Average Medicaid Dental Cleaning & Exam Payments in Duarte, CA: $51.11
Avg. Paid
$51.11
Range
$0.00 – $69.32
Total Claims
44,961
Providers
8
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 Duarte, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Babon Banawis
1745 Huntington Dr. |
$49.86 | 28,747 | 28,679 |
|
Maribelle Tam
1217 Huntington Dr |
$51.35 | 11,086 | 11,065 |
|
Lal Lawm Thanga
1755 Huntington Dr Ste 101 |
$69.32 | 3,264 | 3,242 |
|
Daisy Francisca Debora
1016 Huntington Dr |
$39.40 | 1,213 | 1,193 |
|
Nathaniel Joel Khoe
1016 Huntington Dr |
$39.45 | 520 | 513 |
|
Alicia P. Cuento, M.D., Inc
931 Buena Vista St |
$0.00 | 95 | 95 |
|
Mohamad Saleh Kholaki
1230 Huntington Dr |
$31.25 | 24 | 24 |
|
Georgette Tadros
931 Buena Vista |
$0.00 | 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 Duarte, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Duarte, CA is $51.11 per claim, based on 44,961 claims from 8 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 Duarte, CA?
There are 8 Medicaid providers offering Dental Cleaning & Exam related services in Duarte, CA according to public payment data.
What is the price range for Dental Cleaning & Exam in Duarte, CA?
Medicaid reimbursement for Dental Cleaning & Exam in Duarte, CA ranges from $0.00 to $69.32 per claim, with an average of $51.11. 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 Duarte, CA
Blood Work & Lab Tests
Avg $31.52
242,038 claims
Office Visit
Avg $29.40
238,905 claims
Behavioral & Mental Health Therapy
Avg $129.20
120,702 claims
Pathology & Lab Services
Avg $68.39
112,731 claims
Chemotherapy
Avg $93.70
81,579 claims
CT Scan (Computed Tomography)
Avg $175.50
54,573 claims
X-Ray
Avg $11.23
47,178 claims
Prescription Medications
Avg $127.99
46,050 claims