Average Medicaid Dental Cleaning & Exam Payments in Hagerstown, MD: $27.68
Avg. Paid
$27.68
Range
$0.00 – $52.57
Total Claims
73,911
Providers
31
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 Hagerstown, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Walnut Street Community Health Center Inc
201 S Cleveland Ave |
$0.00 | 12 | 12 |
|
Walnut Street Community Health Center Inc.
201 S Cleveland Ave |
$0.00 | 15 | 15 |
|
Robinwood Dental Center, Pc
11110 Medical Campus Rd |
$0.00 | 15 | 15 |
|
Walnut Street Community Health Center
201 S Cleveland Ave |
$0.00 | 23 | 23 |
|
Matthew Mirigian
19418 Leitersburg Pike |
$30.45 | 24 | 24 |
|
Hasan Tariq Sheikh
1580 Wesel Blvd |
$39.53 | 31 | 31 |
|
Per K Houmann
11110 Medical Campus Road |
$24.15 | 41 | 37 |
|
Jon Alan Pike
1144 Opal Court |
$40.42 | 71 | 70 |
|
Michael Edward Anderson
18709 Crestwood Dr |
$0.00 | 74 | 71 |
|
Alfred E Smith
19418 Leitersburg Pike |
$28.63 | 124 | 124 |
|
Sunanda Bhushan
11110 Medical Campus Rd Ste 148 |
$34.34 | 160 | 160 |
|
Omar Gustavo De Oliveira
11110 Medical Campus Rd Ste 148 |
$36.48 | 202 | 177 |
|
Lucy Song Gilbart
1825 Howell Rd |
$35.41 | 262 | 258 |
|
Robert J Winebrenner
322 E Antietam Street |
$32.41 | 905 | 892 |
|
Phyllis A. Colombaro
1185 Mt. Aetna Rd. |
$39.93 | 964 | 858 |
|
Jeffrey Pearlman
18638 Crestwood Drive |
$34.92 | 1,083 | 1,031 |
|
Howard L Nelson
1144 Opal Court |
$42.44 | 1,470 | 1,425 |
|
Richard Bain Prather
222 E. Oak Ridge Dr |
$36.17 | 1,553 | 1,532 |
|
Jonathan Craig Gilbart
1825 Howell Rd |
$40.23 | 1,690 | 1,653 |
|
Jorge Reyes
1580 Wesel Blvd |
$47.99 | 1,710 | 1,710 |
|
Dr. David M. Vieth 2, P.C.
1580 Wesel Blvd Ste O |
$37.24 | 1,960 | 1,909 |
|
Preetinder Kaur Aulakh
1329 Pennsylvania Ave Ste 201 |
$52.57 | 2,692 | 2,657 |
|
Eric H Cho
11110 Medical Campus Rd |
$36.98 | 3,103 | 3,045 |
|
Tiffani Sarah Graves
201 S Cleveland Ave |
$3.00 | 3,589 | 3,448 |
|
Katelyn Y Niu
1855 Howell Rd |
$51.16 | 3,742 | 3,613 |
|
Fei Yang
24 N Walnut St |
$38.38 | 4,961 | 4,696 |
|
Zaid Al Anbaki
1730 Massey Blvd |
$29.85 | 5,267 | 5,187 |
|
Min Kim
1580 Wesel Blvd |
$39.90 | 6,847 | 6,747 |
|
Ilaya Ramanan Rajagopal
24 N Walnut St |
$7.97 | 7,574 | 7,284 |
|
Ali R Shah
301 E Antietam St |
$41.01 | 9,906 | 9,540 |
|
Sarma Metz-Mccafferty
24 N Walnut St |
$1.54 | 13,841 | 13,534 |
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 Hagerstown, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Hagerstown, MD is $27.68 per claim, based on 73,911 claims from 31 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 Hagerstown, MD?
There are 31 Medicaid providers offering Dental Cleaning & Exam related services in Hagerstown, MD according to public payment data.
What is the price range for Dental Cleaning & Exam in Hagerstown, MD?
Medicaid reimbursement for Dental Cleaning & Exam in Hagerstown, MD ranges from $0.00 to $52.57 per claim, with an average of $27.68. 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
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