Average Medicaid Dental Cleaning & Exam Payments in Madison, WI: $17.30
Avg. Paid
$17.30
Range
$0.00 – $37.57
Total Claims
243,954
Providers
71
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 Madison, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Allen J Skibba
49 N Walbridge Ave |
$13.65 | 12 | 12 |
|
Chadwick W Schwitters
49 N Walbridge Ave |
$26.89 | 12 | 12 |
|
Tj Dyer
7007 Old Sauk Rd |
$18.64 | 12 | 12 |
|
David Fletcher Gundersen
12 Virginia Ter |
$0.00 | 14 | 14 |
|
Amy Walters
3434 E Washington Ave |
$37.57 | 17 | 17 |
|
Benjamin Joseph Farrow
2702 Monroe St |
$9.20 | 17 | 12 |
|
Kathryn Howland
7017 Old Sauk Rd |
$28.70 | 19 | 18 |
|
Abdulcadir Sido
3434 E. Washington Ave. |
$15.01 | 31 | 30 |
|
Madison Pediatric Dental, Sc
100 River Pl |
$0.00 | 36 | 36 |
|
Steven R Evelhoch
752 N High Point Rd |
$19.01 | 42 | 39 |
|
Kent H Killian
49 N Walbridge Ave |
$15.11 | 71 | 66 |
|
Andrew Wonbin Song
2713 Marshall Ct |
$19.66 | 82 | 79 |
|
Patrick S Elliott
49 N Walbridge Ave |
$17.73 | 86 | 80 |
|
Familia Dental Madison East Llc
3003 E Washington Ave |
$0.00 | 156 | 156 |
|
Gregory J Sobczak
49 N Walbridge Ave |
$16.43 | 287 | 284 |
|
Viral Pravin Virani
2534 Winnebago St |
$27.02 | 290 | 289 |
|
Anna Wineland
3434 E Washington Ave |
$0.00 | 354 | 354 |
|
Amy Elizabeth Kramer
7001 Old Sauk Rd |
$19.32 | 456 | 455 |
|
Douglas W Wilson
100 River Place |
$19.35 | 459 | 449 |
|
Tammy Downing
211 N Carroll St |
$23.88 | 459 | 456 |
|
Christopher J Pearce
3434 E Washington Ave |
$5.35 | 479 | 452 |
|
Barbara Ann De Lap
3099 E Washington Ave |
$31.42 | 549 | 537 |
|
Todd Alan Herpy
2 Science Ct |
$21.26 | 554 | 545 |
|
Nathan Richard Kroll
2 Science Ct |
$18.94 | 609 | 601 |
|
Hannah Yost Yancho
7866 Mineral Point Rd |
$28.62 | 625 | 617 |
|
Elizabeth Ann Reiser-Loeber
1001 N. Sherman Ave |
$19.78 | 685 | 674 |
|
Christine Vernati
2901 W Beltline Hwy |
$10.28 | 807 | 800 |
|
Deborah Lynn Moran
600 Highland Ave |
$19.33 | 881 | 877 |
|
Aarushi Agarwal
706 South Gammon Road |
$19.43 | 1,024 | 975 |
|
Shelby L Gehrke
3434 E Washington Ave |
$5.42 | 1,056 | 996 |
|
Rosemary A Kuhnle
122 E Johnson St |
$5.14 | 1,064 | 1,054 |
|
Adina A. Ness
3434 E Washington Ave |
$28.43 | 1,190 | 1,173 |
|
Laura Leichtenberg
3434 E Washington Ave |
$6.04 | 1,242 | 1,233 |
|
Afi Assignon
3434 E Washington Ave |
$4.20 | 1,251 | 1,236 |
|
Jenifer Jo Model
3434 E Washington Ave |
$5.34 | 1,263 | 1,251 |
|
Paul Insolera
5709 Odana Rd |
$13.43 | 1,273 | 1,169 |
|
Christabelle E Braaksma
2202 S Park St |
$0.00 | 1,392 | 1,360 |
|
Elizabeth Lynn Goetsch
211 N Carroll St |
$4.14 | 1,555 | 1,547 |
|
Errin J Pfeifer
3434 E. Washington Ave. |
$0.99 | 1,580 | 1,552 |
|
Laura L. Schmied
3434 E Washington Ave |
$4.41 | 1,657 | 1,637 |
|
Fakhra Ahmad
3003 E Washington Ave |
$19.30 | 1,744 | 1,689 |
|
Kaylee Kassandra Brea
706 S Gammon Rd |
$25.67 | 2,100 | 1,948 |
|
Arjun Dhanny
1853 Northport Dr |
$28.29 | 2,251 | 2,207 |
|
Rahul Patel
1853 Northport Dr |
$27.07 | 2,426 | 2,389 |
|
Nahee Kim
3003 E Washington Ave |
$14.03 | 2,667 | 1,889 |
|
Emily Katherine Schuler
3434 E Washington Ave |
$0.00 | 2,677 | 2,510 |
|
Frances Adjepon-Yamoah
706 S Gammon Rd |
$15.42 | 3,423 | 2,843 |
|
Jessica H. Melby
7017 Old Sauk Rd |
$24.39 | 3,747 | 3,679 |
|
Alicia A Bush
3434 E Washington Ave |
$8.82 | 4,349 | 4,171 |
|
Mai Jua Xiong
1320 Mendota St Ste 107 |
$1.50 | 4,881 | 4,725 |
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 Madison, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Madison, WI is $17.30 per claim, based on 243,954 claims from 71 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 Madison, WI?
There are 71 Medicaid providers offering Dental Cleaning & Exam related services in Madison, WI according to public payment data.
What is the price range for Dental Cleaning & Exam in Madison, WI?
Medicaid reimbursement for Dental Cleaning & Exam in Madison, WI ranges from $0.00 to $37.57 per claim, with an average of $17.30. 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
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Avg $5.11
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