Average Medicaid Dental Cleaning & Exam Payments in Cedar Falls, IA: $24.76
Avg. Paid
$24.76
Range
$0.00 – $27.80
Total Claims
59,684
Providers
24
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 Cedar Falls, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eric Paul Adams
1915 Valley Park Dr |
$27.80 | 16,520 | 16,307 |
|
Robert Lee Gregorsok
1301 W 1St St |
$23.31 | 8,942 | 8,465 |
|
Kelley Jo Ruehs
1301 W 1St St |
$21.35 | 6,020 | 5,662 |
|
William C Maiers
4507 Chadwick Rd |
$24.64 | 4,854 | 4,690 |
|
Howard Mark Trunnell
3722 Cedar Heights Dr |
$25.48 | 4,555 | 4,299 |
|
Samuel Kim
3722 Cedar Heights Dr |
$26.30 | 3,884 | 3,799 |
|
Megan E Brummer
922 Rainbow Dr |
$24.81 | 3,881 | 3,714 |
|
Amanda Mae Brenden
2717 Orchard Dr |
$27.21 | 2,602 | 2,560 |
|
Katy Lea Clapham
9219 University Ave |
$23.09 | 1,792 | 1,763 |
|
David Carl Roberts
915 Hudson Rd |
$15.70 | 1,410 | 1,370 |
|
Rachel Ruth Stiles
6912 University Ave Ste 2 |
$20.96 | 1,030 | 976 |
|
Joseph Lynn Thoman
1506 Main St |
$17.44 | 981 | 674 |
|
Ryan S Weaver
4507 Chadwick Rd |
$22.78 | 947 | 900 |
|
Mark R Mcconaughy
922 Rainbow Dr |
$25.22 | 532 | 514 |
|
Reed Maiers
4507 Chadwick Rd |
$26.22 | 406 | 405 |
|
Rachel Elyse Hart
4507 Chadwick Rd |
$27.65 | 379 | 366 |
|
Michael G Crall
1504 Main St |
$23.00 | 326 | 323 |
|
Abigail Stolz
4507 Wild Horse Dr |
$0.00 | 141 | 141 |
|
Nicholas Nemmers
4501 Prairie Pkwy |
$20.70 | 123 | 119 |
|
Anne Norene Hennessey
9219 University Ave |
$22.10 | 112 | 109 |
|
Darwin Reed Brenden
2717 Orchard Dr |
$27.42 | 109 | 109 |
|
David P Bottke
2717 Orchard Dr |
$16.43 | 67 | 66 |
|
Lindsey Marie Vore
3217 Cedar Heights Dr |
$27.68 | 41 | 41 |
|
Sarah Elizabeth Cyr
915 Hudson Rd |
$10.85 | 30 | 28 |
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 Cedar Falls, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Cedar Falls, IA is $24.76 per claim, based on 59,684 claims from 24 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 Cedar Falls, IA?
There are 24 Medicaid providers offering Dental Cleaning & Exam related services in Cedar Falls, IA according to public payment data.
What is the price range for Dental Cleaning & Exam in Cedar Falls, IA?
Medicaid reimbursement for Dental Cleaning & Exam in Cedar Falls, IA ranges from $0.00 to $27.80 per claim, with an average of $24.76. 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 Cedar Falls, IA
Office Visit
Avg $32.68
134,644 claims
Blood Work & Lab Tests
Avg $6.04
86,597 claims
Non-Emergency Medical Transportation
Avg $78.67
71,983 claims
Psychiatric Evaluation
Avg $69.06
69,721 claims
Physical Therapy
Avg $21.39
50,342 claims
Emergency Room Visit
Avg $133.64
35,946 claims
Chiropractic Care
Avg $22.83
30,199 claims
Vaccines & Immunizations
Avg $18.74
27,814 claims