Average Medicaid Dental Cleaning & Exam Payments in Dubuque, IA: $21.68
Avg. Paid
$21.68
Range
$0.00 – $56.11
Total Claims
170,898
Providers
45
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 Dubuque, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Steven Matthew Leifker
1645 John F. Kennedy Rd |
$23.23 | 28,340 | 27,352 |
|
Lauren Fangman Schau
3455 Stoneman Rd Ste 2B |
$25.67 | 28,257 | 27,261 |
|
Valerie Budar Peckosh
3455 Stoneman Rd |
$25.24 | 26,795 | 26,147 |
|
Lydia Ileana Prieto
1690 Elm St Ste 300 |
$4.72 | 9,971 | 9,813 |
|
James C Walgren
1122 Rockdale Rd |
$27.04 | 9,868 | 9,722 |
|
Jeffry D Breitbach
3455 Stoneman Rd |
$4.43 | 7,636 | 7,557 |
|
Carrie K Borchardt
3430 Dodge St |
$22.96 | 7,122 | 6,983 |
|
Joseph A Zuccaro
895 Main St |
$26.14 | 7,016 | 6,886 |
|
Kevin J Stingley
1690 Elm St Ste 300 |
$4.20 | 7,003 | 6,835 |
|
Shiqi Wang
1690 Elm St Ste 300 |
$16.06 | 6,317 | 6,155 |
|
William Thomas Souto
1798 Washington St |
$56.11 | 6,003 | 5,986 |
|
Crescent Community Health Center
1690 Elm St Ste 300 |
$1.24 | 4,889 | 4,735 |
|
Kelly Binding
3455 Stoneman Rd Ste 2B |
$33.52 | 3,636 | 3,614 |
|
Aaron James Rauen
3430 Dodge St |
$22.99 | 2,127 | 2,020 |
|
Richard Dennis Downs
3430 Dodge St |
$19.75 | 1,987 | 1,805 |
|
Samantha S Humke
1690 Elm St Ste 300 |
$4.85 | 1,959 | 1,919 |
|
Christian Robert Strohmeyer
3300 Windsor Ave |
$21.94 | 1,771 | 1,738 |
|
Emily Kristine May
989 Langworthy St |
$25.08 | 1,519 | 1,504 |
|
Benjamin Chris Lundell
2100 Asbury Rd |
$19.65 | 1,128 | 1,093 |
|
Lindsey Katherine May
989 Langworthy St |
$21.40 | 1,039 | 1,015 |
|
William F. May
989 Langworthy St |
$22.79 | 886 | 874 |
|
Paul Eugene Hoffmann
988 West 3Rd St |
$21.74 | 670 | 560 |
|
James J Nemmers
968 W 3Rd St Ste 100 |
$23.46 | 610 | 590 |
|
Anna Marie Miller
968 West 3Rd |
$21.81 | 540 | 521 |
|
Brett N Kilburg
1890 John F Kennedy Rd |
$20.75 | 513 | 470 |
|
Thomas J King
100 Bryant St |
$26.56 | 432 | 417 |
|
Robin Lynn Briggs
988 West 3Rd St |
$20.95 | 404 | 396 |
|
Michael J Dalton
100 Bryant St |
$26.73 | 299 | 292 |
|
Applewhite Dental Iowa Pc
40 Main St |
$0.00 | 263 | 159 |
|
Fred K Cheung
1645 John F Kennedy Road |
$23.66 | 262 | 245 |
|
Peter James Nemmers
968 West 3Rd Street |
$16.23 | 257 | 239 |
|
Meghan R.M. Schultz
1880 Asbury Rd |
$25.13 | 256 | 241 |
|
Marco Rouman
1690 Elm St Ste 300 |
$2.22 | 250 | 231 |
|
Kimberly Victoria Pingel
100 Bryant St |
$25.16 | 223 | 212 |
|
Nicholas K Kane
1303 Delhi St |
$18.53 | 161 | 148 |
|
Michael David Bierie
3455 Stoneman Rd |
$24.85 | 98 | 96 |
|
Melanie Jo Stuntz
1890 John F Kennedy Rd |
$22.81 | 71 | 64 |
|
Ellen P Hoy
2100 Asbury Rd Ste 7 |
$16.50 | 65 | 64 |
|
Gary Robert Strohmeyer
3300 Windsor Ave |
$15.98 | 61 | 60 |
|
Anthony J Kalb
968 W 3Rd St |
$22.56 | 57 | 57 |
|
Andrew M Dewitt
100 Bryant St |
$25.02 | 56 | 55 |
|
Husein Barodawala
3432 Dodge St Ste 102 |
$28.85 | 27 | 27 |
|
Krista Lynn Berryhill
968 W 3Rd St |
$18.81 | 27 | 27 |
|
Karen Lee Runde
3422 Asbury Rd |
$15.28 | 15 | 15 |
|
Allison Leigh Heider
988 W 3Rd St Ste 202 |
$15.84 | 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 Dubuque, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Dubuque, IA is $21.68 per claim, based on 170,898 claims from 45 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 Dubuque, IA?
There are 45 Medicaid providers offering Dental Cleaning & Exam related services in Dubuque, IA according to public payment data.
What is the price range for Dental Cleaning & Exam in Dubuque, IA?
Medicaid reimbursement for Dental Cleaning & Exam in Dubuque, IA ranges from $0.00 to $56.11 per claim, with an average of $21.68. 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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Houston, TX
Avg $39.95
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Bronx, NY
Avg $31.12
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New York, NY
Avg $30.52
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Phoenix, AZ
Avg $11.18
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San Antonio, TX
Avg $40.74
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Other Procedures in Dubuque, IA
Office Visit
Avg $32.20
373,672 claims
Home Health Visit
Avg $80.30
197,901 claims
Non-Emergency Medical Transportation
Avg $18.04
191,796 claims
Blood Work & Lab Tests
Avg $4.85
188,839 claims
Psychiatric Evaluation
Avg $64.62
133,016 claims
Physical Therapy
Avg $32.69
124,259 claims
Emergency Room Visit
Avg $121.29
105,556 claims
Vaccines & Immunizations
Avg $15.59
65,715 claims