Average Medicaid Dental Cleaning & Exam Payments in Buffalo, NY: $30.59
Avg. Paid
$30.59
Range
$3.55 – $74.42
Total Claims
790,427
Providers
123
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 Buffalo, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Suketu Patel
1100 Main St |
$24.71 | 104,605 | 104,579 |
|
Kelly S Rose
1100 Main St |
$27.11 | 74,058 | 74,045 |
|
James N Wieland
34 Benwood Ave |
$21.98 | 50,613 | 19,715 |
|
Kathryn Michelle Pawlak
1091 Main St |
$33.91 | 43,648 | 43,625 |
|
Sarah E Barry
155 Lawn Ave |
$21.18 | 39,560 | 14,251 |
|
Carrie Ann Wanamaker
219 Bryant St |
$21.68 | 36,833 | 36,823 |
|
Jill Elizabeth Schabert
Elm And Carlton St |
$34.49 | 31,410 | 31,291 |
|
Chad Hamilton Kahler
155 Lawn Ave |
$21.12 | 29,133 | 9,635 |
|
Carl E Fusco-Gessick
114 Squire Hall |
$37.96 | 23,765 | 23,764 |
|
Michael B Quigley
920 Amherst St |
$48.97 | 23,356 | 23,340 |
|
Justin Warcup
219 Bryant St |
$45.33 | 22,846 | 22,403 |
|
Colleen Lacombe-Senecal
114 Squire Hall |
$37.10 | 18,325 | 18,321 |
|
Helen Ibrahim
462 Grider St |
$36.46 | 18,297 | 13,120 |
|
Shashidhar Ramchandrareddy
3302 Sheridan Dr |
$34.01 | 17,734 | 17,706 |
|
Nicole Channing Piscatelli
462 Grider St |
$28.76 | 12,049 | 10,042 |
|
Nour Masud
1719 Sheridan Dr |
$36.29 | 10,455 | 10,356 |
|
Thomas Keohane
487 Niagara St |
$37.31 | 10,420 | 10,406 |
|
Martin Gorkiewicz
956 Kenmore Ave |
$43.23 | 9,309 | 9,308 |
|
Anthony G. Petrilli
348 Abbott Rd |
$36.48 | 9,018 | 9,006 |
|
Richard Baldwin
462 Grider St |
$39.59 | 8,785 | 8,785 |
|
Nadia Latifi
1100 Main Street |
$32.93 | 7,520 | 7,514 |
|
Jennifer Ann Holmer Su
1950 Sheridan Dr |
$31.93 | 7,435 | 5,757 |
|
Amy Stone Nagai
1100 Main St |
$36.30 | 7,376 | 7,375 |
|
Kathleen D Balthasar
155 Lawn Ave |
$19.15 | 7,236 | 2,225 |
|
Katherine A Coster Burgler
892 Elmwood Ave |
$41.69 | 6,933 | 6,926 |
|
Thomas James Dobmeier
3495 Bailey Ave |
$38.57 | 6,753 | 6,748 |
|
Virginia Judson
462 Grider St |
$38.66 | 6,470 | 6,467 |
|
Seema Abdullah
155 Lawn Ave |
$32.76 | 6,412 | 2,437 |
|
Jack Su
1950 Sheridan Dr. |
$40.14 | 6,117 | 6,106 |
|
Robert Wade Crabtree
1152 Main St |
$39.01 | 6,016 | 5,992 |
|
Tammy Lynne Thompson
1100 Main St |
$15.87 | 5,940 | 5,939 |
|
Amy Elizabeth Vogt
1600 Hertel Ave |
$37.66 | 5,770 | 5,769 |
|
Michael L Phillips
219 Bryant St |
$3.55 | 5,684 | 5,453 |
|
Jacqueline Michelle Hetterich
155 Lawn Ave |
$26.29 | 5,330 | 2,319 |
|
Elizabeth Kapral
462 Grider St |
$37.30 | 5,289 | 2,715 |
|
Michael S Feurstein
33 Gates Cir |
$37.18 | 5,246 | 5,235 |
|
Parmalier Dejoie Murphy
2559 Main St |
$38.98 | 5,022 | 5,007 |
|
Margaret A Certo
1100 Main St |
$20.79 | 4,880 | 4,878 |
|
Michael L Schwartz
422 Niagara Falls Blvd |
$40.51 | 4,393 | 4,386 |
|
Brett Thomas Chiquet
3435 Main St |
$35.05 | 4,390 | 4,301 |
|
Ernest Esosa Aifuwa
3495 Bailey Ave |
$24.48 | 4,353 | 3,767 |
|
Jung Min Hong
155 Lawn Ave |
$25.47 | 4,304 | 1,918 |
|
Gabrielle Balderman
155 Lawn Ave |
$14.75 | 3,967 | 877 |
|
Jessica J. Blakely
2746 Main St |
$38.33 | 3,854 | 3,847 |
|
Leah Capozzi
403 Main St |
$38.10 | 3,528 | 3,528 |
|
Joseph A Hyde
2233 Seneca St |
$39.70 | 3,441 | 3,439 |
|
Yusri Alabbadi
892 Elmwood Ave |
$41.20 | 3,320 | 3,315 |
|
Marie Michelle Vitullo
3495 Bailey Ave |
$46.18 | 3,320 | 3,138 |
|
Kaitlyn Lori Taylor
1091 Main St |
$36.63 | 3,122 | 3,122 |
|
Selene M Czach
34 Benwood Ave |
$29.14 | 2,532 | 1,292 |
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 Buffalo, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Buffalo, NY is $30.59 per claim, based on 790,427 claims from 123 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 Buffalo, NY?
There are 123 Medicaid providers offering Dental Cleaning & Exam related services in Buffalo, NY according to public payment data.
What is the price range for Dental Cleaning & Exam in Buffalo, NY?
Medicaid reimbursement for Dental Cleaning & Exam in Buffalo, NY ranges from $3.55 to $74.42 per claim, with an average of $30.59. 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 Buffalo, NY
Home Health Visit
Avg $138.93
2,641,639 claims
Office Visit
Avg $60.22
2,438,221 claims
Blood Work & Lab Tests
Avg $8.36
2,385,372 claims
Substance Abuse Treatment
Avg $44.27
1,684,325 claims
Emergency Room Visit
Avg $120.86
1,082,052 claims
Case Management Services
Avg $250.24
760,219 claims
Psychiatric Evaluation
Avg $135.39
730,584 claims
Ambulance Transport
Avg $114.37
601,138 claims