Average Medicaid Dental Cleaning & Exam Payments in Gilroy, CA: $55.09
Avg. Paid
$55.09
Range
$43.07 – $73.94
Total Claims
66,325
Providers
14
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 Gilroy, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ramsey Allan Clor
1335 1St St |
$73.94 | 109 | 107 |
|
Jeffrey Vinh Khang Ngo
780 1St St |
$73.74 | 231 | 231 |
|
Rahul R Kini
780 1St St |
$67.54 | 442 | 442 |
|
Savitha Seshadri
681 1St St |
$55.26 | 1,010 | 1,009 |
|
Seung Hwan An
7880 Wren Ave |
$51.90 | 1,365 | 1,361 |
|
Sravana Jyothi Vellaturi
780 1St St |
$53.54 | 1,843 | 1,829 |
|
Navjyot Panjrath
681 1St St |
$45.26 | 2,796 | 2,776 |
|
Diep Tran Ngoc Vo
780 1St St |
$68.46 | 3,239 | 3,207 |
|
Kim Khue Thi Phung
220 E 10Th St |
$56.00 | 3,986 | 3,973 |
|
Euwei Michael Tai
7845 Monterey St |
$43.07 | 4,062 | 4,047 |
|
Rick Truong
6955 Camino Arroyo |
$54.87 | 4,861 | 4,840 |
|
Vedasri Thodupunoori
780 1St St |
$54.23 | 7,010 | 6,990 |
|
Nader Tabibzadeh
7671 Monterey Rd |
$47.67 | 9,353 | 9,322 |
|
Hai Ngoc Huynh
100 4Th St Unit 701 |
$58.97 | 26,018 | 25,891 |
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 Gilroy, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Gilroy, CA is $55.09 per claim, based on 66,325 claims from 14 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 Gilroy, CA?
There are 14 Medicaid providers offering Dental Cleaning & Exam related services in Gilroy, CA according to public payment data.
What is the price range for Dental Cleaning & Exam in Gilroy, CA?
Medicaid reimbursement for Dental Cleaning & Exam in Gilroy, CA ranges from $43.07 to $73.94 per claim, with an average of $55.09. 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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Avg $14.27
106,295 claims
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Avg $187.31
103,719 claims
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Avg $74.08
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Avg $308.63
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