Average Medicaid Dental Cleaning & Exam Payments in East Boston, MA: $32.46
Avg. Paid
$32.46
Range
$14.38 – $44.28
Total Claims
161,308
Providers
16
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 East Boston, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Amit Mehra
55 Meridian St |
$40.56 | 16 | 14 |
|
Donna Louise Calsimitto
123 London St |
$14.38 | 16 | 13 |
|
Julia O Faigel Dmd Pc
55 Meridian St |
$23.85 | 176 | 174 |
|
Wanda L Irzykowski
19 Porter St |
$27.82 | 242 | 236 |
|
Umuhire Ntabana
20 Maverick Sq |
$38.99 | 421 | 396 |
|
Laura Fuentes
38 Central Sq |
$30.61 | 733 | 733 |
|
Maitri Shah
151 Meridian St |
$42.39 | 788 | 752 |
|
Andre Zelikov
55 Meridian St |
$40.05 | 1,959 | 1,936 |
|
Nidhi Gehlot
55 Meridian Street |
$37.23 | 2,971 | 2,895 |
|
Garima Rana
45 Maverick Sq |
$39.62 | 9,936 | 9,794 |
|
Nicholas R Franco
3 Meridian Street |
$38.07 | 10,872 | 10,780 |
|
Michelle J Anderson
10 Gove St |
$44.28 | 12,724 | 12,538 |
|
Rachna Jha
55 Meridian St |
$40.29 | 14,888 | 14,433 |
|
Sumati Bhalla
20 Maverick Sq |
$43.54 | 15,717 | 15,577 |
|
Mehdi Rahmatpour Llc
79 Meridian St |
$42.37 | 28,320 | 27,897 |
|
Medical Associates Of Ebnhc
10 Gove St |
$18.01 | 61,529 | 38,990 |
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 East Boston, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in East Boston, MA is $32.46 per claim, based on 161,308 claims from 16 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 East Boston, MA?
There are 16 Medicaid providers offering Dental Cleaning & Exam related services in East Boston, MA according to public payment data.
What is the price range for Dental Cleaning & Exam in East Boston, MA?
Medicaid reimbursement for Dental Cleaning & Exam in East Boston, MA ranges from $14.38 to $44.28 per claim, with an average of $32.46. 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 East Boston, MA
Office Visit
Avg $35.86
606,020 claims
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Avg $9.74
170,490 claims
Psychiatric Evaluation
Avg $59.28
155,304 claims
Substance Abuse Treatment
Avg $54.95
140,212 claims
Emergency Room Visit
Avg $86.63
98,842 claims
Behavioral & Mental Health Therapy
Avg $92.47
84,843 claims
Eye Exam
Avg $64.10
60,811 claims
Dental Filling
Avg $61.48
49,045 claims