Average Medicaid Dental Cleaning & Exam Payments in Boulder, CO: $34.80
Avg. Paid
$34.80
Range
$0.00 – $114.81
Total Claims
61,130
Providers
36
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 Boulder, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert S Pankratz
3400 Penrose Pl Ste 107 |
$33.69 | 7,204 | 7,184 |
|
Stacy Marie Jackson
3400 Penrose Pl Ste 107 |
$29.73 | 6,456 | 6,442 |
|
Ian Michael Kott
1440 28Th St |
$31.49 | 6,074 | 6,047 |
|
Joy Liou Hicks
4155 Darley Ave |
$34.01 | 5,464 | 5,452 |
|
Danny Abboud
1610 Canyon Blvd |
$34.43 | 4,626 | 4,577 |
|
John Bethers
2525 28Th St |
$34.57 | 4,602 | 4,574 |
|
Luke Vernon
2100 28Th St Unit 4F |
$41.16 | 4,005 | 3,997 |
|
Todd Hamilton
3400 Arapahoe Ave |
$35.74 | 3,975 | 3,932 |
|
Stephen Michael Perry
2525 28Th St Unit 140 |
$34.90 | 2,729 | 2,652 |
|
Cristina Martha Conceicao Smith
3216 Arapahoe Ave |
$43.33 | 2,559 | 2,531 |
|
Jennifer Daniela Friedman
3000 Center Green Dr Ste 215 |
$31.36 | 2,543 | 2,542 |
|
Mark Allan Moynier
2575 Pearl St Ste 200 |
$32.73 | 2,013 | 1,978 |
|
Jeremy Richard Altdorfer
1933 28Th St Ste 204 |
$38.79 | 1,787 | 1,764 |
|
Eve Luong
4155 Darley Ave |
$41.25 | 1,323 | 1,322 |
|
Adam Altdorfer
1933 28Th St Ste 204 |
$46.92 | 1,087 | 1,083 |
|
Brett Broda
777 29Th St Ste 300 |
$34.81 | 949 | 906 |
|
Andrea Irarrazabal
3216 Arapahoe Ave |
$33.97 | 580 | 580 |
|
Mercy Blalock
1840 Folsom St Ste 201 |
$36.31 | 516 | 509 |
|
Darren Rennaker
4300 Arapahoe Ave |
$9.33 | 486 | 474 |
|
Debbie Roubal
4155 Darley Ave Ste C |
$32.67 | 381 | 378 |
|
Kyle Daniel
2800 Valmont Rd |
$29.06 | 351 | 350 |
|
Hilary Hayes Norberg
4155 Darley Ave Ste C |
$55.70 | 285 | 283 |
|
Rupanshi Garg
3216 Arapahoe Ave |
$61.15 | 268 | 268 |
|
James Bradley Monk
805 S Broadway St Ste 205 |
$23.05 | 204 | 204 |
|
Margo Kathryn Nagel
1610 Canyon Blvd |
$37.58 | 145 | 145 |
|
Thomas S Wolff
3056 Edison Ct |
$55.61 | 142 | 142 |
|
Samantha Marie Graffeo Gardner
1200 Yarmouth Ave Unit C-1C |
$0.00 | 91 | 91 |
|
Andrew Holecek
2525 28Th St |
$36.95 | 75 | 73 |
|
Ted C Kawulok
1400 28Th St |
$70.03 | 40 | 39 |
|
Lashawnda Jenkins
3125 28Th St |
$43.23 | 38 | 37 |
|
John S Walker
350 Broadway |
$39.03 | 27 | 27 |
|
Corbett William Summers
777 29Th St |
$35.77 | 27 | 27 |
|
Coralee Elizabeth Hueske
3055 47Th St |
$97.50 | 26 | 26 |
|
Scott Joseph Fridrich
1120 Alpine Ave Ste C |
$30.35 | 25 | 25 |
|
Nicholas David Schulte
2575 Pearl St Ste 1C |
$114.81 | 14 | 13 |
|
Rebecca Jane Barnes
805 S Broadway St |
$28.78 | 13 | 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 Boulder, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Boulder, CO is $34.80 per claim, based on 61,130 claims from 36 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 Boulder, CO?
There are 36 Medicaid providers offering Dental Cleaning & Exam related services in Boulder, CO according to public payment data.
What is the price range for Dental Cleaning & Exam in Boulder, CO?
Medicaid reimbursement for Dental Cleaning & Exam in Boulder, CO ranges from $0.00 to $114.81 per claim, with an average of $34.80. 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 Boulder, CO
Office Visit
Avg $96.83
244,107 claims
Psychiatric Evaluation
Avg $80.57
165,246 claims
Physical Therapy
Avg $32.09
155,683 claims
Emergency Room Visit
Avg $96.18
132,331 claims
Speech Therapy
Avg $11.05
120,510 claims
Blood Work & Lab Tests
Avg $6.12
116,278 claims
Ambulance Transport
Avg $85.20
98,483 claims
Home Health Visit
Avg $31.98
81,049 claims