Skip to content
Based on public Medicaid payment data.

Average Medicaid Dental Cleaning & Exam Payments in Honolulu, HI: $40.32

Avg. Paid

$40.32

Range

$0.00 – $290.94

Total Claims

370,381

Providers

91

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 Honolulu, HI

Provider Avg. Paid Claims Patients
Andrew Choy

50 S Beretania St Ste C201

$38.95 38,845 38,796
Cally Lane Adams

7 Waterfront Pl

$38.92 24,219 24,213
Radford Yutaka Goto

3150 Monsarrat Ave Ste 201

$29.56 21,765 21,737
Peter Lee

2428 Manoa Rd

$37.22 20,034 20,033
Allen Kazuo Hirai

4211 Waialae Ave Ste 201

$29.10 19,288 19,287
Brent Ching

1319 Punahou St Ste 1080

$30.89 18,226 18,207
Jo Chun

1441 Kapiolani Blvd

$31.47 17,525 17,519
Bryan Sato

3221 Waialae Avenue

$31.52 15,341 15,341
Dean Takashi Sueda

1441 Kapiolani Blvd

$29.54 14,558 14,477
Joseph Cucolo

1301 Punchbowl Street

$36.45 13,466 13,465
Leilani Corla Curameng

677 Ala Moana Blvd

$27.24 12,295 12,293
Mary Mei-Wa Chau

1314 S King St

$30.00 11,404 11,398
Todd Wck Asato

1314 S King St

$30.08 10,269 10,267
David Sumikawa

1026 S King St

$32.43 10,253 10,252
Stephen Sueda

1441 Kapiolani Blvd

$28.54 9,682 9,675
Christopher C Lee

1314 S King St

$30.29 8,997 8,997
Terry Nguyen

1441 Kapiolani Blvd

$35.22 8,482 8,056
Nicole Endo

2051 Laukahi St

$29.52 7,797 7,796
Mark Sumikawa

1026 S King St

$32.42 7,625 7,625
Veena Kakarla

3468 Waialae Ave Ste 222

$37.10 7,198 7,197
Waikiki Health

935 Makahiki Way

$290.31 6,249 5,250
Kokua Kalihi Valley Comprehensive Family Services

2229 N School St

$172.49 4,176 3,863
Maria Millare Ngoap

2055 N King St Ste 208

$28.72 3,614 3,608
Kyrell Dante Wright

3221 Waialae Ave Ste 376

$35.13 3,138 3,135
Emily S Bordner

2752 Woodlawn Dr

$29.30 3,051 3,051
Robert Blair

500 Ala Moana Blvd

$58.64 3,024 2,945
Jennifer Cheng Lee

1314 S King St Ste 725

$29.05 2,962 2,955
Maria Pormento Adora

1210 Dillingham Blvd Ste 12

$30.54 2,431 2,429
Juliana Hsu

2752 Woodlawn Dr Ste 5-207

$29.38 2,413 2,413
Jin Yoo

850 W Hind Dr Ste 115

$33.74 2,397 2,363
Clayton James Mcelroy

1441 Kapiolani Blvd

$29.85 2,388 2,388
Kalihi-Palama Health Center Dental Department

915 N King St

$278.25 2,119 1,977
The Queens Medical Center Dental Clinic

1301 Punchbowl St

$27.47 2,095 2,085
Justyna Katherine Aspiazu

1136 Union Mall Ste 502

$33.09 1,821 1,820
Stephanie Anne Brandli

2239 N School St

$27.80 1,592 1,592
Elliot Kim

4211 Waialae Ave Ste 500

$36.97 1,583 1,573
Jonathan P Cross

3660 Waialae Ave

$32.38 1,547 1,506
Justin Micah Hollar

1060 Young St

$30.51 1,497 1,470
Lisa Wh Wong

50 S Beretania St

$28.82 1,496 1,393
David Akira Tamura

2153 N King St #314

$28.18 1,433 1,425
Aaron Masaru Miyamoto

4565 Aliikoa St

$41.84 1,408 1,405
Grace Yeeun Chang

2239 N School St

$25.83 1,403 1,403
William Cw Li

1441 Kapiolani Blvd Ste 720

$43.36 1,363 1,356
Jason W Kamezawa

1441 Kapiolani Blvd

$33.91 1,278 1,277
Bryant B Laporte

1123 11Th Ave

$28.90 1,211 867
Bryce Rylan Bennett

2239 N School St

$21.69 983 890
Kristi C Koyanagi

1060 Young St Ste 305

$36.42 983 983
Jared Shiaw-Cheang Cheng

1314 S King St

$30.99 949 948
Roger T. L. Wong

50 S Beretania St

$32.07 879 828
Kristine Sandiego

2024 N King St Ste 101A

$28.84 869 869

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 Honolulu, HI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Honolulu, HI is $40.32 per claim, based on 370,381 claims from 91 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 Honolulu, HI?

There are 91 Medicaid providers offering Dental Cleaning & Exam related services in Honolulu, HI according to public payment data.

What is the price range for Dental Cleaning & Exam in Honolulu, HI?

Medicaid reimbursement for Dental Cleaning & Exam in Honolulu, HI ranges from $0.00 to $290.94 per claim, with an average of $40.32. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Dental Cleaning & Exam in Other Cities

Other Procedures in Honolulu, HI