Average Medicaid Dental Cleaning & Exam Payments in Gaithersburg, MD: $40.23
Avg. Paid
$40.23
Range
$0.00 – $61.48
Total Claims
222,806
Providers
51
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 Gaithersburg, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James Tong
803 Russell Ave Ste 2A |
$40.14 | 29,847 | 29,474 |
|
Farrokh Erfan
438 N Frederick Ave |
$40.52 | 28,227 | 26,781 |
|
Ossob Abdillahi
845 Quince Orchard Blvd Ste H |
$39.13 | 25,005 | 24,634 |
|
Ha Doan Thi Ung
28B S Frederick Ave |
$39.32 | 19,780 | 19,456 |
|
Siros Arefi
18544 Office Park Dr |
$39.79 | 15,040 | 14,180 |
|
Monica Chrisel Buhay-Ogilvie
806 W Diamond Ave Ste 250 |
$39.95 | 10,060 | 9,939 |
|
Bahram Nasehi
18544 Office Park Dr |
$39.91 | 9,982 | 9,767 |
|
Min Yan Kim
818 W. Diamond Ave Suite 220 |
$40.11 | 8,941 | 8,807 |
|
Shideh Emdadi
8 Russell Ave |
$44.25 | 7,308 | 7,218 |
|
Naveen Kwatra
806 W Diamond Ave Ste 250 |
$38.06 | 7,151 | 7,097 |
|
Keturah L Lowe
845 Quince Orchard Blvd Ste H |
$40.18 | 6,799 | 6,670 |
|
Sabih Ali Haq
18544 Office Park Dr |
$41.45 | 6,162 | 6,123 |
|
Michael Chang
16220 Frederick Rd Ste 315 |
$40.62 | 6,017 | 5,956 |
|
Amir H Zolfaghari
104 N Summit Ave |
$42.85 | 5,973 | 5,814 |
|
Sung Ryel Choi
1 Maryland Ave Ste A |
$49.98 | 5,351 | 5,196 |
|
Bryan Gover
8 Russell Ave |
$47.44 | 4,799 | 4,737 |
|
Shakila Banu Usman
108 Olde Towne Ave |
$38.20 | 3,468 | 3,410 |
|
Josephine A Amigo
115 Market St |
$36.24 | 3,017 | 2,988 |
|
Thomas Yoon
20219 Goshen Rd |
$44.46 | 2,553 | 2,516 |
|
Hang Thanh Nguyen
15200 Shady Grove Road |
$23.88 | 2,123 | 2,064 |
|
Deepa Kastoori
343 W Side Dr |
$33.09 | 1,941 | 1,875 |
|
Brandon Lee
845 Quince Orchard Blvd Ste H |
$44.51 | 1,534 | 1,522 |
|
Richard Sun
9087 Shady Grove Ct |
$23.10 | 1,481 | 1,461 |
|
Eftekhar Alsadat Hassani
4 Professional Dr Ste 121 |
$54.26 | 1,361 | 1,328 |
|
Shu-Hsia Wang
16037 Comprint Cir |
$51.87 | 1,200 | 1,090 |
|
Farnoush Mirmiran
12105 Darnestown Rd |
$49.06 | 1,024 | 1,013 |
|
Michelle M Janbakhsh
901 Russell Ave |
$34.24 | 956 | 949 |
|
Ira Reiz
237 Kentlands Blvd |
$0.00 | 758 | 741 |
|
Mandana Goodarzi Logmanni
8 Russell Ave |
$53.90 | 669 | 659 |
|
Robert James Wilson
9 Desellum Ave |
$35.25 | 626 | 621 |
|
Payam Pourahmad Haghighi
12116 Darnestown Rd Ste L1 |
$44.99 | 495 | 495 |
|
Rizwan Ahmad
115 Market St |
$37.89 | 494 | 485 |
|
Sunil A Lengade
104 N Summit Ave |
$33.25 | 426 | 425 |
|
Farnaz A Damavandi
933 Russell Ave |
$37.97 | 420 | 419 |
|
Enrique I Farina
9548 Melrose Square Way, |
$34.79 | 379 | 375 |
|
Chitra Ghafari
60 Market St |
$61.48 | 375 | 373 |
|
Imtiaz Noor
106 S Frederick Ave |
$32.69 | 211 | 210 |
|
Heather Minh Nguyen
610 Professional Dr Ste 250 |
$32.45 | 127 | 123 |
|
Aisha Syed
115 Market St |
$46.73 | 116 | 116 |
|
Hanin Al-Rubai
9936 Shelburne Ter Apt 101 |
$26.77 | 98 | 96 |
|
Mahshid Majlessi Koopaeei
308 Main St |
$44.48 | 96 | 95 |
|
Heng-Ying I Chu
1 Bank St Ste 240 |
$38.82 | 94 | 84 |
|
Jun Tae Bae, Dds, Llc
501 N Frederick Ave |
$0.00 | 92 | 92 |
|
Roya Moazzez
317 Main St |
$29.08 | 56 | 56 |
|
Ha Doan Thi Ung, Dds, Pc
28B S Frederick Ave |
$0.00 | 41 | 41 |
|
Montgomery Village Dental Ctr
18544 Office Park Drive |
$0.00 | 34 | 34 |
|
Yasmin Akhlaghi
9069 Shady Grove Ct |
$49.46 | 30 | 30 |
|
Taha Azimaie
308 Main St |
$14.20 | 27 | 27 |
|
Robert Yu
814 W Diamond Ave Ste 300 |
$43.20 | 15 | 15 |
|
Sameea Mahmud
106 S Frederick Ave |
$56.34 | 15 | 15 |
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 Gaithersburg, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Gaithersburg, MD is $40.23 per claim, based on 222,806 claims from 51 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 Gaithersburg, MD?
There are 51 Medicaid providers offering Dental Cleaning & Exam related services in Gaithersburg, MD according to public payment data.
What is the price range for Dental Cleaning & Exam in Gaithersburg, MD?
Medicaid reimbursement for Dental Cleaning & Exam in Gaithersburg, MD ranges from $0.00 to $61.48 per claim, with an average of $40.23. 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 Gaithersburg, MD
Office Visit
Avg $81.43
583,421 claims
Psychiatric Evaluation
Avg $110.54
412,044 claims
Ambulance Transport
Avg $44.47
220,202 claims
Physical Therapy
Avg $24.72
184,105 claims
Vaccines & Immunizations
Avg $28.91
99,780 claims
Molecular & Genetic Testing
Avg $179.29
78,884 claims
Eye Exam
Avg $34.25
57,543 claims
Dental Filling
Avg $118.94
56,387 claims