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 |
|---|---|---|---|
|
Rouhanian Dental Pc
845 Quince Orchard Blvd Ste H |
$0.00 | 12 | 12 |
|
Sameea Mahmud
106 S Frederick Ave |
$56.34 | 15 | 15 |
|
Robert Yu
814 W Diamond Ave Ste 300 |
$43.20 | 15 | 15 |
|
Taha Azimaie
308 Main St |
$14.20 | 27 | 27 |
|
Yasmin Akhlaghi
9069 Shady Grove Ct |
$49.46 | 30 | 30 |
|
Montgomery Village Dental Ctr
18544 Office Park Drive |
$0.00 | 34 | 34 |
|
Ha Doan Thi Ung, Dds, Pc
28B S Frederick Ave |
$0.00 | 41 | 41 |
|
Roya Moazzez
317 Main St |
$29.08 | 56 | 56 |
|
Jun Tae Bae, Dds, Llc
501 N Frederick Ave |
$0.00 | 92 | 92 |
|
Heng-Ying I Chu
1 Bank St Ste 240 |
$38.82 | 94 | 84 |
|
Mahshid Majlessi Koopaeei
308 Main St |
$44.48 | 96 | 95 |
|
Hanin Al-Rubai
9936 Shelburne Ter Apt 101 |
$26.77 | 98 | 96 |
|
Aisha Syed
115 Market St |
$46.73 | 116 | 116 |
|
Heather Minh Nguyen
610 Professional Dr Ste 250 |
$32.45 | 127 | 123 |
|
Imtiaz Noor
106 S Frederick Ave |
$32.69 | 211 | 210 |
|
Chitra Ghafari
60 Market St |
$61.48 | 375 | 373 |
|
Enrique I Farina
9548 Melrose Square Way, |
$34.79 | 379 | 375 |
|
Farnaz A Damavandi
933 Russell Ave |
$37.97 | 420 | 419 |
|
Sunil A Lengade
104 N Summit Ave |
$33.25 | 426 | 425 |
|
Rizwan Ahmad
115 Market St |
$37.89 | 494 | 485 |
|
Payam Pourahmad Haghighi
12116 Darnestown Rd Ste L1 |
$44.99 | 495 | 495 |
|
Robert James Wilson
9 Desellum Ave |
$35.25 | 626 | 621 |
|
Mandana Goodarzi Logmanni
8 Russell Ave |
$53.90 | 669 | 659 |
|
Ira Reiz
237 Kentlands Blvd |
$0.00 | 758 | 741 |
|
Michelle M Janbakhsh
901 Russell Ave |
$34.24 | 956 | 949 |
|
Farnoush Mirmiran
12105 Darnestown Rd |
$49.06 | 1,024 | 1,013 |
|
Shu-Hsia Wang
16037 Comprint Cir |
$51.87 | 1,200 | 1,090 |
|
Eftekhar Alsadat Hassani
4 Professional Dr Ste 121 |
$54.26 | 1,361 | 1,328 |
|
Richard Sun
9087 Shady Grove Ct |
$23.10 | 1,481 | 1,461 |
|
Brandon Lee
845 Quince Orchard Blvd Ste H |
$44.51 | 1,534 | 1,522 |
|
Deepa Kastoori
343 W Side Dr |
$33.09 | 1,941 | 1,875 |
|
Hang Thanh Nguyen
15200 Shady Grove Road |
$23.88 | 2,123 | 2,064 |
|
Thomas Yoon
20219 Goshen Rd |
$44.46 | 2,553 | 2,516 |
|
Josephine A Amigo
115 Market St |
$36.24 | 3,017 | 2,988 |
|
Shakila Banu Usman
108 Olde Towne Ave |
$38.20 | 3,468 | 3,410 |
|
Bryan Gover
8 Russell Ave |
$47.44 | 4,799 | 4,737 |
|
Sung Ryel Choi
1 Maryland Ave Ste A |
$49.98 | 5,351 | 5,196 |
|
Amir H Zolfaghari
104 N Summit Ave |
$42.85 | 5,973 | 5,814 |
|
Michael Chang
16220 Frederick Rd Ste 315 |
$40.62 | 6,017 | 5,956 |
|
Sabih Ali Haq
18544 Office Park Dr |
$41.45 | 6,162 | 6,123 |
|
Keturah L Lowe
845 Quince Orchard Blvd Ste H |
$40.18 | 6,799 | 6,670 |
|
Naveen Kwatra
806 W Diamond Ave Ste 250 |
$38.06 | 7,151 | 7,097 |
|
Shideh Emdadi
8 Russell Ave |
$44.25 | 7,308 | 7,218 |
|
Min Yan Kim
818 W. Diamond Ave Suite 220 |
$40.11 | 8,941 | 8,807 |
|
Bahram Nasehi
18544 Office Park Dr |
$39.91 | 9,982 | 9,767 |
|
Monica Chrisel Buhay-Ogilvie
806 W Diamond Ave Ste 250 |
$39.95 | 10,060 | 9,939 |
|
Siros Arefi
18544 Office Park Dr |
$39.79 | 15,040 | 14,180 |
|
Ha Doan Thi Ung
28B S Frederick Ave |
$39.32 | 19,780 | 19,456 |
|
Ossob Abdillahi
845 Quince Orchard Blvd Ste H |
$39.13 | 25,005 | 24,634 |
|
Farrokh Erfan
438 N Frederick Ave |
$40.52 | 28,227 | 26,781 |
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