Average Medicaid Dental Cleaning & Exam Payments in Dover, NJ: $22.19
Avg. Paid
$22.19
Range
$3.05 – $27.07
Total Claims
36,505
Providers
19
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, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jason K Lee
4 Marvin St |
$27.07 | 18,776 | 18,693 |
|
Zufall Health Center, Inc
17 S Warren St |
$16.16 | 4,064 | 3,973 |
|
Palak H Pandya
30 Orchard St |
$15.21 | 3,442 | 3,315 |
|
Aesthetic Dental Center Of Morris County Llc
600 Mount Pleasant Ave Ste E |
$20.39 | 2,520 | 2,493 |
|
Sam Wakim
17 S Warren St |
$19.40 | 1,390 | 1,349 |
|
Antonella Giovanna Rita Maietta
17 S Warren St |
$15.52 | 1,309 | 1,280 |
|
Katerina Danchenko
17 S Warren St |
$14.98 | 1,234 | 1,212 |
|
Zufall Health Center,Inc
17 South Warren Street |
$16.50 | 654 | 648 |
|
Hema Sarath
17 S Warren St |
$7.47 | 624 | 623 |
|
Stephanie M Lee
17 S Warren St |
$21.66 | 435 | 394 |
|
Carolina Lopez
17 S Warren St |
$24.46 | 432 | 432 |
|
Zoey Gail Dimarco
17 S Warren St |
$26.46 | 385 | 369 |
|
Rachel Talia Gold
17 S Warren St |
$13.32 | 307 | 307 |
|
Zufall Health Center, Inc
18 W Blackwell St |
$15.18 | 271 | 267 |
|
Anda Ciora
17 S Warren St |
$25.18 | 243 | 231 |
|
Uliana Stomachenko
17 S Warren St |
$16.06 | 162 | 159 |
|
Paola Rodriguez
17 S Warren St |
$21.39 | 160 | 155 |
|
Lawrence Jeffrey Klein
600 Mount Pleasant Ave |
$3.05 | 85 | 85 |
|
David M Stein
17 S Warren St |
$10.50 | 12 | 12 |
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, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Dover, NJ is $22.19 per claim, based on 36,505 claims from 19 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, NJ?
There are 19 Medicaid providers offering Dental Cleaning & Exam related services in Dover, NJ according to public payment data.
What is the price range for Dental Cleaning & Exam in Dover, NJ?
Medicaid reimbursement for Dental Cleaning & Exam in Dover, NJ ranges from $3.05 to $27.07 per claim, with an average of $22.19. 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
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Bronx, NY
Avg $31.12
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New York, NY
Avg $30.52
3,240,448 claims · 723 providers
Phoenix, AZ
Avg $11.18
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San Antonio, TX
Avg $40.74
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Other Procedures in Dover, NJ
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Avg $35.50
596,035 claims
Office Visit
Avg $33.12
145,578 claims
Home Health Visit
Avg $97.74
104,255 claims
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Avg $15.41
73,388 claims
Eye Exam
Avg $33.16
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Avg $4.96
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Avg $1.76
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Ambulance Transport
Avg $122.22
12,033 claims