Average Medicaid Dental Cleaning & Exam Payments in Edison, NJ: $26.48
Avg. Paid
$26.48
Range
$0.00 – $53.85
Total Claims
177,448
Providers
43
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 Edison, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stephany Lizbeth Sanchez
65 James St |
$45.00 | 12 | 12 |
|
Dr. Dental Of Edison, Pc
561 Us Highway 1 |
$13.08 | 13 | 12 |
|
Glenn R. Regenye
619 Amboy Ave |
$2.00 | 25 | 25 |
|
Cassie Park
3900 Park Ave Ste 105 |
$24.16 | 25 | 25 |
|
Angela Lo
65 James St |
$29.66 | 31 | 31 |
|
Bruce A. Huberman
619 Amboy Ave |
$0.00 | 55 | 55 |
|
Bindeshwari S Korat
2623 Edward Stec Blvd |
$33.67 | 69 | 65 |
|
Ismile Dental Care Of Edison
1914 B Route 27 |
$19.50 | 80 | 80 |
|
Ashok K Vaid
3900 Park Avenue |
$20.90 | 100 | 100 |
|
Nathan Haber
485, Us Route 1 & Plainfield Avenue |
$25.77 | 132 | 132 |
|
Vrajeshkumar V Shah
411 Parsonage Rd |
$44.35 | 138 | 133 |
|
Richard A Kosofsky
2 Dayton Dr |
$30.24 | 158 | 158 |
|
Harita Kamalam Ravindran
1907 Oak Tree Rd Ste 204 |
$31.32 | 202 | 200 |
|
Bhavi Bhagia
253 Talmadge Rd |
$34.12 | 245 | 243 |
|
Rathimala Jothilingam
197 Westgate Dr |
$26.58 | 251 | 234 |
|
Soe Min Htet
65 James St |
$5.52 | 281 | 229 |
|
Bisma Sohail
888 Grove Ave |
$26.73 | 353 | 352 |
|
Wenheng Zhu
65 James St |
$22.84 | 382 | 377 |
|
Meeshal Shah
1914 Lincoln Highway |
$22.51 | 405 | 403 |
|
Keyur Modi
1036 Amboy Ave |
$27.74 | 457 | 457 |
|
Inman Dental Care Pc
3 Progress Street |
$15.53 | 486 | 486 |
|
Edison Dental P.A
1907 Oak Tree Rd |
$20.13 | 492 | 489 |
|
Serajus Salekin Quaderi
3 Progress St |
$10.63 | 629 | 617 |
|
Shivam Mukul Patel
253 Talmadge Rd |
$30.39 | 673 | 672 |
|
Mahbuba Rahman
3 Progress St |
$8.13 | 820 | 817 |
|
Anton Pimanov
485 Route 1 |
$19.84 | 1,078 | 1,077 |
|
Tender Smiles Of Edison Pa
1656 Oak Tree Rd |
$40.19 | 1,675 | 1,674 |
|
Bhawna Sharma
485 Route 1 |
$22.97 | 2,141 | 2,134 |
|
Hardeek Patel
35-37 Progress St |
$33.50 | 2,341 | 2,338 |
|
Niti Hemant Mehta
11 Karnell Ct |
$30.71 | 2,669 | 2,564 |
|
Da Vinci Dental Arts, Pa
102 James St |
$23.86 | 2,789 | 2,766 |
|
Niraj Gadhavi
2 Dayton Dr |
$22.49 | 4,019 | 3,906 |
|
Sharmila Chopra
561 Route 1 S |
$9.39 | 4,482 | 4,480 |
|
Chandan Venkatesh
193 Westgate Dr |
$23.86 | 5,372 | 5,296 |
|
Avani Patel
463 Wood Ave |
$22.32 | 7,634 | 7,167 |
|
Rajeshwari Diwana
603 Woodhaven Dr |
$53.85 | 8,576 | 8,567 |
|
Shomali Dasgupta
143 Woodbury Rd |
$22.29 | 8,584 | 8,091 |
|
Anuj Kapadia
65 James St |
$35.27 | 15,619 | 15,586 |
|
Cristian Morazan
194 Normandy Rd |
$26.86 | 16,076 | 15,942 |
|
Rajni Singh
3021 Edward Stec Blvd |
$32.79 | 19,882 | 19,881 |
|
Sharon Patel
35 Progress St # 37 |
$13.10 | 20,043 | 19,565 |
|
Milad Soliman Issa
2 Dayton Dr |
$18.61 | 23,332 | 23,188 |
|
Suhn Kim Yoon
3900 Park Ave Ste 105 |
$31.78 | 24,622 | 24,556 |
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 Edison, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Edison, NJ is $26.48 per claim, based on 177,448 claims from 43 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 Edison, NJ?
There are 43 Medicaid providers offering Dental Cleaning & Exam related services in Edison, NJ according to public payment data.
What is the price range for Dental Cleaning & Exam in Edison, NJ?
Medicaid reimbursement for Dental Cleaning & Exam in Edison, NJ ranges from $0.00 to $53.85 per claim, with an average of $26.48. 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
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San Antonio, TX
Avg $40.74
2,116,599 claims · 429 providers
Other Procedures in Edison, NJ
Home Health Visit
Avg $72.70
1,738,327 claims
Office Visit
Avg $46.03
753,071 claims
Blood Work & Lab Tests
Avg $8.48
735,324 claims
Physical Therapy
Avg $26.81
302,797 claims
Emergency Room Visit
Avg $201.48
285,731 claims
Ambulance Transport
Avg $135.04
200,274 claims
Vaccines & Immunizations
Avg $13.11
181,694 claims
X-Ray
Avg $18.91
144,439 claims