Average Medicaid Dental Cleaning & Exam Payments in Bartonsville, PA: $37.47
Avg. Paid
$37.47
Range
$28.37 – $40.15
Total Claims
35,147
Providers
4
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 Bartonsville, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kanisha S. Campbell
3565 Route 611 Fl 2 |
$40.15 | 25,420 | 25,218 |
|
Michael Joseph Terrery
14 Fountain Ct |
$30.24 | 7,171 | 7,109 |
|
Dr. Ross Wezmar Dds Pc
3565 Route 611 |
$31.08 | 2,475 | 2,461 |
|
Tanya Marie Cheeseman
3565 Route 611 Fl 2 |
$28.37 | 81 | 81 |
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 Bartonsville, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Bartonsville, PA is $37.47 per claim, based on 35,147 claims from 4 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 Bartonsville, PA?
There are 4 Medicaid providers offering Dental Cleaning & Exam related services in Bartonsville, PA according to public payment data.
What is the price range for Dental Cleaning & Exam in Bartonsville, PA?
Medicaid reimbursement for Dental Cleaning & Exam in Bartonsville, PA ranges from $28.37 to $40.15 per claim, with an average of $37.47. 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
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San Antonio, TX
Avg $40.74
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Other Procedures in Bartonsville, PA
Dental Filling
Avg $88.88
8,724 claims
Office Visit
Avg $51.11
3,072 claims
Tooth Extraction
Avg $96.98
1,734 claims
Upper Endoscopy (EGD)
Avg $131.27
851 claims
Eye Exam
Avg $40.15
316 claims
Colonoscopy
Avg $297.95
126 claims
Pathology & Lab Services
Avg $3.22
121 claims
Root Canal
Avg $167.22
27 claims