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Based on public Medicaid payment data.

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.

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