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 |
|---|---|---|---|
|
Jonathan Stockton
462 Grider St |
$55.10 | 12 | 12 |
|
Mark A Salvo
1784 Clinton St |
$12.83 | 12 | 12 |
|
Harold Dean Mcspadden
Elm & Carlton Streets |
$74.42 | 12 | 12 |
|
Mercedeh Nicole Vaez
3435 Main St |
$66.00 | 12 | 12 |
|
Yong Chiang Raymond Hoon
892 Elmwood Ave |
$55.34 | 12 | 12 |
|
Aspire Family Dental, Pllc
476 Hertel Avenue |
$25.00 | 13 | 13 |
|
Cha Vu
2521 Walden Ave |
$25.58 | 14 | 14 |
|
Michael Robert Markiewicz
3435 Main St |
$29.80 | 15 | 15 |
|
Mona Bajestan
140 Squire Hall |
$36.00 | 16 | 16 |
|
Vincent Mario Aquino
3435 Main St. |
$33.36 | 18 | 17 |
|
Neighborhood Health Center Of Wny, Inc.
155 Lawn Ave |
$27.40 | 25 | 25 |
|
Jennifer Limina Frustino
462 Grider St |
$14.00 | 26 | 26 |
|
Michael Y Nagai
3435 Main St |
$31.53 | 27 | 27 |
|
Lawrence A Rosen
2121 Main Street |
$42.86 | 29 | 29 |
|
John Llewellyn Houghtaling
1115 Delaware Ave |
$34.57 | 29 | 29 |
|
Kaleida Health
100 High St |
$50.61 | 32 | 32 |
|
Anita Lynn Joyce
2121 Main St |
$54.78 | 38 | 38 |
|
Paul Canallatos
462 Grider St |
$13.52 | 41 | 41 |
|
Kaleida Health
818 Ellicott St |
$50.94 | 41 | 41 |
|
Samna Minhas
665 Elm St |
$51.43 | 42 | 42 |
|
Maureen Sullivan Nasca
462 Grider St |
$46.19 | 43 | 39 |
|
Douglas Paul Robbins
2084 Sheridan Dr |
$41.92 | 61 | 61 |
|
Sanil Balkrishna Nigalye
3435 Main Street |
$19.60 | 63 | 63 |
|
Joel Mark Levin
1115 Delaware Ave |
$33.90 | 63 | 63 |
|
Joseph Hayek
381 Kenmore Ave |
$31.76 | 69 | 69 |
|
Jianmin Zhuo
462 Grider St |
$28.74 | 78 | 78 |
|
Jason Pedro Jones
62 Davidson Ave |
$50.20 | 84 | 84 |
|
Edmund Aaron Thomas
2866 Bailey Ave |
$40.91 | 97 | 97 |
|
Japneet K. Verma
Roswell Park Institute Elm & Carlton Streets |
$49.37 | 97 | 97 |
|
John H Campbell
3435 Main St, 119 Squire Hall |
$8.17 | 110 | 110 |
|
Jessica Elyse Canallatos
462 Grider St |
$17.89 | 114 | 114 |
|
Katherine Claire Dority
114 Squire Hall |
$41.66 | 134 | 134 |
|
Nathan Hanson
3495 Bailey Ave |
$65.40 | 158 | 128 |
|
Mei Kwan Chang
956 Kenmore Ave |
$45.66 | 172 | 172 |
|
Nicole Valentine Hinchy
462 Grider St |
$25.57 | 208 | 184 |
|
Timothy Joseph Votta
671 W Ferry St |
$28.64 | 255 | 255 |
|
Craig Alan Mcclure
84 W Utica St |
$36.61 | 255 | 255 |
|
Niagara Family Dental, P.C.
821 Niagara St |
$40.66 | 276 | 276 |
|
Jacob Bernard Rifkind
462 Grider St |
$14.61 | 281 | 281 |
|
Kathleen Bacsik
462 Grider St |
$32.51 | 286 | 248 |
|
Francesca R Velardi
1021 Broadway St |
$32.44 | 322 | 322 |
|
Sarah Shafik
3435 Main St |
$45.87 | 392 | 392 |
|
Amy Ruth Bryan
117 Linwood Ave |
$16.03 | 478 | 476 |
|
Gordon Arnold Kent
4427 Union Rd |
$36.82 | 511 | 510 |
|
Rinzhi Go
956 Kenmore Ave |
$45.61 | 529 | 529 |
|
Farah Abu Sharkh
1100 Main St |
$32.19 | 594 | 594 |
|
Margaret M Pazzaglia Adolf
2121 Main St Ste 310 |
$42.82 | 600 | 599 |
|
Rachael Ann Rossitto
462 Grider St |
$16.82 | 630 | 607 |
|
Jisung Park
3557 Union Rd |
$35.92 | 689 | 689 |
|
Ryan M. Basler
219 Bryant Street |
$24.23 | 760 | 758 |
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