Average Medicaid Dental Cleaning & Exam Payments in Binghamton, NY: $41.47
Avg. Paid
$41.47
Range
$23.08 – $74.30
Total Claims
150,213
Providers
22
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 Binghamton, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Patrick Wilson
289 Chenango St |
$55.06 | 43,739 | 43,732 |
|
Merela Cruz Rieza-Concepcion
289 Chenango St |
$36.37 | 27,751 | 27,696 |
|
Jaepil Kim
289 Chenango St |
$31.01 | 16,333 | 16,281 |
|
Harveen Kaur Gujral
289 Chenango St |
$42.09 | 15,973 | 15,973 |
|
Margaret Yew
289 Chenango St |
$30.44 | 13,184 | 12,796 |
|
Peter Anthony Hatala
1042 Mitchell Avenue |
$34.75 | 9,801 | 8,879 |
|
Timothy Bruns
219 Front St |
$32.74 | 7,078 | 6,909 |
|
Janet Spadavecchia
219 Front St |
$35.94 | 4,709 | 4,410 |
|
Mary M Michael
37 Riverside Dr |
$39.62 | 2,961 | 2,960 |
|
Wilson Dental P.C.
295 Chenango St |
$44.06 | 2,105 | 2,105 |
|
Ashley Dawson
1216 Upper Front St |
$33.84 | 1,975 | 1,975 |
|
Mark Allen Dreher
161 Riverside Dr |
$74.30 | 1,366 | 1,366 |
|
Jadilia Ddas
219 Front St |
$34.42 | 846 | 831 |
|
United Health Services Hospitals, Inc
10-42 Mitchell Ave |
$34.16 | 766 | 766 |
|
Sana Ahmed
219 Front St |
$33.83 | 452 | 452 |
|
Ramesh G Bhandari
561 Chenango St |
$37.58 | 442 | 442 |
|
Beth Anne Mccarthy
249 Glenwood Rd |
$36.67 | 299 | 299 |
|
Carolyn Frances Riley
151 Riverside Dr |
$30.04 | 261 | 261 |
|
Ryan M Olbrys
219 Front St |
$34.85 | 116 | 116 |
|
Our Lady Of Lourdes Memorial Hospital Inc
219 Front St |
$34.37 | 31 | 31 |
|
Douglas R. Hill
151 Riverside Dr |
$23.08 | 13 | 13 |
|
Brennan R. Lee
151 Riverside Dr |
$27.55 | 12 | 12 |
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 Binghamton, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Binghamton, NY is $41.47 per claim, based on 150,213 claims from 22 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 Binghamton, NY?
There are 22 Medicaid providers offering Dental Cleaning & Exam related services in Binghamton, NY according to public payment data.
What is the price range for Dental Cleaning & Exam in Binghamton, NY?
Medicaid reimbursement for Dental Cleaning & Exam in Binghamton, NY ranges from $23.08 to $74.30 per claim, with an average of $41.47. 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
2,295,389 claims · 350 providers
San Antonio, TX
Avg $40.74
2,116,599 claims · 429 providers
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