Average Medicaid Dental Cleaning & Exam Payments in Gold River, CA: $28.09
Avg. Paid
$28.09
Range
$0.76 – $50.40
Total Claims
17,389
Providers
4
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 Gold River, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jose Vicente Juarez
2340 Sunrise Blvd Ste 25 |
$50.40 | 8,249 | 8,216 |
|
Marita Q. Barlahan-Biag
11200 Gold Express Dr |
$0.76 | 7,461 | 7,126 |
|
Scott Pyo
11230 Gold Express Dr Ste 302 |
$42.37 | 1,146 | 1,133 |
|
Matthew Allen Sanders
2483 Sunrise Blvd |
$34.52 | 533 | 533 |
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 Gold River, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Gold River, CA is $28.09 per claim, based on 17,389 claims from 4 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 Gold River, CA?
There are 4 Medicaid providers offering Dental Cleaning & Exam related services in Gold River, CA according to public payment data.
What is the price range for Dental Cleaning & Exam in Gold River, CA?
Medicaid reimbursement for Dental Cleaning & Exam in Gold River, CA ranges from $0.76 to $50.40 per claim, with an average of $28.09. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Gold River, CA
Office Visit
Avg $11.04
21,634 claims
Eye Exam
Avg $17.53
12,930 claims
Vaccines & Immunizations
Avg $1.66
6,898 claims
Hearing Test (Audiometry)
Avg $0.72
5,574 claims
Urinalysis & Urine Tests
Avg $0.07
4,516 claims
Dental Filling
Avg $96.71
3,897 claims
Speech Therapy
Avg $103.95
3,392 claims
Tooth Extraction
Avg $80.24
3,201 claims