Average Medicaid Dental Cleaning & Exam Payments in Dover, DE: $50.03
Avg. Paid
$50.03
Range
$33.06 – $72.43
Total Claims
102,368
Providers
38
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 Dover, DE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert R. Coope Dds Pa Cosmetic And Comprehensive Dentistry
1250 S Governors Ave |
$72.43 | 15 | 14 |
|
Maryclare Kubasko
125 Greentree Dr Ste 2 |
$46.96 | 31 | 26 |
|
State Of Delaware
417 Federal St |
$54.09 | 63 | 61 |
|
Daniel J. Fay, D.M.D., P.A.
748 S New St |
$45.97 | 68 | 67 |
|
Nicholas Alcorn
1004 S State St Ste 1 |
$53.28 | 72 | 66 |
|
Mark A Charvat
77 Saulsbury Rd |
$49.70 | 86 | 84 |
|
Rhae Anna L Riegel
1004 S State St Ste 1 |
$50.68 | 95 | 87 |
|
Jamie Ditty Ahl
1004 S State St |
$66.78 | 194 | 189 |
|
Franklin X Pancko
1004 S State St |
$45.60 | 210 | 179 |
|
Douglas Lynn Ditty
1004 S State St Ste 1 |
$42.01 | 245 | 205 |
|
Robert R Coope
1250 S Governors Ave |
$65.51 | 248 | 238 |
|
Dawn M Grandison
773 S Queen St Ste B |
$43.46 | 407 | 388 |
|
Sean Micheal Mercer
77 Saulsbury Rd |
$39.16 | 440 | 408 |
|
State Of Delaware
417 Federal St |
$57.26 | 557 | 557 |
|
Thomas Andrew Mercer
77 Saulsbury Rd |
$46.93 | 569 | 540 |
|
Michael Thomas Aloe
850 S State St |
$59.38 | 639 | 598 |
|
Adam Craig Sydell
77 Saulsbury Rd |
$40.86 | 728 | 674 |
|
Aloe & Carr, P.A.
850 S State St |
$59.73 | 813 | 747 |
|
State Of Delaware
417 Federal St |
$56.79 | 990 | 987 |
|
State Of Delaware
417 Federal St |
$52.51 | 1,008 | 1,001 |
|
Ahl And O'Connor Orthodontics, Llc
1004 S State St |
$49.69 | 1,127 | 1,108 |
|
State Of Delaware
417 Federal St |
$57.31 | 1,262 | 1,260 |
|
Suk Young Carr
850 S State St |
$58.45 | 1,337 | 1,232 |
|
State Of Delaware
417 Federal St |
$51.49 | 1,417 | 1,407 |
|
Neena Mukkamala
95 Wolf Creek Blvd |
$44.02 | 2,044 | 1,998 |
|
Junior Anderson Dover
1084 S State St |
$50.59 | 2,368 | 2,291 |
|
Phillip James Louie
250 Beiser Blvd |
$44.43 | 2,480 | 2,332 |
|
Julie Q Nies
1380 S State St |
$46.67 | 2,583 | 2,560 |
|
Roger William Kane
1020 Forrest Ave |
$33.06 | 2,585 | 2,032 |
|
Louie Pediatric Dentistry
250 Beiser Blvd Ste 101 |
$49.65 | 2,756 | 2,611 |
|
First State Oral And Maxillofacial Surgery Corp
1004 S State St Ste 1 |
$53.84 | 3,461 | 3,078 |
|
Allsmiles Family & Cosmetic Dentistry
95 Wolf Creek Blvd |
$54.55 | 5,262 | 4,953 |
|
Karen Joyce Rose
446A South New Street |
$43.42 | 7,151 | 6,420 |
|
Lawrence A. Louie D.M.D.
250 Beiser Blvd |
$47.34 | 7,360 | 7,068 |
|
Dover Family And Cosmetic Dentistry
1084 S State St |
$47.20 | 8,006 | 7,233 |
|
Quinn Pediatric Dentistry, P.A.
1380 S State St |
$52.24 | 10,363 | 10,271 |
|
Mercer Dental Associates
77 Saulsbury Rd |
$49.68 | 11,593 | 10,368 |
|
West Dover Dental, Llc
2 Greentree Drive |
$53.44 | 21,735 | 20,752 |
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 Dover, DE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Dover, DE is $50.03 per claim, based on 102,368 claims from 38 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 Dover, DE?
There are 38 Medicaid providers offering Dental Cleaning & Exam related services in Dover, DE according to public payment data.
What is the price range for Dental Cleaning & Exam in Dover, DE?
Medicaid reimbursement for Dental Cleaning & Exam in Dover, DE ranges from $33.06 to $72.43 per claim, with an average of $50.03. 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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Avg $30.52
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Avg $40.74
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Other Procedures in Dover, DE
Office Visit
Avg $55.49
541,196 claims
Personal Care Services
Avg $107.16
437,262 claims
Blood Work & Lab Tests
Avg $14.59
230,179 claims
Emergency Room Visit
Avg $142.47
220,056 claims
X-Ray
Avg $11.25
131,691 claims
Psychiatric Evaluation
Avg $55.09
118,201 claims
Vaccines & Immunizations
Avg $7.81
91,997 claims
Ultrasound
Avg $41.46
77,650 claims