Average Medicaid Dental Cleaning & Exam Payments in Auburn, MA: $41.63
Avg. Paid
$41.63
Range
$32.53 – $44.95
Total Claims
65,501
Providers
8
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 Auburn, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shahnaaz Nistar
48 Auburn St |
$44.39 | 21,127 | 20,546 |
|
Matthew Valcourt
434 Southbridge St Ste B |
$40.62 | 9,895 | 9,683 |
|
Peter J Russo
567 Southbridge |
$41.14 | 9,333 | 9,040 |
|
Reema Dhingra
48 Auburn St |
$44.95 | 8,302 | 7,833 |
|
Michael Gusar
184 Oxford St N |
$37.39 | 6,599 | 6,270 |
|
Fady Sidhom
567 Southbridge St Ste 7 |
$32.53 | 3,814 | 3,764 |
|
Arthur Y Balian
741 South Bridge St |
$38.38 | 3,529 | 3,488 |
|
Aaron Lee
434 Southbridge St Ste B |
$42.51 | 2,902 | 2,873 |
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 Auburn, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Auburn, MA is $41.63 per claim, based on 65,501 claims from 8 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 Auburn, MA?
There are 8 Medicaid providers offering Dental Cleaning & Exam related services in Auburn, MA according to public payment data.
What is the price range for Dental Cleaning & Exam in Auburn, MA?
Medicaid reimbursement for Dental Cleaning & Exam in Auburn, MA ranges from $32.53 to $44.95 per claim, with an average of $41.63. 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 Auburn, MA
Office Visit
Avg $61.16
94,469 claims
Physical Therapy
Avg $26.16
55,747 claims
Vaccines & Immunizations
Avg $30.23
41,447 claims
Home Health Visit
Avg $24.87
34,511 claims
Personal Care Services
Avg $75.92
34,503 claims
Durable Medical Equipment (DME)
Avg $50.48
26,293 claims
Behavioral & Mental Health Therapy
Avg $187.03
18,536 claims
Eye Exam
Avg $33.90
18,300 claims