Average Medicaid Dental Cleaning & Exam Payments in Caledonia, MI: $38.41
Avg. Paid
$38.41
Range
$21.81 – $40.74
Total Claims
15,289
Providers
8
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 Caledonia, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mitten Kids Dentistry Caledonia Plc
6477 Cherry Meadow Dr Se Ste 4 |
$40.74 | 12,135 | 12,124 |
|
Brian Scott Mckeown
9021 N Rodgers Ct Se |
$28.63 | 951 | 951 |
|
Family Dentistry Of Caledonia
9021 N Rodgers Ct Se |
$33.71 | 874 | 873 |
|
Glen Valley Dentistry
9041 N Rodgers Ct Se |
$31.59 | 534 | 534 |
|
Richard C. Robertson Dds Plc
9090 S Rodgers Ct Se |
$24.96 | 314 | 314 |
|
West Michigan Dental Professionals
6477 Cherry Meadow Dr Se Ste 1 |
$24.99 | 283 | 283 |
|
Kevin A Vander Heide
9809 Cherry Valley Ave Se |
$21.81 | 147 | 147 |
|
Thomas Grias
9363 Cherry Valley Ave Se |
$23.61 | 51 | 51 |
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 Caledonia, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Caledonia, MI is $38.41 per claim, based on 15,289 claims from 8 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 Caledonia, MI?
There are 8 Medicaid providers offering Dental Cleaning & Exam related services in Caledonia, MI according to public payment data.
What is the price range for Dental Cleaning & Exam in Caledonia, MI?
Medicaid reimbursement for Dental Cleaning & Exam in Caledonia, MI ranges from $21.81 to $40.74 per claim, with an average of $38.41. 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 Caledonia, MI
Office Visit
Avg $61.24
15,954 claims
Vaccines & Immunizations
Avg $7.44
11,983 claims
Dental Filling
Avg $104.82
2,710 claims
Tooth Extraction
Avg $84.39
2,596 claims
Chiropractic Care
Avg $22.47
1,324 claims
Psychiatric Evaluation
Avg $81.21
872 claims
Root Canal
Avg $123.29
748 claims
Prescription Medications
Avg $9.88
630 claims