Average Medicaid Dental Cleaning & Exam Payments in Elgin, IL: $25.66
Avg. Paid
$25.66
Range
$0.22 – $47.82
Total Claims
216,204
Providers
35
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 Elgin, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Amjad Mahairi
15 N Geneva St |
$31.18 | 45,757 | 42,965 |
|
Greater Family Health
450 Dundee Ave |
$0.22 | 40,199 | 39,256 |
|
Alex Lee
47 Clock Tower Plz |
$32.29 | 17,918 | 17,406 |
|
Osmar Rodriguez
300 S Mclean Blvd Ste M |
$32.86 | 15,934 | 15,360 |
|
Kimberly Trinh
2050 Larkin Ave Ste 100 |
$33.63 | 13,758 | 13,417 |
|
Dai-Hong Kim
504 Waverly Dr # 506 |
$34.18 | 13,114 | 12,494 |
|
Dalvina S Sharma
344 Shadow Hill Dr |
$32.20 | 11,010 | 10,362 |
|
Justin J. Baik
400 S Randall Rd Ste G |
$26.30 | 7,839 | 7,800 |
|
Hossam Abdelsalam
47 Clock Tower Plz |
$30.10 | 7,766 | 7,557 |
|
Suzi Azhari
373 Summit St |
$29.64 | 7,314 | 7,017 |
|
Michael Sam Fakhouri
504-506 Waverly Drive |
$34.90 | 6,139 | 6,137 |
|
Jase Kaui Chun
47 Clock Tower Plz |
$33.55 | 4,262 | 4,026 |
|
Shehbaz Shareef
1185 Dundee Ave |
$31.31 | 3,761 | 3,701 |
|
Meliza C Quesea
450 Dundee Ave |
$10.44 | 3,293 | 3,036 |
|
Priyanka Jain
74 N Alfred Ave |
$33.98 | 2,877 | 2,749 |
|
Radhika Shah
300 S Mclean Blvd Ste M |
$30.99 | 2,733 | 2,494 |
|
Bhumika Shah Patel
115 S Grove Ave |
$34.87 | 2,603 | 2,495 |
|
Bushra Zafar
247 Dundee Ave |
$32.34 | 2,353 | 2,340 |
|
Won Sung
431 Summit St |
$31.79 | 2,232 | 2,181 |
|
Monika Kak
15 N Geneva St |
$31.15 | 1,904 | 1,826 |
|
Nasir J Ahmed
1750 N Randall Rd |
$27.81 | 492 | 484 |
|
Bill R Galanes
680 Prospect St |
$23.44 | 462 | 421 |
|
Gina Uy
450 Dundee Ave |
$28.27 | 455 | 455 |
|
Avani Patel
1350 E Chicago St Unit 4 |
$30.56 | 409 | 385 |
|
Elizabeth Escarria
1185 Dundee Ave |
$27.22 | 360 | 306 |
|
Aleksandra M Gwozdz
860 Summit St |
$28.55 | 286 | 276 |
|
Saema Tehseen Qadri
74 N Alfred Ave |
$30.23 | 188 | 182 |
|
Shuo Yan
47 Clock Tower Plz |
$47.82 | 173 | 173 |
|
Zayd Mahairi
15 N Geneva St |
$30.95 | 149 | 149 |
|
Asma Shareef
1185 Dundee Ave |
$34.20 | 132 | 130 |
|
Susan Edukutharayil
115 S Grove Ave |
$23.33 | 129 | 121 |
|
Mumtaz Ahmed Siddique
552 N Mclean Blvd |
$35.80 | 74 | 73 |
|
Lorene Serhan Akroush
450 Dundee Ave |
$1.25 | 69 | 68 |
|
Siri Chanthasalo
3091 W. Route 20 |
$27.60 | 35 | 28 |
|
Vu Kong
1350 E Chicago St Unit 4 |
$31.42 | 25 | 25 |
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 Elgin, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Elgin, IL is $25.66 per claim, based on 216,204 claims from 35 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 Elgin, IL?
There are 35 Medicaid providers offering Dental Cleaning & Exam related services in Elgin, IL according to public payment data.
What is the price range for Dental Cleaning & Exam in Elgin, IL?
Medicaid reimbursement for Dental Cleaning & Exam in Elgin, IL ranges from $0.22 to $47.82 per claim, with an average of $25.66. 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
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Avg $16.29
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