Average Medicaid Dental Cleaning & Exam Payments in Janesville, WI: $25.91
Avg. Paid
$25.91
Range
$0.00 – $38.67
Total Claims
140,572
Providers
23
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 Janesville, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nishit Kaushik Mehta
1260 Milton Ave Ste 140 |
$33.49 | 35,239 | 34,010 |
|
Hung Nguyen
1260 Milton Ave Ste 140 |
$21.74 | 20,563 | 17,943 |
|
Fnu Nadia Ahmed
1260 Milton Ave Ste 140 |
$25.00 | 12,764 | 12,095 |
|
Selma Mohammedi
1260 Milton Ave Ste 140-150 |
$38.67 | 11,900 | 11,633 |
|
Zahir M Siddiqui
1260 Milton Ave Ste 140 |
$21.33 | 10,433 | 8,033 |
|
Carrie A Marinaro
1809 E Milwaukee St |
$18.64 | 8,713 | 8,117 |
|
Himabindu Vuddaraju
1260 Milton Ave Ste 140 |
$17.19 | 8,280 | 8,157 |
|
Juili Subodh Shivde
1260 Milton Ave Ste 140 |
$24.86 | 8,174 | 7,945 |
|
Soham Vivek Apte
1260 Milton Ave Ste 140 |
$17.60 | 6,013 | 5,801 |
|
Timothy S Cain
2100 W Court St |
$20.83 | 4,009 | 3,871 |
|
William W Gilmore
1809 E Milwaukee St |
$16.81 | 3,540 | 3,329 |
|
Robert Jerome
1344 Creston Park Dr Ste 2 |
$21.33 | 3,011 | 2,861 |
|
Jonathan R Meyer
4407 Milton Ave Ste 124 |
$21.18 | 1,778 | 1,750 |
|
Heidi Oelfke
113 S Franklin St |
$32.22 | 1,655 | 1,589 |
|
Ana Nawaz
113 S Franklin St |
$29.07 | 1,432 | 1,408 |
|
Jonathan Daniel Boarini
1111 Suffolk Dr |
$18.87 | 1,274 | 1,138 |
|
Richard D Meister
1602 N Randall Ave |
$23.59 | 686 | 673 |
|
Zachary Gregerson
408 S Main St Apt 4 |
$20.97 | 415 | 407 |
|
Patricia Ann Lyons
2130 Kennedy Rd |
$16.00 | 287 | 277 |
|
Scott A Lipker
1336 Creston Park Dr |
$21.00 | 256 | 254 |
|
Avigya Shrestha
1714 N Randall Ave |
$0.00 | 118 | 118 |
|
Tonya Ann Wason
2130 Kennedy Rd |
$15.67 | 17 | 13 |
|
Heather Renee Walker
1344 Creston Park Dr Ste 2 |
$21.82 | 15 | 15 |
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 Janesville, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Janesville, WI is $25.91 per claim, based on 140,572 claims from 23 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 Janesville, WI?
There are 23 Medicaid providers offering Dental Cleaning & Exam related services in Janesville, WI according to public payment data.
What is the price range for Dental Cleaning & Exam in Janesville, WI?
Medicaid reimbursement for Dental Cleaning & Exam in Janesville, WI ranges from $0.00 to $38.67 per claim, with an average of $25.91. 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
Other Procedures in Janesville, WI
Non-Emergency Medical Transportation
Avg $2.51
487,573 claims
Blood Work & Lab Tests
Avg $12.49
487,316 claims
Ambulance Transport
Avg $18.46
430,165 claims
Office Visit
Avg $35.07
281,866 claims
Emergency Room Visit
Avg $56.21
261,364 claims
Behavioral & Mental Health Therapy
Avg $97.64
257,881 claims
Personal Care Services
Avg $6.93
218,441 claims
Urinalysis & Urine Tests
Avg $7.51
114,894 claims