Average Medicaid Dental Cleaning & Exam Payments in King Of Prussia, PA: $28.42
Avg. Paid
$28.42
Range
$21.00 – $43.59
Total Claims
39,489
Providers
17
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 King Of Prussia, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jay Goldsleger
357 S Gulph Rd |
$25.22 | 5,998 | 5,974 |
|
Dana Marie Digerolamo
357 S Gulph Rd |
$27.35 | 5,802 | 5,755 |
|
Michael Robert Daley
357 S Gulph Rd |
$26.56 | 5,151 | 5,131 |
|
Scott D Goldsleger
357 S Gulph Rd |
$26.15 | 4,387 | 4,341 |
|
David Kim
357 S Gulph Rd Ste 110 |
$26.43 | 3,577 | 3,527 |
|
Upper Merion Dental Associates P C
357 South Gulph Rd |
$32.41 | 3,377 | 3,353 |
|
Jenette D Intrachat
357 S Gulph Rd |
$43.59 | 2,211 | 2,137 |
|
Megan Rebecca Magargal
491 Allendale Rd Ste 306 |
$27.46 | 2,049 | 2,034 |
|
Tanvir Singh
700 S Henderson Rd Ste 306 |
$41.23 | 1,648 | 1,648 |
|
Amita R Patel
357 S Gulph Rd |
$23.74 | 1,327 | 1,319 |
|
Barsha Moktan
357 S Gulph Road |
$25.22 | 1,136 | 1,132 |
|
Francis Hoerz
357 S Gulph Rd |
$27.04 | 967 | 945 |
|
Natalie Beatriz De Barros
357 S Gulph Rd |
$26.13 | 726 | 721 |
|
Neal Nainesh Patel
357 S Gulph Rd Ste 110 |
$26.77 | 686 | 684 |
|
Christine J Yu
491 Allendale Rd |
$28.10 | 421 | 420 |
|
Bryan Joseph Ruda
357 S Gulph Rd Ste 100 |
$21.00 | 13 | 13 |
|
Abbey Sullivan Orozco
357 S Gulph Rd |
$23.50 | 13 | 13 |
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 King Of Prussia, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in King Of Prussia, PA is $28.42 per claim, based on 39,489 claims from 17 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 King Of Prussia, PA?
There are 17 Medicaid providers offering Dental Cleaning & Exam related services in King Of Prussia, PA according to public payment data.
What is the price range for Dental Cleaning & Exam in King Of Prussia, PA?
Medicaid reimbursement for Dental Cleaning & Exam in King Of Prussia, PA ranges from $21.00 to $43.59 per claim, with an average of $28.42. 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
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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
2,116,599 claims · 429 providers
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