Average Medicaid Dental Cleaning & Exam Payments in Delaware, OH: $25.99
Avg. Paid
$25.99
Range
$16.58 – $28.83
Total Claims
60,755
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 Delaware, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bikram Malhi
1179 Columbus Pike |
$27.52 | 22,768 | 21,925 |
|
Benjamin J Kwok
1949A State Route 37 W |
$22.05 | 13,606 | 12,947 |
|
Mark Stan Halversen
1179 Columbus Pike |
$27.23 | 6,811 | 6,650 |
|
Dale Allen Riggs
1179 Columbus Pike |
$27.65 | 6,781 | 6,597 |
|
Bradford Beckman
1179 Columbus Pike |
$28.83 | 5,356 | 5,210 |
|
Daryl Marcus Lechner
1860 Castleton Way |
$23.09 | 2,898 | 2,757 |
|
Paul Kim
809 N Houk Rd |
$20.22 | 1,225 | 1,176 |
|
Nira Patel
3769 Columbus Pike Ste 100 |
$25.86 | 1,160 | 1,079 |
|
Natalie Taylor Massa Wallace
1012 State Route 521 Ste 202 |
$21.59 | 66 | 66 |
|
Dahye Joo
163 N Sandusky St Lowr L-100 |
$27.02 | 47 | 47 |
|
Byron T. Leidtke
226 N Liberty St |
$16.58 | 24 | 24 |
|
Delaware Dental Partners, Llp.
1179 Columbus Pike |
$17.08 | 13 | 13 |
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 Delaware, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Delaware, OH is $25.99 per claim, based on 60,755 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 Delaware, OH?
There are 12 Medicaid providers offering Dental Cleaning & Exam related services in Delaware, OH according to public payment data.
What is the price range for Dental Cleaning & Exam in Delaware, OH?
Medicaid reimbursement for Dental Cleaning & Exam in Delaware, OH ranges from $16.58 to $28.83 per claim, with an average of $25.99. 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 Delaware, OH
Office Visit
Avg $53.89
225,323 claims
Emergency Room Visit
Avg $80.45
119,099 claims
Blood Work & Lab Tests
Avg $12.64
95,995 claims
Psychiatric Evaluation
Avg $58.03
67,870 claims
Home Health Visit
Avg $40.07
63,327 claims
Behavioral & Mental Health Therapy
Avg $77.83
55,813 claims
Speech Therapy
Avg $33.88
55,224 claims
Vaccines & Immunizations
Avg $15.31
49,912 claims