Average Medicaid Dental Cleaning & Exam Payments in Bloomfield, NJ: $18.45
Avg. Paid
$18.45
Range
$0.00 – $33.50
Total Claims
62,578
Providers
14
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 Bloomfield, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicole Mae Mcgrath
10 Broad St |
$17.11 | 30,441 | 29,257 |
|
Kinda Hanna Yacoub
399 Hoover Ave |
$7.24 | 7,820 | 7,706 |
|
Nicholas Anthony Avianto
301 Belleville Ave |
$33.50 | 7,494 | 7,447 |
|
Sang Yoon Lee
270 Belleville Avenue |
$17.30 | 6,775 | 6,605 |
|
Hanna Hanvit Choi
10 Broad St |
$26.93 | 3,092 | 3,024 |
|
Kindersmile Community Oral Health Center
10 Broad St |
$15.77 | 2,606 | 2,602 |
|
Teresa Baugh
135 Bloomfield Ave |
$21.19 | 1,707 | 1,681 |
|
Ruth Elaine Parkin-Edwin
275 Broad St |
$21.80 | 1,092 | 1,085 |
|
Shefali Mangtani
10 Broad St |
$28.01 | 488 | 485 |
|
Daniel Deokchun Lee
1455 Broad St Ste 105 |
$0.00 | 473 | 472 |
|
Brookside Family Dental Corp
399 Hoover Ave |
$15.85 | 338 | 338 |
|
Tdc Dentistry
1455 Broad St Ste 105 |
$22.17 | 144 | 138 |
|
Hassam Chauhdry Sultan
382 W Passaic Ave Fl 2 |
$22.92 | 55 | 51 |
|
Ismile Dental Care Of Bloomfield
1455 Broad St Ste 105 |
$20.00 | 53 | 53 |
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 Bloomfield, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Bloomfield, NJ is $18.45 per claim, based on 62,578 claims from 14 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 Bloomfield, NJ?
There are 14 Medicaid providers offering Dental Cleaning & Exam related services in Bloomfield, NJ according to public payment data.
What is the price range for Dental Cleaning & Exam in Bloomfield, NJ?
Medicaid reimbursement for Dental Cleaning & Exam in Bloomfield, NJ ranges from $0.00 to $33.50 per claim, with an average of $18.45. 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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