Average Medicaid Dental Cleaning & Exam Payments in Jamestown, NY: $35.21
Avg. Paid
$35.21
Range
$15.23 – $57.67
Total Claims
48,575
Providers
11
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 Jamestown, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jeffrey David Menoff
785 Fairmount Ave |
$24.95 | 10,384 | 10,380 |
|
Monika Magdalena Kudla
107 Institute St |
$35.55 | 8,602 | 8,586 |
|
Anthony Peppy
1237 N Main St |
$38.36 | 6,226 | 6,222 |
|
Jeanne Chi-Mei Yang
896 E 2Nd St |
$38.60 | 6,132 | 5,393 |
|
Courtney Oliver
896 E 2Nd St |
$40.02 | 5,907 | 4,884 |
|
Samuel Peppy
1237 N Main St |
$38.28 | 4,349 | 4,347 |
|
Joseph Peter Sinatra
502 Foote Ave |
$37.61 | 2,714 | 2,712 |
|
Caroline Salib
1237 N Main St |
$31.48 | 2,619 | 2,547 |
|
Phalguni Mitra
107 Institute St |
$57.67 | 1,231 | 650 |
|
Md Rezaul Islam Sarker
890 E 2Nd St |
$40.38 | 211 | 151 |
|
Erin E. Pender
107 Institute St |
$15.23 | 200 | 165 |
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 Jamestown, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Jamestown, NY is $35.21 per claim, based on 48,575 claims from 11 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 Jamestown, NY?
There are 11 Medicaid providers offering Dental Cleaning & Exam related services in Jamestown, NY according to public payment data.
What is the price range for Dental Cleaning & Exam in Jamestown, NY?
Medicaid reimbursement for Dental Cleaning & Exam in Jamestown, NY ranges from $15.23 to $57.67 per claim, with an average of $35.21. 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
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San Antonio, TX
Avg $40.74
2,116,599 claims · 429 providers
Other Procedures in Jamestown, NY
Office Visit
Avg $64.25
475,724 claims
Blood Work & Lab Tests
Avg $12.96
326,697 claims
Psychiatric Evaluation
Avg $127.33
203,062 claims
Emergency Room Visit
Avg $133.90
136,969 claims
Case Management Services
Avg $315.55
81,857 claims
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Avg $2.24
80,370 claims
X-Ray
Avg $5.74
78,376 claims
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Avg $11.86
67,440 claims