Average Medicaid Dental Cleaning & Exam Payments in Fond Du Lac, WI: $26.31
Avg. Paid
$26.31
Range
$0.00 – $52.93
Total Claims
13,107
Providers
10
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 Fond Du Lac, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Fond Du Lac County
160 S Macy St |
$22.59 | 7,671 | 7,451 |
|
Mohammad Z Taqvi
545 E Johnson St |
$24.92 | 2,228 | 2,097 |
|
Kent Alan Zocher
545 E Johnson St |
$52.93 | 2,108 | 1,995 |
|
Stephen P Forsyth
545 E Johnson St |
$0.00 | 720 | 709 |
|
Anita Lynn Behm
160 S Macy St |
$1.89 | 180 | 171 |
|
Timothy Allen Harper
333 N Peters Ave |
$15.76 | 87 | 85 |
|
Richard Sterling Harris
545 E Johnson St |
$25.44 | 71 | 70 |
|
Daniel Strand Mahn
545 E Johnson St |
$23.31 | 15 | 15 |
|
William Alan Caputo
545 E Johnson St |
$21.05 | 15 | 15 |
|
William C Mauthe
101 Camelot Dr Ste 3 |
$25.84 | 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 Fond Du Lac, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Fond Du Lac, WI is $26.31 per claim, based on 13,107 claims from 10 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 Fond Du Lac, WI?
There are 10 Medicaid providers offering Dental Cleaning & Exam related services in Fond Du Lac, WI according to public payment data.
What is the price range for Dental Cleaning & Exam in Fond Du Lac, WI?
Medicaid reimbursement for Dental Cleaning & Exam in Fond Du Lac, WI ranges from $0.00 to $52.93 per claim, with an average of $26.31. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dental Cleaning & Exam in Other Cities
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Avg $29.76
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Chicago, IL
Avg $29.66
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Los Angeles, CA
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