Average Medicaid Dental Cleaning & Exam Payments in Elizabeth, NJ: $27.85
Avg. Paid
$27.85
Range
$0.00 – $55.94
Total Claims
185,821
Providers
38
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 Elizabeth, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Yoomi Heo
65 Jefferson Ave |
$29.22 | 56,246 | 56,047 |
|
Rosalie V Matos
520 Westfield Ave Ste 301 |
$38.25 | 18,382 | 18,139 |
|
Svetlana Konstantinova
707 Elizabeth Ave |
$18.03 | 17,220 | 17,155 |
|
Jina Kandas
14 Winfield Scott Plz |
$21.46 | 10,298 | 10,138 |
|
Richard Thomas Robinson
65 Jefferson Ave |
$39.25 | 9,091 | 9,038 |
|
Jae An
65 Jefferson Ave |
$32.24 | 8,573 | 8,467 |
|
Abraham Banker
105 Elmora Ave |
$35.58 | 6,751 | 6,743 |
|
Grigoriy Yusupov
65 Jefferson Avenue |
$12.66 | 6,488 | 6,320 |
|
Kinjal J Mehta
151 Jefferson Ave |
$18.07 | 5,490 | 5,344 |
|
Eric Yeh
1124 E Jersey St |
$35.10 | 4,987 | 4,946 |
|
Dae D Hahm
65 Jefferson Ave |
$35.95 | 4,409 | 4,373 |
|
Nan-Yi Michael Lee
1000 S Elmora Ave |
$17.10 | 4,353 | 4,329 |
|
Ricardo Arduengo
230 W Jersey St |
$0.00 | 3,966 | 3,619 |
|
Jonathan Alan Banker
105 Elmora Ave |
$35.89 | 3,612 | 3,595 |
|
Zlata G Bavli
1000 S Elmora Ave |
$17.54 | 2,673 | 2,655 |
|
Guy Elliot Robinson
149 Jefferson Ave |
$14.40 | 2,552 | 2,525 |
|
Carla Dersarkissian
230 W Jersey St |
$43.98 | 2,053 | 2,047 |
|
Abraham Wenger
142 Palisade Rd |
$41.66 | 1,842 | 1,714 |
|
B & K Family Dental, Llc
707 Elizabeth Ave |
$20.00 | 1,772 | 1,771 |
|
All American Dental Pc
14 West Winfield Scott Plz |
$19.38 | 1,762 | 1,762 |
|
Sergey Yevgenyevich Basin
707 Elizabeth Ave |
$14.49 | 1,714 | 1,701 |
|
Zlata Bavli Dds Pc
1000 South Elmora Ave |
$21.25 | 1,497 | 1,496 |
|
Vicmary A. Kritharis
105 Elmora Ave |
$35.50 | 1,387 | 1,387 |
|
Michael Joseph Pagan
1124 E Jersey St |
$24.64 | 1,327 | 1,327 |
|
Benjamin L Pomeranc
700 N Broad St Ste 101 |
$18.95 | 1,268 | 1,264 |
|
Miguel B. Pou
98 W Jersey St |
$34.68 | 952 | 944 |
|
Edwin Rodriguez
98 W Jersey St |
$36.47 | 729 | 708 |
|
Gavin To
65 Jefferson Ave |
$36.73 | 701 | 697 |
|
Manuel John Matos
230 W Jersey St |
$44.35 | 578 | 576 |
|
Cassandra Kahn
1124 E Jersey St |
$44.77 | 565 | 565 |
|
Nemish Jay Desai
600 S Broad St |
$37.71 | 555 | 555 |
|
The Bedside Dentist Llc
1155 E Jersey St |
$22.32 | 483 | 483 |
|
Beatriz America Fernandez
230 W Jersey St |
$55.94 | 456 | 350 |
|
Skolnick Dental Associates Inc
1124 E Jersey St |
$43.22 | 428 | 428 |
|
M & A Professional Service Llc
1000 S Elmora Ave Ste 1E |
$20.16 | 250 | 247 |
|
Jung Bin Lee
151 Jefferson Ave |
$1.78 | 202 | 200 |
|
Jersey Garden Dental Pa
651 Kapkowski Rd |
$17.39 | 145 | 145 |
|
Elizabeth Smiline Dental, Llc
1206 E Grand St |
$22.94 | 64 | 64 |
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 Elizabeth, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Elizabeth, NJ is $27.85 per claim, based on 185,821 claims from 38 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 Elizabeth, NJ?
There are 38 Medicaid providers offering Dental Cleaning & Exam related services in Elizabeth, NJ according to public payment data.
What is the price range for Dental Cleaning & Exam in Elizabeth, NJ?
Medicaid reimbursement for Dental Cleaning & Exam in Elizabeth, NJ ranges from $0.00 to $55.94 per claim, with an average of $27.85. 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 Elizabeth, NJ
Office Visit
Avg $46.75
1,054,219 claims
Home Health Visit
Avg $73.66
998,753 claims
Blood Work & Lab Tests
Avg $8.67
444,887 claims
Psychiatric Evaluation
Avg $108.09
323,822 claims
Emergency Room Visit
Avg $175.41
311,968 claims
Non-Emergency Medical Transportation
Avg $34.17
297,323 claims
Vaccines & Immunizations
Avg $12.38
217,358 claims
Eye Exam
Avg $26.25
176,694 claims