Average Medicaid Dental Cleaning & Exam Payments in Dekalb, IL: $31.47
Avg. Paid
$31.47
Range
$14.70 – $35.35
Total Claims
45,362
Providers
13
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 Dekalb, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Yang Zhou
2235 Sycamore Rd |
$31.79 | 22,722 | 22,304 |
|
Amee Jitendra Patel
2235 Sycamore Rd |
$30.04 | 6,879 | 6,723 |
|
Ami S Barot
2235 Sycamore Rd |
$33.94 | 6,172 | 6,151 |
|
Jasmeet Kaur Brar
2563 Sycamore Rd |
$30.70 | 2,231 | 2,073 |
|
Nikhil Patel
2235 Sycamore Rd |
$30.39 | 1,513 | 1,494 |
|
Timothy Ka Loo
2563 Sycamore Rd |
$31.36 | 1,159 | 1,137 |
|
Aarthi Raghavan
2061 Sycamore Road |
$28.71 | 1,147 | 1,093 |
|
Nisha Patel
2235 Sycamore Rd |
$33.50 | 1,129 | 1,126 |
|
Aparna Srinivasa
2563 Sycamore Rd |
$31.88 | 968 | 857 |
|
Binh Q Dinh
2707 Sycamore Rd |
$28.52 | 584 | 532 |
|
Dallin Jay Tipton
2235 Sycamore Rd |
$14.70 | 481 | 446 |
|
Riya Shah
2442 Sycamore Rd |
$35.35 | 322 | 322 |
|
Mehrdad Babalooee
2442 Sycamore Rd |
$32.24 | 55 | 54 |
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 Dekalb, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Dekalb, IL is $31.47 per claim, based on 45,362 claims from 13 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 Dekalb, IL?
There are 13 Medicaid providers offering Dental Cleaning & Exam related services in Dekalb, IL according to public payment data.
What is the price range for Dental Cleaning & Exam in Dekalb, IL?
Medicaid reimbursement for Dental Cleaning & Exam in Dekalb, IL ranges from $14.70 to $35.35 per claim, with an average of $31.47. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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