Average Medicaid Dental Cleaning & Exam Payments in Downers Grove, IL: $31.46
Avg. Paid
$31.46
Range
$1.16 – $92.72
Total Claims
89,213
Providers
23
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 Downers Grove, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mazar Shuaipaj
4121 Fairview Ave |
$32.19 | 20,349 | 19,962 |
|
Navreet Kaur
7335 Lemont Rd |
$32.63 | 16,923 | 16,471 |
|
Sobia Rathore
7335 Lemont Rd |
$32.10 | 12,605 | 11,539 |
|
Aditya Singh Obi
6311 Woodward Ave |
$31.09 | 10,417 | 9,989 |
|
Vincent I-Sun Lin
1400 75Th St |
$33.75 | 7,940 | 7,622 |
|
Sara E. Banuelos
3800 Highland Ave Ste 108 |
$33.12 | 4,245 | 4,027 |
|
Moataz Salah
5540 Walnut Ave Apt 14C |
$28.79 | 2,957 | 2,796 |
|
Arif Samee
2932 Finley Rd |
$26.27 | 2,630 | 2,554 |
|
Lincy Varghese
3450 Lacey Rd |
$30.96 | 2,423 | 2,422 |
|
Clara Bajzek
7335 Lemont Rd |
$29.89 | 2,382 | 2,288 |
|
Sheila Chun-Hall
3450 Lacey Rd |
$17.66 | 1,742 | 1,192 |
|
Adel B Rahman
7335 Lemont Rd |
$29.58 | 1,399 | 1,388 |
|
Zayna Ajam
2835 Gabriella St Unit 509 |
$28.40 | 947 | 864 |
|
James A Zajac
518 Ogden Ave |
$29.48 | 921 | 837 |
|
Susanna Cristina Pischek
3450 Lacey Rd |
$22.80 | 438 | 430 |
|
Alexandra Nicole Nash
950 Ogden Ave |
$36.32 | 273 | 273 |
|
Jahnavi Rao
3450 Lacey Rd |
$1.16 | 258 | 164 |
|
Timothy R Toepke
3450 Lacey Rd |
$92.72 | 109 | 97 |
|
Margaret E Buell
3450 Lacey Rd |
$22.30 | 98 | 27 |
|
Joshua Mayer
3450 Lacey Rd |
$19.94 | 79 | 79 |
|
John Thomas Maffeo
3450 Lacey Rd |
$25.56 | 52 | 47 |
|
Meenakshi Balakrishnan
1330 Ogden Ave |
$4.86 | 13 | 13 |
|
Charlie Jordan Hobbs
3450 Lacey Rd |
$26.08 | 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 Downers Grove, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Downers Grove, IL is $31.46 per claim, based on 89,213 claims from 23 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 Downers Grove, IL?
There are 23 Medicaid providers offering Dental Cleaning & Exam related services in Downers Grove, IL according to public payment data.
What is the price range for Dental Cleaning & Exam in Downers Grove, IL?
Medicaid reimbursement for Dental Cleaning & Exam in Downers Grove, IL ranges from $1.16 to $92.72 per claim, with an average of $31.46. 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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Bronx, NY
Avg $31.12
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New York, NY
Avg $30.52
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Avg $11.18
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Avg $40.74
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Other Procedures in Downers Grove, IL
Office Visit
Avg $54.01
127,334 claims
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Avg $7.48
56,028 claims
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Avg $20.52
49,835 claims
Emergency Room Visit
Avg $74.43
43,407 claims
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Avg $15.40
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X-Ray
Avg $5.11
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Avg $26.01
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Avg $76.81
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