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 |
|---|---|---|---|
|
Sarah Elizabeth Cyr
915 Hudson Rd |
$10.85 | 30 | 28 |
|
Lindsey Marie Vore
3217 Cedar Heights Dr |
$27.68 | 41 | 41 |
|
David P Bottke
2717 Orchard Dr |
$16.43 | 67 | 66 |
|
Darwin Reed Brenden
2717 Orchard Dr |
$27.42 | 109 | 109 |
|
Anne Norene Hennessey
9219 University Ave |
$22.10 | 112 | 109 |
|
Nicholas Nemmers
4501 Prairie Pkwy |
$20.70 | 123 | 119 |
|
Abigail Stolz
4507 Wild Horse Dr |
$0.00 | 141 | 141 |
|
Michael G Crall
1504 Main St |
$23.00 | 326 | 323 |
|
Rachel Elyse Hart
4507 Chadwick Rd |
$27.65 | 379 | 366 |
|
Reed Maiers
4507 Chadwick Rd |
$26.22 | 406 | 405 |
|
Mark R Mcconaughy
922 Rainbow Dr |
$25.22 | 532 | 514 |
|
Ryan S Weaver
4507 Chadwick Rd |
$22.78 | 947 | 900 |
|
Joseph Lynn Thoman
1506 Main St |
$17.44 | 981 | 674 |
|
Rachel Ruth Stiles
6912 University Ave Ste 2 |
$20.96 | 1,030 | 976 |
|
David Carl Roberts
915 Hudson Rd |
$15.70 | 1,410 | 1,370 |
|
Katy Lea Clapham
9219 University Ave |
$23.09 | 1,792 | 1,763 |
|
Amanda Mae Brenden
2717 Orchard Dr |
$27.21 | 2,602 | 2,560 |
|
Megan E Brummer
922 Rainbow Dr |
$24.81 | 3,881 | 3,714 |
|
Samuel Kim
3722 Cedar Heights Dr |
$26.30 | 3,884 | 3,799 |
|
Howard Mark Trunnell
3722 Cedar Heights Dr |
$25.48 | 4,555 | 4,299 |
|
William C Maiers
4507 Chadwick Rd |
$24.64 | 4,854 | 4,690 |
|
Kelley Jo Ruehs
1301 W 1St St |
$21.35 | 6,020 | 5,662 |
|
Robert Lee Gregorsok
1301 W 1St St |
$23.31 | 8,942 | 8,465 |
|
Eric Paul Adams
1915 Valley Park Dr |
$27.80 | 16,520 | 16,307 |
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
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Avg $29.76
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Chicago, IL
Avg $29.66
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Los Angeles, CA
Avg $49.60
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Houston, TX
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Bronx, NY
Avg $31.12
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New York, NY
Avg $30.52
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Phoenix, AZ
Avg $11.18
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San Antonio, TX
Avg $40.74
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Office Visit
Avg $32.68
134,644 claims
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Avg $6.04
86,597 claims
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Avg $78.67
71,983 claims
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Avg $69.06
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Avg $22.83
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Avg $18.74
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