Average Medicaid Dental Cleaning & Exam Payments in Los Angeles, CA: $49.60
Avg. Paid
$49.60
Range
$0.00 – $438.44
Total Claims
3,990,780
Providers
877
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 Los Angeles, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Aye-Aye Win
5850 S Main St |
$0.00 | 12 | 12 |
|
Jeffrey Brumbaugh
12121 Wilshire Blvd Ste 1111 |
$35.00 | 12 | 12 |
|
Khashayar Khodadadi
11900 S. Avalon Blvd. |
$66.00 | 12 | 12 |
|
Erfun Sadeghi
5373 W Centinela Ave |
$60.50 | 12 | 12 |
|
Shruti Nagaraj
757 Westwood Plz |
$31.34 | 12 | 12 |
|
Christopher Cheong
1127 Wilshire Blvd |
$66.00 | 12 | 12 |
|
Joseph S. Yoon
3460 Wilshire Blvd |
$66.00 | 12 | 12 |
|
Tania Serah Ohebsion
1125 S Beverly Dr Ste 400 |
$35.00 | 12 | 12 |
|
Michelle Elizabeth Boden
1663 Selby Ave Unit 2 |
$66.00 | 12 | 12 |
|
Gilbert Gilvng Ri
954 Vine Street |
$45.00 | 12 | 12 |
|
P Hyun Bae Dental Corporation
1637 E 103Rd St |
$0.00 | 12 | 12 |
|
Rie Hayashi
925 W 34Th St # 311 |
$66.00 | 12 | 12 |
|
Gertrude M Pecaoco
1925 W Temple St |
$66.00 | 12 | 12 |
|
Joanna Cory Aceto
4650 W Sunset Blvd |
$27.50 | 12 | 12 |
|
Mahsa Harati
3670 Glendon Ave, |
$66.00 | 12 | 12 |
|
Horacio Garcia Lopez
2105 Beverly Blvd |
$0.00 | 12 | 12 |
|
L And P Medical Group Inc
1107 S Alvarado St Ste 102 |
$0.00 | 13 | 12 |
|
Macy Pour
11767 W Sunset Blvd Apt 104 |
$66.00 | 13 | 13 |
|
Donghee Lee
2655 W Olympic Blvd Ste 206 |
$66.00 | 13 | 13 |
|
Alfredo Sweeny, Md Inc
4719 S Broadway |
$0.00 | 13 | 13 |
|
Shiva Ganjian
3019 W Slauson Ave |
$30.00 | 13 | 13 |
|
David Alpan
2424 W 3Rd St |
$35.00 | 13 | 13 |
|
Montes Medical Group Inc
4545 E 3Rd St |
$0.00 | 13 | 13 |
|
Nanette Divinagracia Baird
1159 Logan St |
$90.00 | 13 | 13 |
|
Aida Eghbalian Nouzanizadeh
5162 Whittier Blvd |
$66.00 | 13 | 13 |
|
Zaher Jabbour
100 Medical Plaza Suite 350 |
$32.79 | 14 | 12 |
|
Gabriel Poliboy
4650 W Sunset Blvd |
$0.00 | 14 | 14 |
|
Ruth Carleton Lindo
123 S Alvarado St |
$0.00 | 14 | 14 |
|
Manu Shree Raam
4650 W Sunset Blvd |
$0.00 | 14 | 14 |
|
Jeffrey Thomas Weber
4900 W Sunset Blvd Ste 6D |
$0.00 | 14 | 14 |
|
Ali M Khosrovani
4905 York Blvd |
$63.64 | 14 | 14 |
|
Brian Y Hong Dental Corporation
2789 W Olympic Blvd Ste 301 |
$35.00 | 14 | 14 |
|
Danielle Elizabeth Fernandes
12555 W Jefferson Blvd Ste 302 |
$0.00 | 14 | 14 |
|
Cohen Sedgh, Manavi & Pakravan Dental Corporation
12121 Wilshire Blvd |
$0.00 | 14 | 14 |
|
Kevin Park
104 W 7Th St |
$88.21 | 14 | 14 |
|
David Garfinkel
335 N Orange Grove Ave Apt 3 |
$0.00 | 15 | 15 |
|
Hong Il Kim
610 South Havard Blvd |
$35.00 | 15 | 15 |
|
Kevin Thuc Truong
2320 S Robertson Blvd |
$45.00 | 15 | 15 |
|
Soo Jin Chang
8501 Lincoln Blvd |
$66.00 | 15 | 15 |
|
Aaron Chung
733 New High St |
$59.67 | 15 | 15 |
|
Theodore Shu
1520 San Pablo St |
$0.00 | 15 | 13 |
|
Radharani K Senigala
2829 S Grand Ave |
$0.00 | 15 | 12 |
|
Oz Simel
10833 Le Conte Ave |
$66.00 | 15 | 15 |
|
Pediatric And Family Medical Center
1400 S Grand Ave |
$0.00 | 15 | 15 |
|
Pamela Lee
1200 N State St |
$0.00 | 16 | 14 |
|
Julio Iniguez
5162 Whittier Blvd |
$66.00 | 16 | 16 |
|
Cohen Sedgh, Manavi & Pakravan Dental Corporation
2604 S Vermont Ave |
$0.00 | 16 | 16 |
|
Maxwell Chu Murphy
4165 Beverly Blvd |
$66.00 | 16 | 16 |
|
Ellis Norman Beesley
1127 Wilshire Blvd |
$0.00 | 17 | 17 |
|
Kristi Kim
3185 Wilshire Blvd Unit 378 |
$0.00 | 17 | 17 |
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 Los Angeles, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Los Angeles, CA is $49.60 per claim, based on 3,990,780 claims from 877 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 Los Angeles, CA?
There are 877 Medicaid providers offering Dental Cleaning & Exam related services in Los Angeles, CA according to public payment data.
What is the price range for Dental Cleaning & Exam in Los Angeles, CA?
Medicaid reimbursement for Dental Cleaning & Exam in Los Angeles, CA ranges from $0.00 to $438.44 per claim, with an average of $49.60. 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
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
Dallas, TX
Avg $40.86
1,984,728 claims · 463 providers
Other Procedures in Los Angeles, CA
Office Visit
Avg $24.20
16,948,065 claims
Blood Work & Lab Tests
Avg $4.54
14,406,706 claims
X-Ray
Avg $17.59
3,407,369 claims
Behavioral & Mental Health Therapy
Avg $203.16
3,345,905 claims
Urinalysis & Urine Tests
Avg $2.44
3,302,824 claims
Vaccines & Immunizations
Avg $3.85
3,256,340 claims
Emergency Room Visit
Avg $84.68
3,238,140 claims
Substance Abuse Treatment
Avg $40.12
3,011,491 claims