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 |
|---|---|---|---|
|
Karen Sheppard
500 Ala Moana Blvd # 7-300 |
$40.64 | 12 | 12 |
|
Brenda Huynh
3221 Waialae Ave Ste 315 |
$40.92 | 12 | 12 |
|
Summer Tolbert Wood
1580 Makaloa St |
$29.12 | 12 | 12 |
|
Ronald Dean Thoman
1580 Makaloa St |
$37.29 | 14 | 14 |
|
Manon Lea Bersier
1150 S King St Ste 601 |
$29.12 | 17 | 17 |
|
Kalihi Palama Health Center
915 N King St |
$290.94 | 24 | 24 |
|
Finn T. Esrason
735 Bishop St |
$27.51 | 29 | 29 |
|
Paul G Ching
2228 Liliha St Ste 303 |
$22.31 | 31 | 31 |
|
Ericson H.L. Ng
1741 Nuuanu Ave |
$32.00 | 42 | 39 |
|
Leslie Wayne Hin Au
1314 S King St |
$33.26 | 44 | 44 |
|
Alvin H.L. Chung
3660 Waialae Ave |
$32.49 | 45 | 45 |
|
Anne Tran
2229 N School St |
$25.85 | 55 | 55 |
|
Ariel A Catalan
1441 Kapiolani Blvd. |
$33.53 | 73 | 73 |
|
Maricris Hernandez Macapagal
615 Piikoi St |
$30.32 | 76 | 76 |
|
Christie Le
2239 N School St |
$0.00 | 85 | 83 |
|
Benjamin David Clarke Robinson
2239 N School St |
$64.33 | 97 | 97 |
|
Nicholas Kyriakakis
1953 S Beretania St |
$36.07 | 103 | 102 |
|
James Masataka Michino
930 Valkenburgh St Spc 206 |
$29.40 | 109 | 109 |
|
Gregory Yat Cho Lung
1580 Makaloa St |
$29.90 | 138 | 138 |
|
Jason M Tanaka
1520 Liliha St Ste 502 |
$33.96 | 167 | 167 |
|
Patricia Morgan
1319 Punahou St |
$30.56 | 199 | 197 |
|
Marcy M. Kawasaki
1132 Bishop St |
$35.84 | 201 | 201 |
|
Alden Garan Rikio Wong
50 S Beretania St Ste C117B |
$36.72 | 223 | 218 |
|
Peter Kyriakakis
1953 S Beretania St |
$33.16 | 236 | 232 |
|
Norman Sm Cheung
1441 Kapiolani Blvd |
$30.91 | 264 | 259 |
|
David Chun
3270 Waialae Ave |
$26.79 | 287 | 287 |
|
Brian Koshiro Matsumoto
500 Ala Moana Boulevard |
$35.66 | 310 | 309 |
|
Christopher Thuc Wu
Queen'S Medical Center- Dental Clinic |
$32.85 | 328 | 328 |
|
Hana Tica Lim
1580 Makaloa St Ste 725 |
$0.00 | 395 | 387 |
|
Zachary Robert Lee
321 N Kuakini St Ste 803 |
$27.96 | 400 | 400 |
|
Bikram Sahdev
1150 S King St Ste 508 |
$40.83 | 413 | 413 |
|
Russell K Tasaka
1600 Kapiolani Blvd Ste 1425 |
$35.28 | 430 | 429 |
|
Lyle T. Tenjoma
1441 Kapiolani Blvd |
$35.27 | 470 | 469 |
|
David Scott Haynes
1580 Makaloa St |
$27.30 | 494 | 494 |
|
Trang T Le
3221 Waialae Ave Ste 376 |
$35.89 | 584 | 584 |
|
Andrew Custodio Dado
930 Valkenburgh St |
$30.51 | 637 | 637 |
|
Jun De Los Reyes
915 N King St |
$29.85 | 682 | 609 |
|
Harry J. Jackson
Tripler Army Medical Center |
$35.11 | 735 | 732 |
|
Maemerita B San Diego
2024 N King St Ste 101A |
$27.81 | 746 | 744 |
|
Ha Van Thi Nguyen
555 N King St Ste 111 |
$30.76 | 758 | 596 |
|
Dwight Isamu Inouye
2153 N King St |
$27.79 | 783 | 780 |
|
Kristine Sandiego
2024 N King St Ste 101A |
$28.84 | 869 | 869 |
|
Roger T. L. Wong
50 S Beretania St |
$32.07 | 879 | 828 |
|
Jared Shiaw-Cheang Cheng
1314 S King St |
$30.99 | 949 | 948 |
|
Kristi C Koyanagi
1060 Young St Ste 305 |
$36.42 | 983 | 983 |
|
Bryce Rylan Bennett
2239 N School St |
$21.69 | 983 | 890 |
|
Bryant B Laporte
1123 11Th Ave |
$28.90 | 1,211 | 867 |
|
Jason W Kamezawa
1441 Kapiolani Blvd |
$33.91 | 1,278 | 1,277 |
|
William Cw Li
1441 Kapiolani Blvd Ste 720 |
$43.36 | 1,363 | 1,356 |
|
Grace Yeeun Chang
2239 N School St |
$25.83 | 1,403 | 1,403 |
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
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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Avg $72.77
1,673,860 claims
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Avg $11.61
1,421,473 claims
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Avg $340.33
850,913 claims
X-Ray
Avg $10.02
558,504 claims
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Avg $71.94
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Avg $139.93
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Avg $32.03
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