Average Medicaid Dental Cleaning & Exam Payments in Lancaster, PA: $31.67
Avg. Paid
$31.67
Range
$0.00 – $470.28
Total Claims
164,673
Providers
50
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 Lancaster, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
717Dentist
1337 Elm Ave |
$23.14 | 12 | 12 |
|
Union Community Care
30 N Ann St |
$0.00 | 12 | 12 |
|
Melissa Hendrix Hamers
625 S Duke St |
$0.00 | 12 | 12 |
|
Tyrone Gary Bristol
802 New Holland Ave Ste 100 |
$5.18 | 14 | 12 |
|
Ying-Lee Ong
1875 Lititz Pike |
$31.00 | 25 | 25 |
|
Jason A Phillips
230 Harrisburg Ave. |
$45.73 | 27 | 27 |
|
Serban Andrei Nicolaescu
1685 Crown Ave |
$50.14 | 30 | 30 |
|
Yolanda M Dunn
625 S Duke St |
$0.00 | 43 | 43 |
|
Elizabeth A Harrison
1875 Lititz Pike Ste 9 |
$32.84 | 44 | 44 |
|
Lancaster Cleft Palate Clinic
223 N Lime St |
$16.11 | 50 | 50 |
|
Rekha Penmetcha
1875 Lititz Pike Ste 9 |
$37.50 | 50 | 50 |
|
Mark Bradle
625 S Duke St |
$38.94 | 82 | 82 |
|
Matthew Mease
625 S Duke St |
$26.21 | 91 | 91 |
|
Kaushal Pravin Kapadia
712 Wyncroft Ter |
$38.43 | 117 | 115 |
|
Childrens Surgery Center, Llc
2160 Noll Dr |
$470.28 | 169 | 161 |
|
Robert Joseph Russo
1929 Lincoln Hwy East |
$0.00 | 171 | 171 |
|
Olivia Fleischer
600D Eden Rd |
$41.32 | 185 | 185 |
|
Christopher Jason Smith
1685 Crown Ave |
$53.62 | 220 | 215 |
|
Abhishek S Pandit
814 Olde Hickory Rd |
$35.82 | 221 | 221 |
|
Janelle Marie Nassar
1685 Crown Ave |
$49.39 | 339 | 337 |
|
David B Shelley
900 Centerville Rd Ste A |
$27.29 | 483 | 483 |
|
Bryan Evan Stein
1685 Crown Ave |
$33.86 | 513 | 496 |
|
Aligned Dental Of Lancaster, Pc
1875 Lititz Pike Ste 9 |
$38.48 | 518 | 512 |
|
Rebecca Ryan
625 S Duke St |
$3.49 | 640 | 636 |
|
Sarah Elizabeth Herrmann
2091 Fruitville Pike |
$0.54 | 649 | 635 |
|
Spoorthi Alapati
1210 Millersville Pike |
$28.51 | 874 | 868 |
|
Sara Lynn Lamichane
12 Eisenhower Blvd |
$25.37 | 1,234 | 1,213 |
|
Ly Phuong Thi Ngo
1210 Millersville Pike |
$26.96 | 1,288 | 1,287 |
|
Lancaster Pediatric Dental Associates, P.C.
1875 Lititz Pike |
$40.48 | 1,885 | 1,833 |
|
Union Community Care
304 N Water St |
$0.00 | 1,890 | 1,804 |
|
Smilebuilderz Llc
1685 Crown Ave |
$31.21 | 1,938 | 1,892 |
|
Yihan Fu
1685 Crown Ave |
$46.75 | 2,384 | 2,379 |
|
Alexandra Jordan Balaci
1671 Oregon Pike |
$31.06 | 2,526 | 2,526 |
|
Jenny Park
1685 Crown Ave |
$46.19 | 2,861 | 2,844 |
|
Union Community Care
625 S Duke St |
$0.13 | 2,981 | 2,925 |
|
Anthony Skiadas
1685 Crown Ave |
$44.37 | 3,014 | 3,003 |
|
Rashi Majithia
18 S Duke St |
$28.68 | 3,239 | 3,221 |
|
Peter Villadiego
48 Ramsgate Ln |
$45.75 | 3,293 | 3,269 |
|
Kristine N Shue
1875 Lititz Pike Ste 9 |
$30.13 | 3,385 | 3,214 |
|
Ramakrishna Seelam
2162 Willow Street Pike |
$28.88 | 4,309 | 4,285 |
|
Jung Hwan Chun
1685 Crown Ave |
$46.29 | 4,635 | 4,621 |
|
Cristina Mariela Santiago
625 S Duke St |
$31.22 | 4,642 | 4,613 |
|
Peter O Akinjise
1704 Judie Ln Apt C |
$27.05 | 4,940 | 4,858 |
|
Latisha Shintrell Martin
1210 Millersville Pike |
$26.46 | 6,337 | 6,281 |
|
Yasmina Danielle Wright
60 W Walnut St |
$26.84 | 6,842 | 6,751 |
|
Ruslan Bashatov
792 New Holland Ave |
$26.72 | 6,861 | 6,785 |
|
John C Dryden
1685 Crown Ave |
$30.45 | 7,493 | 7,487 |
|
Niharika Jain
1671 Oregon Pike |
$32.13 | 10,042 | 9,983 |
|
Celeste Ama Mensah
1685 Crown Ave |
$31.52 | 14,724 | 13,271 |
|
Scott Oh
1671 Oregon Pike |
$32.37 | 56,339 | 55,897 |
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 Lancaster, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Lancaster, PA is $31.67 per claim, based on 164,673 claims from 50 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 Lancaster, PA?
There are 50 Medicaid providers offering Dental Cleaning & Exam related services in Lancaster, PA according to public payment data.
What is the price range for Dental Cleaning & Exam in Lancaster, PA?
Medicaid reimbursement for Dental Cleaning & Exam in Lancaster, PA ranges from $0.00 to $470.28 per claim, with an average of $31.67. 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 Lancaster, PA
Office Visit
Avg $39.75
607,480 claims
Emergency Room Visit
Avg $85.60
150,561 claims
Case Management Services
Avg $65.68
149,372 claims
EKG / ECG (Electrocardiogram)
Avg $7.00
141,532 claims
Physical Therapy
Avg $55.22
134,531 claims
Speech Therapy
Avg $30.39
125,554 claims
Blood Work & Lab Tests
Avg $7.12
116,126 claims
Home Health Visit
Avg $144.39
94,116 claims