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Based on public Medicaid payment data.

Average Medicaid Dental Cleaning & Exam Payments in Green Bay, WI: $35.18

Avg. Paid

$35.18

Range

$0.00 – $66.76

Total Claims

302,370

Providers

47

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 Green Bay, WI

Provider Avg. Paid Claims Patients
Brown County Oral Health Partnership, Inc.

2701 Larsen Rd

$42.79 163,378 157,872
Simerjeet Kaur

1931 Main St

$21.60 34,330 25,338
Elizabeth Murayama Chavez Matias

2280 W Mason St

$35.07 18,995 16,842
Oleksii Gudym

2280 W Mason St

$35.76 16,801 14,555
Jungik Hong

1931 Main St

$33.21 12,473 10,386
John Reed

1241 Lombardi Access Rd

$18.00 5,472 4,880
Mujtaba Khan

1931 Main St

$35.31 5,152 5,041
Lisa Rachel Piontek

526 S Monroe Ave

$2.35 4,563 4,400
Lalinda Wickramasinghe

430 Main St

$13.13 4,040 2,702
Ivona Roxana Cristi

430 Main St

$1.48 3,524 3,393
Thomas Kissner

2476 S Oneida St

$2.54 3,121 3,043
Ashley Jan

1931 Main St

$39.87 3,059 2,928
Mehdi Hedroug

1551 Park Pl Ste 300

$37.55 3,031 2,984
Andrea Nicole Stanke

1711 Shawano Ave

$32.04 2,657 2,657
Michael A. Brossman

1052 Bel Aire Ct

$15.39 2,528 2,522
Dimplejit Singh Mangat

2280 W Mason St

$38.06 2,461 2,359
Kimberly Anne Hoerning

2450 S. Oneida Street

$38.70 2,359 2,305
Nicholas Van Ess

1640 Main St Stop 1

$20.13 2,287 2,241
Tariq Elmadawy

1551 Park Pl Ste 300

$37.66 1,862 1,835
Muhaned Elhindi

1931 Main St

$36.65 1,518 1,470
Paula Hart

2470 W Mason St

$6.67 1,060 1,054
Michael Allan Lamarca

424 S Monroe Ave

$0.00 1,057 908
Richard Tyler Smith

2581 Development Dr

$31.77 924 880
Robert James Crowley

2450 S Oneida St

$37.25 772 716
Brian M Thielen

1543 Park Pl

$3.92 770 660
Deep Manoj Thakker

1931 Main St

$41.44 619 617
Natalie Neu

1245 Main St

$0.00 570 562
Richaly Luce

424 S Monroe Ave Ste 106

$0.00 548 535
Josephine Maryetta Van Ess

1640 Main St

$19.83 445 436
Ellen Meyer

2340 Duck Creek Pkwy

$32.02 319 310
Jennifer Schroeder

424 S Monroe Ave

$0.00 254 254
Northeast Wisconsin Technical College

2740 W Mason St

$20.32 250 241
Mark Malinowski

430 Main St

$35.15 207 203
Adam David Koch

315 S Monroe Ave

$0.00 181 178
Farashta Sediqzad

430 Main St

$32.32 147 142
Krista S Primley

2581 Development Dr

$66.76 99 97
Hassan Alshehabi

430 Main St

$28.83 92 88
Amanda Marie Mckeefry

2304 Lineville Rd

$47.01 90 90
Zohra Metalwala

430 Main St

$0.00 80 73
Nicholas Mattila

1711 Shawano Ave

$13.95 51 41
Brijesh D Patel

430 Main St

$34.75 48 44
Scott Robert Greatens

1640 Main St

$20.29 45 41
Toufic Jamil Saade

430 Main St

$33.89 40 39
Amanda Cole Vanden Heuvel

424 S Monroe Ave

$0.00 34 32
Gergana Naskova Nikolova

430 Main St

$20.56 31 30
Robert Harold Wagner

2830 Curry Ln

$22.31 14 14
Samuel Kurt Schmidt

2340 Duck Creek Pkwy

$27.15 12 12

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 Green Bay, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Green Bay, WI is $35.18 per claim, based on 302,370 claims from 47 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 Green Bay, WI?

There are 47 Medicaid providers offering Dental Cleaning & Exam related services in Green Bay, WI according to public payment data.

What is the price range for Dental Cleaning & Exam in Green Bay, WI?

Medicaid reimbursement for Dental Cleaning & Exam in Green Bay, WI ranges from $0.00 to $66.76 per claim, with an average of $35.18. Private insurance and self-pay costs are typically higher than these Medicaid rates.

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