Average Medicaid Dental Cleaning & Exam Payments in Bethlehem, PA: $27.44
Avg. Paid
$27.44
Range
$0.00 – $42.72
Total Claims
35,248
Providers
24
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 Bethlehem, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mrunal Dave
315 E Ettwein St |
$37.08 | 12 | 12 |
|
Neighborhood Health Centers Of The Lehigh Valley
635 E Broad St |
$0.00 | 15 | 15 |
|
Veronica Teslyn Barreto
1521 8Th Ave |
$38.67 | 36 | 34 |
|
Dominic P. Rachiele
1521 8Th Ave |
$29.22 | 49 | 46 |
|
Michael Edward Hyduk
818 W Broad St |
$27.50 | 57 | 57 |
|
Robert Clark Miller
2431 Easton Ave |
$34.98 | 108 | 104 |
|
Renata Villarreal
2545 Schoenersville Rd |
$32.34 | 217 | 216 |
|
Kruthika Swaminathan
315 E Ettwein St |
$31.63 | 220 | 220 |
|
Michael Wagih Awadallah
1521 8Th Ave Ste 101 |
$34.51 | 270 | 266 |
|
Brett M. Geller
1521 8Th Avenue |
$42.72 | 296 | 293 |
|
Mohammed Qahash
511 E 3Rd St |
$0.00 | 360 | 360 |
|
Jonida Sinani
511 E 3Rd St |
$0.52 | 418 | 417 |
|
Ramon T Arreola
1020 W Broad St |
$26.89 | 422 | 418 |
|
Karl D. Maloney
1521 8Th Ave |
$41.51 | 491 | 480 |
|
Gene Ryan Tunney
920 N New St |
$25.00 | 628 | 522 |
|
Charles Joseph Incalcaterra
441 E Broad St |
$27.81 | 632 | 632 |
|
Lauren Smith
511 E 3Rd St |
$40.68 | 1,542 | 1,522 |
|
Suvas Patel
511 E 3Rd St |
$24.08 | 1,877 | 1,873 |
|
Charu Maini
2431 Easton Ave |
$29.86 | 2,122 | 2,108 |
|
Bethlehem Pediatric Dental Associates
2299 Brodhead Rd |
$29.75 | 2,713 | 2,697 |
|
Nirali Shashikant Patel
315 E Ettwein St |
$28.87 | 3,138 | 3,105 |
|
Star Community Health, Inc
511 E 3Rd St Ste 202 |
$0.11 | 5,029 | 4,949 |
|
Hitesh Kanubhai Godhani
315 E Ettwein St |
$29.98 | 6,891 | 6,838 |
|
Neela Shiri Covel
1020 W Broad St |
$39.94 | 7,705 | 7,670 |
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 Bethlehem, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Bethlehem, PA is $27.44 per claim, based on 35,248 claims from 24 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 Bethlehem, PA?
There are 24 Medicaid providers offering Dental Cleaning & Exam related services in Bethlehem, PA according to public payment data.
What is the price range for Dental Cleaning & Exam in Bethlehem, PA?
Medicaid reimbursement for Dental Cleaning & Exam in Bethlehem, PA ranges from $0.00 to $42.72 per claim, with an average of $27.44. 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
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Avg $100.74
1,060,730 claims
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Avg $23.73
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Avg $40.61
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Avg $8.32
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Avg $41.86
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Avg $11.72
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Avg $3.77
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Avg $33.95
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