Average Medicaid Dental Cleaning & Exam Payments in Flanders, NJ: $39.58
Avg. Paid
$39.58
Range
$33.36 – $47.50
Total Claims
18,869
Providers
5
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 Flanders, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rand Dental Associates, P.A.
191 Us Highway 206 |
$44.67 | 8,987 | 8,726 |
|
Cheryl Li
191 Us Highway 206 Ste 11 |
$33.98 | 5,893 | 5,889 |
|
Elliot Jay Rand
191 Route 206 |
$33.36 | 1,927 | 1,926 |
|
Amy R Patel
191 Rte 206 Ste 11 |
$37.81 | 1,768 | 1,768 |
|
David M Book
272 Us Highway 206 |
$47.50 | 294 | 288 |
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 Flanders, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Flanders, NJ is $39.58 per claim, based on 18,869 claims from 5 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 Flanders, NJ?
There are 5 Medicaid providers offering Dental Cleaning & Exam related services in Flanders, NJ according to public payment data.
What is the price range for Dental Cleaning & Exam in Flanders, NJ?
Medicaid reimbursement for Dental Cleaning & Exam in Flanders, NJ ranges from $33.36 to $47.50 per claim, with an average of $39.58. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Flanders, NJ
Office Visit
Avg $58.19
4,734 claims
Dental Filling
Avg $53.63
3,751 claims
Non-Emergency Medical Transportation
Avg $14.45
2,990 claims
Substance Abuse Treatment
Avg $37.90
1,440 claims
Tooth Extraction
Avg $114.30
1,036 claims
Psychiatric Evaluation
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630 claims
Root Canal
Avg $543.60
558 claims
Case Management Services
Avg $268.00
410 claims