Average Medicaid Dental Cleaning & Exam Payments in Evanston, IL: $26.63
Avg. Paid
$26.63
Range
$0.00 – $38.43
Total Claims
168,165
Providers
21
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 Evanston, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
William Edward Gordon
635 Chicago Ave |
$32.52 | 29,191 | 28,101 |
|
Erie Family Health Center Inc
1285 Hartrey |
$0.00 | 25,658 | 23,904 |
|
Elizabeth Maria Zwolinska
1029 Howard St |
$31.36 | 24,668 | 23,203 |
|
Michael Edward Gordon
635 Chicago Ave |
$33.30 | 17,469 | 16,819 |
|
Harshala Chavan
500 Davis St Ste 106 |
$31.53 | 16,623 | 16,101 |
|
Charles Anthony Mcbroom
1029 Howard St Ste 203 |
$28.12 | 15,834 | 14,562 |
|
Hae Y Yoon
1819 Church St |
$32.80 | 9,031 | 8,571 |
|
Andre Amarante
2424 Main St |
$31.72 | 7,338 | 6,927 |
|
Carl Levan Cheeks
1626 Darrow Ave |
$30.97 | 6,896 | 6,753 |
|
Lauren Ming
800 Austin St Ste 506 |
$29.93 | 3,418 | 3,129 |
|
Maryam Moghadam
234 Ridge Ave |
$33.64 | 2,948 | 2,787 |
|
Joseph Bajtner
2650 Ridge Ave |
$38.43 | 2,186 | 2,183 |
|
Alexander Craig Karkazis
1029 Howard St |
$22.96 | 1,877 | 1,824 |
|
Nicole Dyme
1285 Hartrey Ave |
$25.17 | 1,690 | 1,676 |
|
Jazmine B Dillard
1964 Dempster St |
$32.44 | 1,577 | 1,504 |
|
Brandi Lynn Berland
1029 Howard St |
$20.18 | 1,433 | 1,319 |
|
Melvin Laurel Dillard
1964 Dempster St |
$33.03 | 273 | 262 |
|
Stephanie A Nguyen
2650 Ridge Ave |
$35.88 | 16 | 16 |
|
Kathryn Delfs
500 Davis St Ste 106 |
$0.00 | 15 | 14 |
|
Frank Lambros Karkazis
1029 Howard St |
$21.05 | 12 | 12 |
|
Preferred Dentistry Associates Of Wisconsin, L.L.C.
1029 Howard St |
$0.00 | 12 | 12 |
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 Evanston, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Evanston, IL is $26.63 per claim, based on 168,165 claims from 21 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 Evanston, IL?
There are 21 Medicaid providers offering Dental Cleaning & Exam related services in Evanston, IL according to public payment data.
What is the price range for Dental Cleaning & Exam in Evanston, IL?
Medicaid reimbursement for Dental Cleaning & Exam in Evanston, IL ranges from $0.00 to $38.43 per claim, with an average of $26.63. 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 Evanston, IL
Blood Work & Lab Tests
Avg $4.15
1,052,181 claims
Office Visit
Avg $30.84
316,260 claims
X-Ray
Avg $6.28
207,117 claims
Urinalysis & Urine Tests
Avg $2.40
179,487 claims
Emergency Room Visit
Avg $67.03
162,622 claims
Physical Therapy
Avg $61.27
128,326 claims
Nursing Facility Care
Avg $11.42
78,976 claims
CT Scan (Computed Tomography)
Avg $46.19
77,151 claims