39.52 | 4,450 | 4,442 |
|
Evan Scott Goldstein
1839 Central Ave |
$27.36 | 5,718 | 5,708 |
|
Marie B Walsh
1873 Western Ave |
$38.87 | 6,104 | 5,668 |
|
Nassef Lancen
1839 Central Ave |
$38.56 | 6,161 | 6,161 |
|
Jenna Fiman Berin
326 Northern Blvd |
$38.26 | 6,308 | 6,301 |
|
Sonia Rai
314 S Manning Blvd |
$54.02 | 6,966 | 3,838 |
|
Lawrence Alan Kotlow
340 Fuller Rd |
$25.03 | 7,150 | 7,149 |
|
Tariq Pasha Malik
540 Broadway |
$42.39 | 7,348 | 7,348 |
|
Khloud F Elkordy
756 Madison Ave |
$32.79 | 7,446 | 7,400 |
|
Jolanta Drzymalski
920 Lark Dr |
$29.31 | 7,527 | 3,790 |
|
Jignya Kurtish Dharia
220 Quail St |
$34.81 | 9,192 | 9,174 |
|
Kevin Michael Buyck
314 S Manning Blvd |
$52.23 | 10,635 | 6,451 |
|
Jamila Balooch
652 Albany Shaker Rd |
$43.61 | 10,728 | 10,728 |
|
Peter Francis Indzonka
789 Madison Ave |
$34.80 | 13,646 | 13,635 |
|
Kathryn Elizabeth Rothas
900 Lark Dr |
$73.61 | 20,119 | 12,894 |
What to Expect: Dental Cleaning & Exam
A dental cleaning typically takes 30-60 minutes. A dental hygienist removes plaque and tartar from your teeth using specialized tools, then polishes your teeth. The dentist performs an oral exam to check for cavities, gum disease, and other conditions. X-rays may be taken. Most people need cleanings every 6 months.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation | $28.00 | 136,235,319 | 64,580 |
| D1120 | Child prophylaxis cleaning | $33.46 | 108,321,764 | 53,285 |
| D1110 | Adult prophylaxis cleaning | $43.53 | 58,293,656 | 54,558 |
| D0150 | Comprehensive oral evaluation | $37.52 | 46,846,802 | 53,166 |
| D0140 | Limited oral evaluation | $30.78 | 25,779,640 | 37,203 |
| D0145 | Oral eval patient <3 yrs | $77.14 | 5,590,205 | 11,270 |
| D0160 | Detailed oral evaluation | $41.80 | 694,698 | 945 |
| D0180 | Comprehensive perio evaluation | $25.65 | 198,480 | 674 |
| D0170 | Re-evaluation limited problem | $25.76 | 164,602 | 581 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Dental Cleaning & Exam cost in Albany, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Albany, NY is $43.30 per claim, based on 201,497 claims from 51 providers. Typical payments fall between $25.53 and $40.26. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Dental Cleaning & Exam in Albany, NY?
There are 51 Medicaid providers offering Dental Cleaning & Exam related services in Albany, NY according to public payment data.
What is the price range for Dental Cleaning & Exam in Albany, NY?
Medicaid reimbursement for Dental Cleaning & Exam in Albany, NY ranges from $0.00 to $74.04 per claim, with an average of $43.30. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dental Cleaning & Exam in Other Cities
Brooklyn, NY
Avg $29.76
5,899,905 claims · 889 providers
Chicago, IL
Avg $29.66
4,929,791 claims · 823 providers
Los Angeles, CA
Avg $49.60
3,990,780 claims · 877 providers
Houston, TX
Avg $39.95
3,744,881 claims · 918 providers
Bronx, NY
Avg $31.12
3,317,284 claims · 478 providers
New York, NY
Avg $30.52
3,240,448 claims · 723 providers
Phoenix, AZ
Avg $11.18
2,295,389 claims · 350 providers
San Antonio, TX
Avg $40.74
2,116,599 claims · 429 providers
Other Procedures in Albany, NY
Home Health Visit
Avg $164.04
1,910,190 claims
Office Visit
Avg $75.72
1,010,207 claims
Blood Work & Lab Tests
Avg $10.26
759,592 claims
Emergency Room Visit
Avg $100.90
490,144 claims
Substance Abuse Treatment
Avg $113.47
475,654 claims
Psychiatric Evaluation
Avg $113.81
474,025 claims
EKG / ECG (Electrocardiogram)
Avg $6.06
268,376 claims
Physical Therapy
Avg $51.40
215,450 claims