Average Medicaid Dental Cleaning & Exam Payments in Hialeah, FL: $28.25
Avg. Paid
$28.25
Range
$0.00 – $101.78
Total Claims
294,954
Providers
81
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 Hialeah, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anahi Amarfis Garcia-Labori
4410 W 16Th Ave Ste 50 |
$29.72 | 46,470 | 46,076 |
|
Zunith Martinez
7991 W 6Th Ave |
$28.09 | 44,426 | 41,782 |
|
Stephanie Ann Mendigutia
1410 W 68Th St |
$32.04 | 18,431 | 18,347 |
|
Zulima Munoz
7150 W 20Th Ave Ste 300 |
$33.54 | 15,860 | 15,759 |
|
Isabel Rossetti Cruz
750 E 25Th St |
$39.93 | 15,556 | 15,364 |
|
Anabel Paya
2851 W 68Th St |
$19.50 | 14,724 | 14,504 |
|
Jose Antonio Mendigutia
1410 W 68Th St |
$17.62 | 13,528 | 13,410 |
|
Rodrigo Garcia Souza
750 E 25Th St |
$14.35 | 11,407 | 11,066 |
|
Lizza Ivette Rivera
4410 W 16Th Ave |
$41.60 | 10,199 | 9,658 |
|
Aicmee Martinez
7150 W 20Th Ave Ste 103 |
$33.71 | 8,466 | 8,323 |
|
Anna Perez Zaguro
7150 W 20Th Ave Ste 103 |
$35.59 | 8,280 | 7,784 |
|
Mitchell Gruzmark
4410 W 16Th Ave Ste 52 |
$35.67 | 7,165 | 7,150 |
|
Angela Rosa Garcia
4410 W 16Th Ave Ste 52 |
$49.48 | 7,040 | 6,965 |
|
Idalmes Perez
860 W 53Rd Ter |
$19.95 | 6,841 | 6,827 |
|
Adriana Velez
4410 W 16Th Ave Ste 52 |
$34.08 | 6,660 | 6,085 |
|
Alba E Perez Carmona
1462 W 84Th St |
$15.66 | 5,052 | 4,950 |
|
Hajir Kadhim Mohammed
2780 W 76Th St Apt 203 |
$30.61 | 3,482 | 3,452 |
|
Maricel Godefoy
870 W 53Rd St |
$11.98 | 2,881 | 2,864 |
|
Eladio Miguel Traviesas Herrera
4301 Palm Ave Ste F |
$12.10 | 2,853 | 2,815 |
|
Hilma Karen Rodriguez
4410 W 16Th Ave |
$27.06 | 2,638 | 2,398 |
|
Patricia Maria Bobadilla
5924 W 16Th Ave |
$6.39 | 2,443 | 1,891 |
|
Humberto Nunez Gil
857 E 28Th St |
$34.05 | 2,420 | 2,394 |
|
Luis Jacomino Rodriguez
4695 W 4Th Ave |
$40.13 | 2,416 | 2,412 |
|
Pedro Daniel Lleo
18400 Nw 75Th Pl Ste 121 |
$14.00 | 2,350 | 2,337 |
|
Florida Children'S Dentistry, P.A.
4410 W 16Th Ave |
$41.35 | 2,207 | 2,171 |
|
Victoria Laor
4410 W 16Th Ave Ste 52 |
$19.72 | 2,052 | 2,002 |
|
Michael W. Bailey
4410 W 16Th Ave Ste 52 |
$42.04 | 1,755 | 1,752 |
|
Isel Gertrudis Lemus
1462 W 84Th St |
$23.25 | 1,585 | 1,570 |
|
Alina C Benavides
1462 W 84Th St |
$19.81 | 1,559 | 1,553 |
|
Mildred Romero-Melis
6600 W 12Th Ave |
$42.99 | 1,520 | 1,518 |
|
Susana Lizaso
4999 West 8 Ave |
$4.02 | 1,436 | 1,414 |
|
Antonio Mendez
2106 W 68Th St |
$7.48 | 1,283 | 1,264 |
|
Jessica Gonzalez
4410 W 16Th Ave Ste 52 |
$1.46 | 1,254 | 1,247 |
|
Rocio De Los Rios
6847 W 4Th Ave |
$10.02 | 1,173 | 1,161 |
|
Teresita Porrata
750 E 25Th St |
$16.86 | 1,082 | 990 |
|
Damilet Gregorich
1370 E 4Th Ave |
$7.78 | 1,069 | 1,064 |
|
Julian Ruiz Rodriguez
18111 Nw 68Th Ave Apt I204 |
$24.99 | 1,009 | 1,004 |
|
Farah A Diaz
750 E 25Th St |
$14.41 | 1,000 | 974 |
|
Gelsys Simon
4564 W 12Th Ave |
$8.57 | 826 | 774 |
|
Claudia Marin Baez
2360 W 68Th St Ste 124 |
$12.66 | 720 | 715 |
|
Rosa Alicia Alvarez
3706 W 12Th Ave |
$21.10 | 700 | 693 |
|
Robert Comora
7150 W 20Th Ave Ste 102 |
$37.96 | 698 | 667 |
|
Rafael Antonio Suarez Ramirez
7450 W 29Th Ave |
$19.63 | 681 | 672 |
|
Amelia Tajes
12401 W Okeechobee Rd Lot 484 |
$16.91 | 671 | 670 |
|
Rosario G. Molina
4835 E 4Th Ave |
$13.39 | 654 | 634 |
|
Ana Laura Fernandez
3762 W 12Th Ave |
$16.41 | 615 | 612 |
|
David E. Dewitt Dds
4841 W 4Th Ave |
$4.66 | 598 | 534 |
|
Justin Schneider
4410 W 16Th Ave Ste 52 |
$53.61 | 588 | 582 |
|
Yanet Rey
5376 W 16Th Ave |
$5.36 | 534 | 346 |
|
Dalisey Piedra
1955 W 68Th St |
$29.18 | 532 | 532 |
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 Hialeah, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Hialeah, FL is $28.25 per claim, based on 294,954 claims from 81 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 Hialeah, FL?
There are 81 Medicaid providers offering Dental Cleaning & Exam related services in Hialeah, FL according to public payment data.
What is the price range for Dental Cleaning & Exam in Hialeah, FL?
Medicaid reimbursement for Dental Cleaning & Exam in Hialeah, FL ranges from $0.00 to $101.78 per claim, with an average of $28.25. 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
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Los Angeles, CA
Avg $49.60
3,990,780 claims · 877 providers
Houston, TX
Avg $39.95
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Bronx, NY
Avg $31.12
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New York, NY
Avg $30.52
3,240,448 claims · 723 providers
Phoenix, AZ
Avg $11.18
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San Antonio, TX
Avg $40.74
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Other Procedures in Hialeah, FL
Home Health Visit
Avg $45.78
6,110,568 claims
Personal Care Services
Avg $26.96
4,301,517 claims
Case Management Services
Avg $57.62
1,437,779 claims
Office Visit
Avg $31.22
1,061,174 claims
Behavioral & Mental Health Therapy
Avg $76.84
945,390 claims
Speech Therapy
Avg $57.69
603,545 claims
Physical Therapy
Avg $53.82
597,771 claims
Blood Work & Lab Tests
Avg $5.35
516,319 claims