Average Medicaid Dental Cleaning & Exam Payments in Hales Corners, WI: $20.14
Avg. Paid
$20.14
Range
$0.00 – $37.47
Total Claims
8,130
Providers
9
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 Hales Corners, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Richard Anthony Mueller
11801 W Janesville Rd |
$15.86 | 57 | 53 |
|
Megan Janelle Byers
5810 S 108Th St |
$34.84 | 173 | 169 |
|
Alexis Colosimo
11035 W Forest Home Ave Ste 116 |
$33.31 | 196 | 190 |
|
Endre Dobak
5535 S 108Th St |
$20.33 | 307 | 296 |
|
David Reed Keeling
5535 S 108Th St |
$20.83 | 414 | 398 |
|
Christy L Frady
5810 S 108Th St |
$37.47 | 1,109 | 1,042 |
|
Cassandra Ann Van Kleunen
6191 S. 108Th Street |
$0.00 | 1,528 | 1,517 |
|
Sidney Michelle Ebert
11801 W Janesville Rd |
$25.61 | 1,932 | 1,900 |
|
Donald Allen Kwarciany
11035 W Forest Home Ave |
$18.38 | 2,414 | 2,358 |
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 Hales Corners, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Hales Corners, WI is $20.14 per claim, based on 8,130 claims from 9 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 Hales Corners, WI?
There are 9 Medicaid providers offering Dental Cleaning & Exam related services in Hales Corners, WI according to public payment data.
What is the price range for Dental Cleaning & Exam in Hales Corners, WI?
Medicaid reimbursement for Dental Cleaning & Exam in Hales Corners, WI ranges from $0.00 to $37.47 per claim, with an average of $20.14. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dental Cleaning & Exam in Other Cities
Brooklyn, NY
Avg $29.76
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Chicago, IL
Avg $29.66
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Los Angeles, CA
Avg $49.60
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Houston, TX
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Bronx, NY
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New York, NY
Avg $30.52
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Other Procedures in Hales Corners, WI
Chiropractic Care
Avg $22.19
11,194 claims
Durable Medical Equipment (DME)
Avg $18.05
6,050 claims
Physical Therapy
Avg $12.19
5,343 claims
Office Visit
Avg $46.69
1,951 claims
Substance Abuse Treatment
Avg $37.53
1,536 claims
Psychiatric Evaluation
Avg $33.22
1,269 claims
Dental Filling
Avg $51.15
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Eye Exam
Avg $35.41
440 claims