Average Medicaid Dental Cleaning & Exam Payments in Erie, PA: $21.85
Avg. Paid
$21.85
Range
$0.00 – $37.14
Total Claims
63,597
Providers
40
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 Erie, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cortney Archbold
5690 Perry Hwy |
$27.73 | 5,246 | 5,240 |
|
John W Cerminara
1341 W 26Th St |
$25.65 | 5,050 | 5,024 |
|
Andrew Dillner
702 W 34Th St |
$24.88 | 4,603 | 4,564 |
|
Moshood B Martins
7040 Peach Street |
$25.52 | 4,458 | 4,153 |
|
Kristine Marie Fromknecht
2702 Zuck Rd |
$27.75 | 3,720 | 3,713 |
|
Maryna Petrasheuskaya
1611 State Street |
$1.60 | 3,397 | 3,367 |
|
Claudia I Mcallister
1341 W 26Th St |
$26.68 | 3,370 | 3,368 |
|
Ahmed Ayad Al Kayaly
6660 Peach St # C12 |
$37.14 | 3,279 | 3,236 |
|
Sakthi Tiruchirapalli Kesavan
2922 State St |
$0.00 | 3,168 | 3,164 |
|
Adam Jeffrey Hammerlee
2120 E 10Th St |
$0.00 | 2,752 | 2,719 |
|
Community Health Net
1611 Peach St |
$0.00 | 2,423 | 2,419 |
|
Madeline Harvey
7040 Peach St |
$32.62 | 2,154 | 2,147 |
|
David E Shapter
128 W 12Th St |
$36.98 | 2,128 | 2,122 |
|
Laura King
5690 Perry Hwy |
$27.25 | 1,897 | 1,885 |
|
Bishoy Seliman
7040 Peach St, Erie, Pa 16509 |
$32.62 | 1,842 | 1,837 |
|
Robert A Glecos
6660 Peach St |
$25.44 | 1,816 | 1,814 |
|
Alan D Goldman
6660 Peach Street |
$27.63 | 1,812 | 1,807 |
|
Jeff Arthur Jageman
343 W 10Th St |
$28.39 | 1,395 | 1,382 |
|
Kristina Franek
1611 Peach St Ste 465 |
$0.00 | 1,385 | 1,384 |
|
Community Health Net
2120 E 10Th St |
$0.00 | 1,155 | 1,153 |
|
William Dale Hammerlee
5158 Peach St |
$27.67 | 1,073 | 1,073 |
|
Jeffery Allen Borst
1611 Peach St Ste 465 |
$20.83 | 816 | 809 |
|
Anthony Cerminara
1341 W 26Th St |
$29.92 | 803 | 797 |
|
Howard William Miller
2000 W Grandview Blvd |
$34.13 | 727 | 725 |
|
Gregory Michael Cropp
5690 Perry Hwy |
$26.08 | 526 | 526 |
|
Samer Mansour
702 W 34Th St |
$34.28 | 501 | 501 |
|
Community Health Net
1202 State St |
$0.00 | 500 | 497 |
|
Steven James Speca
6660 Peach St |
$33.21 | 346 | 346 |
|
Erin K Rose
2606 Caughey Rd |
$24.78 | 341 | 332 |
|
Douglas R Weber
702 W 34Th St |
$25.25 | 218 | 217 |
|
Plaza Dental Associates Pc
702 West 34Th St |
$27.13 | 186 | 186 |
|
Amanda Leigh Cusati
702 W 34Th St |
$25.67 | 153 | 151 |
|
Comprehensive Dental Group, Llc
5158 Peach St |
$26.13 | 142 | 142 |
|
Richard Wilcko
702 W 34Th St |
$24.26 | 71 | 71 |
|
Kurt S Dangl
5158 Peach St |
$28.91 | 43 | 43 |
|
David James Demarco
333 State St Ste 310 |
$17.07 | 28 | 28 |
|
Jacqueline Tuthill
5125 Zuck Rd |
$24.54 | 28 | 25 |
|
Julia Renee Deluca
702 W 34Th St |
$19.92 | 16 | 16 |
|
Timothy Mcmichael Theisen
4330 Peach St |
$19.93 | 15 | 15 |
|
Bijan Birgani
3464 W 26Th St |
$21.60 | 14 | 14 |
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 Erie, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Erie, PA is $21.85 per claim, based on 63,597 claims from 40 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 Erie, PA?
There are 40 Medicaid providers offering Dental Cleaning & Exam related services in Erie, PA according to public payment data.
What is the price range for Dental Cleaning & Exam in Erie, PA?
Medicaid reimbursement for Dental Cleaning & Exam in Erie, PA ranges from $0.00 to $37.14 per claim, with an average of $21.85. 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
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Avg $31.12
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New York, NY
Avg $30.52
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Avg $11.18
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San Antonio, TX
Avg $40.74
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