Average Medicaid Dental Cleaning & Exam Payments in Amherst, NY: $37.90
Avg. Paid
$37.90
Range
$13.56 – $53.23
Total Claims
78,431
Providers
23
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 Amherst, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ryan F Maine
4927 Main St |
$42.48 | 14,191 | 14,177 |
|
Tiffany Melini Jadoo
3476 Sheridan Dr |
$35.08 | 11,969 | 11,967 |
|
Vasuki Thevanayagam
2878 Niagara Falls Blvd |
$38.43 | 10,797 | 10,779 |
|
Helen Marie Dusel
3476 Sheridan Dr |
$35.58 | 8,829 | 8,827 |
|
Jerod Leff
2001 Sweet Home Rd |
$33.41 | 6,650 | 6,348 |
|
William John Martell
715 Millersport Hwy |
$37.02 | 5,758 | 5,752 |
|
Stephen Fabiano
2503 Kensington Ave |
$43.76 | 3,444 | 3,443 |
|
Isaac Lee
100 Pheasant Run Rd |
$33.51 | 3,217 | 3,207 |
|
Mark T Donahue
4927 Main St |
$39.42 | 2,965 | 2,961 |
|
Hala Tannous Roustum
646 North French Road |
$39.40 | 2,474 | 2,471 |
|
Adam Zamorek
4330 Maple Rd |
$42.76 | 2,343 | 2,318 |
|
Julia Kagan
2500 Kensington Ave |
$40.80 | 1,146 | 1,145 |
|
Binal Patel
70 W Klein Rd |
$26.93 | 1,094 | 1,010 |
|
Diane Marie Witczak
2500 Kensington Ave |
$36.87 | 1,083 | 1,083 |
|
Courtney Mclean
4927 Main St |
$39.14 | 908 | 908 |
|
Joseph A. Rutecki
3980 Sheridan Dr Ste 304 |
$36.69 | 503 | 183 |
|
Gregory Edward Hudecki
4233 Maple Rd |
$47.50 | 345 | 345 |
|
Christopher William Steed
4007 Harlem Rd |
$32.83 | 289 | 280 |
|
Sookyoung Choi
4927 Main St |
$41.27 | 250 | 250 |
|
Jacqueline Szczupakowski
2000 Eggert Rd |
$45.87 | 50 | 50 |
|
Esther C Toepfer
4498 Main St Ste 2 |
$28.59 | 47 | 47 |
|
Michelle Boyd Augello
4498 Main St Ste 2 |
$13.56 | 46 | 46 |
|
Robert J Lacarrubba Dds Pc
4233 Maple Rd |
$53.23 | 33 | 33 |
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 Amherst, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Amherst, NY is $37.90 per claim, based on 78,431 claims from 23 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 Amherst, NY?
There are 23 Medicaid providers offering Dental Cleaning & Exam related services in Amherst, NY according to public payment data.
What is the price range for Dental Cleaning & Exam in Amherst, NY?
Medicaid reimbursement for Dental Cleaning & Exam in Amherst, NY ranges from $13.56 to $53.23 per claim, with an average of $37.90. 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
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Bronx, NY
Avg $31.12
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New York, NY
Avg $30.52
3,240,448 claims · 723 providers
Phoenix, AZ
Avg $11.18
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San Antonio, TX
Avg $40.74
2,116,599 claims · 429 providers
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