Average Medicaid Dental Cleaning & Exam Payments in East Longmeadow, MA: $37.94
Avg. Paid
$37.94
Range
$8.14 – $52.47
Total Claims
30,849
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 Longmeadow, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Max Kernizan
382 N Main St |
$43.23 | 7,610 | 7,339 |
|
Vinay Kapoor
106 Pinehurst Dr |
$35.63 | 4,431 | 4,367 |
|
Tomasz A Chrzan
100 Shaker Rd |
$37.14 | 4,271 | 4,076 |
|
John Calabrese
250 N Main St Ste A |
$36.54 | 3,848 | 3,786 |
|
Boriana Canby
294 N Main St |
$37.22 | 2,237 | 2,209 |
|
Joseph Deschene
52 N Main St |
$44.50 | 1,700 | 1,677 |
|
Sara Jambard
5 Halon Ter |
$51.53 | 1,355 | 1,351 |
|
Michael Doe
434 N Main St # 110 |
$8.14 | 1,352 | 1,335 |
|
Ascent Dental Care Llc
250 N Main St |
$28.91 | 1,165 | 1,151 |
|
Malay T Parekh
250 N Main St # A |
$33.75 | 938 | 866 |
|
Richard Joseph Fraziero
382 North Main Street |
$44.31 | 787 | 782 |
|
Maxillofacial & Implant Surgery Of Western Mass Pc
382 N Main St Ste 202 |
$43.86 | 671 | 469 |
|
Laurie M Brown
52 N Main St |
$33.72 | 216 | 216 |
|
Facial Cosmetic & Maxillofacial Surgery P.C.
382 N Main St |
$25.66 | 212 | 197 |
|
David Cardaropoli
200 N Main St Ste 1104 |
$36.41 | 41 | 41 |
|
New England Dental Care
132 Canterbury Circle |
$52.47 | 15 | 15 |
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 Longmeadow, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in East Longmeadow, MA is $37.94 per claim, based on 30,849 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 Longmeadow, MA?
There are 16 Medicaid providers offering Dental Cleaning & Exam related services in East Longmeadow, MA according to public payment data.
What is the price range for Dental Cleaning & Exam in East Longmeadow, MA?
Medicaid reimbursement for Dental Cleaning & Exam in East Longmeadow, MA ranges from $8.14 to $52.47 per claim, with an average of $37.94. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Avg $29.66
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Other Procedures in East Longmeadow, MA
Personal Care Services
Avg $311.37
112,024 claims
Office Visit
Avg $56.65
56,974 claims
Psychiatric Evaluation
Avg $55.13
51,540 claims
Tooth Extraction
Avg $151.96
39,258 claims
Home Health Visit
Avg $11.63
35,615 claims
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Avg $17.64
24,594 claims
Nursing Facility Care
Avg $15.73
20,331 claims
Chiropractic Care
Avg $21.65
13,624 claims