Average Medicaid Dental Cleaning & Exam Payments in Macomb, MI: $40.42
Avg. Paid
$40.42
Range
$23.61 – $54.65
Total Claims
54,294
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 Macomb, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tye Family Dentistry Pllc
20377 Hall Rd |
$27.73 | 12 | 12 |
|
Generations Family Dental Care
16400 26 Mile Rd |
$26.32 | 40 | 40 |
|
Michelle Joy Tiberia
52856 Hayes Rd |
$38.60 | 79 | 79 |
|
Stephanie Marie Oska
19991 Hall Rd |
$54.65 | 148 | 148 |
|
David M Kolakowski Dds Pc
20377 Hall Rd |
$23.61 | 209 | 209 |
|
Waheed Family Dentistry Pllc
22537 Hall Rd |
$42.21 | 325 | 325 |
|
Amit Batra
51299 Romeo Plank Rd |
$41.08 | 2,198 | 2,197 |
|
Michaelj Hoffman Dds Pc
15340 23 Mile Rd |
$36.63 | 2,311 | 2,279 |
|
Umair Waheed
22537 Hall Rd |
$31.82 | 3,400 | 3,336 |
|
Modern Dental Center
50810 Romeo Plank Rd |
$39.28 | 8,026 | 7,954 |
|
Macomb Children'S Dentistry
51299 Romeo Plank Rd |
$41.69 | 37,546 | 37,477 |
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 Macomb, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Macomb, MI is $40.42 per claim, based on 54,294 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 Macomb, MI?
There are 11 Medicaid providers offering Dental Cleaning & Exam related services in Macomb, MI according to public payment data.
What is the price range for Dental Cleaning & Exam in Macomb, MI?
Medicaid reimbursement for Dental Cleaning & Exam in Macomb, MI ranges from $23.61 to $54.65 per claim, with an average of $40.42. 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
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 Macomb, MI
Office Visit
Avg $70.35
23,956 claims
Physical Therapy
Avg $18.24
17,919 claims
Dental Filling
Avg $110.29
10,332 claims
Chiropractic Care
Avg $24.41
7,661 claims
Emergency Room Visit
Avg $86.18
7,038 claims
Blood Work & Lab Tests
Avg $20.14
6,581 claims
Psychiatric Evaluation
Avg $80.02
3,122 claims
Tooth Extraction
Avg $91.76
3,032 claims