Average Medicaid Dental Cleaning & Exam Payments in Fontana, CA: $47.27
Avg. Paid
$47.27
Range
$0.00 – $73.90
Total Claims
365,728
Providers
61
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 Fontana, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Wilberto Isaac Penalba
9922 Sierra Ave |
$52.83 | 29 | 29 |
|
Jun Son Yoo
16920 Foothill Blvd |
$69.82 | 77 | 77 |
|
Mahin Nosrati-Jahromi
13677 Foothill Blvd Ste M |
$71.23 | 94 | 94 |
|
Omar Alfaro
16701 Valley Blvd Ste C |
$68.77 | 112 | 112 |
|
Esma Anwar Yacoub
16944 S Highland Ave Ste 400 |
$0.00 | 200 | 200 |
|
Nora Taher Shams
6644 Golden Oak Ln |
$50.99 | 245 | 245 |
|
Marilou Panganiban Medina
14451 Foothill Blvd |
$41.60 | 247 | 247 |
|
Sejal Swapnil Rajurkar
7798 Cherry Ave |
$48.16 | 312 | 312 |
|
Young-Il Jo
9610 Sierra Ave Ste 200 |
$60.11 | 406 | 406 |
|
Alexandra R Ayoub
8110 Mango Ave |
$29.88 | 412 | 403 |
|
Siamak Afshar
11623 Cherry Ave |
$45.80 | 436 | 433 |
|
Francisco Javier Correa
17171 Foothill Blvd |
$73.90 | 446 | 445 |
|
Marvin Danilo Perez
17185 Arrow Blvd |
$46.87 | 642 | 640 |
|
Kashyap Sharma
17113 Arrow Blvd |
$56.01 | 646 | 646 |
|
Bassam W Fargo
8275 Sierra Ave Ste 102 |
$64.24 | 738 | 726 |
|
Marilyn Maia Nguyen
16475 Sierra Lakes Pkwy Ste 140 |
$67.02 | 935 | 935 |
|
Jesse Seifu Felema
14305 Baseline Ave |
$65.34 | 956 | 953 |
|
Salina Safaei
16701 Valley Blvd # Cd |
$55.04 | 960 | 958 |
|
Young Kwun Kim
8110 Mango Ave |
$59.11 | 1,302 | 1,298 |
|
Suneetha Sekhar Garlapati
9261 Sierra Ave |
$47.60 | 1,328 | 1,324 |
|
Maria Virginia Bravo-Espinoza
16147 Foothill Blvd |
$53.93 | 1,481 | 1,473 |
|
Philip Thuc Bui
9610 Sierra Ave, Fontana, Ca 92335 |
$62.11 | 1,487 | 1,462 |
|
Shriraj Ashok Shah
16184 Foothill Blvd Ste K |
$70.38 | 1,593 | 1,535 |
|
Jugal K Gupta
11623 Cherry Ave |
$50.60 | 1,665 | 1,663 |
|
Joon Mitchell Hur
16120 S Highland Ave # 300 |
$46.68 | 1,800 | 1,795 |
|
Sarmukh Singh Kang
9870 Sierra Ave Ste B |
$43.05 | 2,062 | 2,053 |
|
Yiyang Zou
16163 Plum St |
$56.52 | 2,157 | 2,156 |
|
Mhd Hazem Makhsida
9765 Sierra Ave |
$34.36 | 2,203 | 2,196 |
|
Ana Vargas Godoy
14755 Foothill Blvd |
$64.38 | 2,318 | 2,314 |
|
Marco Javier Castellanos
9725 Sierra Ave |
$48.35 | 2,819 | 2,808 |
|
Vivien Matibag Maghiran
14755 Foothill Blvd Ste E |
$70.03 | 2,954 | 2,927 |
|
Krupal Chhotu
9647 Sierra Ave |
$67.67 | 3,071 | 3,046 |
|
Nick L. Le
14976 Foothill Blvd Ste 100 |
$44.69 | 3,481 | 3,481 |
|
Augusto Adriano Santos
10144 Sierra Ave |
$50.14 | 3,516 | 3,510 |
|
Addison Chi-Kee Cheng
9190 Sierra Ave Ste 101 |
$64.53 | 3,816 | 3,801 |
|
Ruben Mendez
16701 Valley Blvd |
$65.92 | 3,874 | 3,853 |
|
Nyasha Michelle Scott
16465 Sierra Lakes Pkwy Ste 255 |
$38.44 | 4,367 | 4,326 |
|
Sidney Choi
7426 Cherry Ave Ste 250 |
$65.91 | 4,498 | 4,478 |
|
Kevin Thanh Tran
8188 Sierra Ave |
$48.52 | 4,609 | 4,600 |
|
Luis Ruben Cambero
8312 Juniper Ave |
$52.25 | 4,641 | 4,620 |
|
Thai Quoc Vu
10660 Sierra Ave Ste J |
$43.29 | 4,689 | 4,686 |
|
Feliza Helen Beleno Banez
9193 Sierra Ave Ste D |
$44.45 | 4,700 | 4,689 |
|
George Levy Parker
16475 Sierra Lakes Pkwy Ste 140 |
$55.36 | 5,285 | 5,279 |
|
Sarabjit Massoun
16953 Sierra Lakes Pkwy |
$50.14 | 5,489 | 5,471 |
|
Oganes Karapetian
14050 Cherry Ave Ste A |
$65.27 | 5,708 | 5,673 |
|
Kent Jerrold Fyfe
16476 Foothill Blvd |
$56.91 | 6,402 | 6,367 |
|
Ethar Riyadh Al-Wazeer
10144 Sierra Ave |
$62.92 | 6,473 | 6,404 |
|
Andrzej Lubczuk
9193 Sierra Ave Ste D |
$60.60 | 7,127 | 7,047 |
|
Amit Nayyar
9870 Sierra Ave Ste B |
$56.11 | 8,055 | 8,022 |
|
Alpesh K Patel
17644 Valley Blvd |
$55.74 | 8,413 | 8,378 |
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 Fontana, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Fontana, CA is $47.27 per claim, based on 365,728 claims from 61 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 Fontana, CA?
There are 61 Medicaid providers offering Dental Cleaning & Exam related services in Fontana, CA according to public payment data.
What is the price range for Dental Cleaning & Exam in Fontana, CA?
Medicaid reimbursement for Dental Cleaning & Exam in Fontana, CA ranges from $0.00 to $73.90 per claim, with an average of $47.27. 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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Bronx, NY
Avg $31.12
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New York, NY
Avg $30.52
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Phoenix, AZ
Avg $11.18
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San Antonio, TX
Avg $40.74
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Office Visit
Avg $28.02
1,091,402 claims
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Avg $3.30
817,161 claims
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Avg $2.88
471,653 claims
X-Ray
Avg $12.95
330,751 claims
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Avg $15.58
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Avg $191.26
282,136 claims
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Avg $1.12
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Avg $26.32
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