Average Medicaid Dental Cleaning & Exam Payments in Butler, PA: $25.72
Avg. Paid
$25.72
Range
$14.74 – $31.88
Total Claims
13,676
Providers
12
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 Butler, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David L Jordan
103 Evans City Rd |
$25.51 | 4,798 | 4,762 |
|
Jeffrey J Petrina
103 Evans City Rd |
$24.31 | 3,697 | 3,672 |
|
Sijia Xu
222 W Cunningham St |
$27.58 | 2,406 | 2,403 |
|
Ying Zhu
103 Evans City Rd |
$25.89 | 1,610 | 1,597 |
|
William Terasavage
121 S Main St |
$28.83 | 597 | 591 |
|
Lawrence Mcdonald Kenney
348 N Mckean St |
$24.03 | 335 | 335 |
|
Associated Dental Billing Services, Inc
220 S Main St |
$30.62 | 134 | 134 |
|
Francis Cararie
121 S Main St |
$21.50 | 36 | 32 |
|
Amy L Governor
264 New Castle Rd |
$14.74 | 19 | 19 |
|
Maria Manalo
121 S Main St |
$31.88 | 17 | 17 |
|
Jeffrey Bono
103 Evans City Rd |
$18.57 | 14 | 14 |
|
Stephanie Kobil Dmd, Llc
257 Pittsburgh Rd |
$19.58 | 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 Butler, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Butler, PA is $25.72 per claim, based on 13,676 claims from 12 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 Butler, PA?
There are 12 Medicaid providers offering Dental Cleaning & Exam related services in Butler, PA according to public payment data.
What is the price range for Dental Cleaning & Exam in Butler, PA?
Medicaid reimbursement for Dental Cleaning & Exam in Butler, PA ranges from $14.74 to $31.88 per claim, with an average of $25.72. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dental Cleaning & Exam in Other Cities
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Avg $51.28
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