Average Medicaid Dental Cleaning & Exam Payments in Appleton, WI: $15.13
Avg. Paid
$15.13
Range
$0.00 – $46.97
Total Claims
136,984
Providers
43
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 Appleton, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tri-County Community Dental Clinic, Inc.
9 Tri Park Way |
$22.20 | 61,615 | 57,876 |
|
David Cameron Wygle
3030 N Ballard Rd |
$30.25 | 9,797 | 8,703 |
|
Jacob W Malone
5337 W Grande Market Dr |
$0.00 | 8,502 | 7,995 |
|
Heather R Hassell
5337 W Grande Market Dr |
$1.09 | 6,873 | 6,581 |
|
Claudia V Amezquita-Lee
5337 W Grande Market Dr |
$0.00 | 6,558 | 6,212 |
|
William Alexander Hammond
5337 W Grande Market Dr |
$0.86 | 5,312 | 5,091 |
|
Magdalena M Hornik
5337 W Grande Market Dr |
$0.00 | 3,516 | 3,258 |
|
Roger Chu
5337 W Grande Market Dr |
$0.01 | 3,033 | 2,772 |
|
Victoria Laurent
4660 W College Ave |
$0.00 | 2,379 | 2,331 |
|
Joshua Vanden Heuvel
5337 W Grande Market Dr |
$3.60 | 2,272 | 2,149 |
|
Mark James Steinmetz
W3132 Van Roy Rd |
$15.71 | 2,181 | 2,045 |
|
Trisha Megan Pichoch
2640 W College Ave Unit 508 |
$25.08 | 1,932 | 1,886 |
|
Choua S Sali
5337 W Grande Market Dr |
$5.22 | 1,817 | 1,740 |
|
William J Stempski
4660 W College Ave |
$19.71 | 1,752 | 1,730 |
|
Devon James Blob
2563 E Calumet St |
$46.97 | 1,514 | 1,395 |
|
Wendy Bekx
5337 W Grande Market Dr |
$0.00 | 1,511 | 1,432 |
|
Ruth A Marx
4660 W College Ave |
$8.78 | 1,436 | 1,345 |
|
Sumit Soni
2640 W College Ave |
$27.95 | 1,431 | 1,424 |
|
Shalini Achanti
1585 N Mccarthy Rd |
$7.77 | 1,359 | 1,309 |
|
Magdalena Skorupa
5337 W Grande Market Dr |
$0.00 | 1,321 | 1,232 |
|
Christine Becich
5337 W Grande Market Dr |
$10.29 | 1,173 | 1,139 |
|
Karly Kilgas
5337 W Grande Market Dr |
$10.43 | 1,035 | 1,002 |
|
Nikki Smith
4660 W College Ave |
$18.38 | 1,027 | 982 |
|
Tracey Losse
5337 W Grande Market Dr |
$11.58 | 936 | 910 |
|
Nikhila Alsakani
9 Tri Park Way |
$35.04 | 872 | 830 |
|
Karen Rodman
5337 W Grande Market Dr |
$0.00 | 872 | 837 |
|
Katie A Stobbe
5337 W Grande Market Dr |
$0.00 | 839 | 800 |
|
Gayatri Bhosale-Mohite
4660 W College Ave |
$20.67 | 712 | 684 |
|
Stephanie Klick
5337 W Grande Market Dr |
$0.00 | 705 | 693 |
|
Aleser Pookayaporn Alahmad
5337 W Grande Market Dr |
$0.00 | 575 | 560 |
|
Tracie Moya
5337 W Grande Market Drive |
$0.00 | 457 | 433 |
|
Nathan Phillip Krueger
4660 W College Ave |
$19.06 | 317 | 296 |
|
Gonzalo E Hernandez
2612 E Calumet St |
$22.96 | 294 | 276 |
|
Eunice Nieves Vachet
5337 W Grande Market Dr |
$0.00 | 243 | 205 |
|
Macall Schmelzer
4182 W Wisconsin Ave |
$21.66 | 216 | 216 |
|
Nicholas Edward Couse
4660 W College Ave |
$24.26 | 127 | 127 |
|
Fred W Cheney
4660 W College Ave |
$21.85 | 123 | 121 |
|
William H Knapp
4660 W College Ave |
$21.62 | 121 | 118 |
|
Danielle L Shannon
5337 W Grande Market Dr |
$0.00 | 83 | 80 |
|
Matthew R Kappelman
2830 N Mason St |
$25.00 | 51 | 51 |
|
Dawn Faith Paffel
335 E Wisconsin Ave |
$15.35 | 38 | 37 |
|
Thomas T Tabachnick
412 E Longview Dr |
$26.15 | 33 | 33 |
|
Darrell M Yunk
2830 N Mason St |
$26.21 | 24 | 24 |
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 Appleton, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Appleton, WI is $15.13 per claim, based on 136,984 claims from 43 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 Appleton, WI?
There are 43 Medicaid providers offering Dental Cleaning & Exam related services in Appleton, WI according to public payment data.
What is the price range for Dental Cleaning & Exam in Appleton, WI?
Medicaid reimbursement for Dental Cleaning & Exam in Appleton, WI ranges from $0.00 to $46.97 per claim, with an average of $15.13. 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 Appleton, WI
Blood Work & Lab Tests
Avg $16.55
608,141 claims
Substance Abuse Treatment
Avg $11.15
589,242 claims
Office Visit
Avg $33.88
465,504 claims
Behavioral & Mental Health Therapy
Avg $78.04
417,838 claims
Personal Care Services
Avg $10.20
379,580 claims
Emergency Room Visit
Avg $51.76
230,945 claims
Speech Therapy
Avg $12.24
206,735 claims
Non-Emergency Medical Transportation
Avg $10.28
167,243 claims