Average Medicaid Dental Cleaning & Exam Payments in Manchester, CT: $28.62
Avg. Paid
$28.62
Range
$0.00 – $60.24
Total Claims
113,858
Providers
44
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 Manchester, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Swathanthra Kumar Melekote
130 Hartford Rd |
$22.70 | 23 | 20 |
|
Dr. Dental Of Manchester, Pc
240 Spencer St |
$0.00 | 31 | 29 |
|
Justin Dessereaux
168 Spencer St |
$40.36 | 32 | 32 |
|
John Charles Mccabe
483 W Middle Tpke |
$26.65 | 42 | 41 |
|
Mark Elsesser
27 Hilliard St |
$0.00 | 53 | 53 |
|
Kenneth N. Spiegelman
27 Hilliard St |
$0.00 | 82 | 82 |
|
Sriram V Myneni
935 Main St |
$36.24 | 164 | 156 |
|
Paul C Peracchio
945 Main St |
$32.28 | 214 | 204 |
|
Jodi Cara Levy
200 W Center St |
$38.97 | 219 | 217 |
|
Ryaz Ansari
483 Middle Tpke W |
$42.88 | 224 | 213 |
|
Scott Maurice Dillard
401 Center St |
$12.02 | 299 | 130 |
|
Shari Mathew
99 E Center St |
$31.44 | 388 | 356 |
|
Daniel R Saunders
945 Main St |
$35.74 | 391 | 374 |
|
Ghania N Chohan
483 Middle Tpke W Ste 309 |
$7.54 | 526 | 454 |
|
Nagamani Ambatipudi
483 Middle Turnpike W |
$24.42 | 540 | 467 |
|
Jaeho Chae
483 Middle Tpke W |
$25.44 | 576 | 576 |
|
Puneet Kaur Rangi
1540 Pleasant Valley Rd Ste G |
$27.45 | 630 | 541 |
|
David Wiegard
419 Middle Tpke W |
$33.18 | 666 | 651 |
|
Neha Mangla
1540 Pleasant Valley Rd Ste G |
$30.96 | 685 | 624 |
|
Sung Hoon Cho
1540 Pleasant Valley Rd Ste G |
$28.33 | 869 | 837 |
|
John Robert Stanko
238C Tolland Tpke |
$22.66 | 1,068 | 849 |
|
Columbia Oral Maxillofacial Imaging Llc
483 Middle Tpke W |
$0.00 | 1,072 | 1,038 |
|
Kyung Seok Ko
194 Buckland Hills Dr |
$30.70 | 1,315 | 1,268 |
|
Matthew Dale Rogers
945 Main St Ste 101 |
$38.60 | 1,316 | 1,270 |
|
Michael Olkovsky
155 Main St Ste 1 |
$29.72 | 1,461 | 1,437 |
|
Glenn Koehler
192 Main St |
$31.98 | 2,053 | 1,978 |
|
Ronald J Albert
360 Tolland Tpke |
$60.24 | 2,101 | 2,039 |
|
Sueyoung Chi
194 Buckland Hills Dr Ste 1076 |
$36.46 | 2,233 | 2,202 |
|
Berkay T Suer
483 Middle Tpke W |
$19.52 | 2,451 | 1,744 |
|
Tushin Atulkumar Shah
229 E Center St |
$34.35 | 3,096 | 3,044 |
|
Joohan Lee
483 Middle Tpke W Ste 309 |
$27.66 | 3,188 | 2,637 |
|
Tris John Carta
192 E Center St |
$31.51 | 3,605 | 3,481 |
|
Byeongjik Kim
194 Buckland Hills Dr |
$38.60 | 3,907 | 3,822 |
|
Sherri L Englehart-Shea
150 N Main St |
$0.00 | 4,276 | 3,679 |
|
Edgar F Salas
1131 Tolland Tpke Ste J |
$29.18 | 4,359 | 4,132 |
|
Dante Paolino
192 Main St |
$33.38 | 4,384 | 4,166 |
|
Jatinder Sharma
1540 Pleasant Valley Rd Ste G |
$26.46 | 4,667 | 3,846 |
|
Steven Marc Lovelace
935 Main St |
$30.07 | 5,836 | 5,415 |
|
Abbas Mohammadi
483 W Middle Tpke |
$19.14 | 5,940 | 4,575 |
|
Jessica Sherlette Hughes-Burnett
599 Main St Ste 3 |
$14.94 | 6,202 | 6,200 |
|
Jae Yong Jung
179 Deming St Ste A |
$40.61 | 6,705 | 6,596 |
|
Nitika Rohilla
240 Spencer St |
$30.01 | 8,449 | 7,129 |
|
Kanwarpal Singh
419 Middle Tpke W |
$33.48 | 8,768 | 8,333 |
|
Roohan Sidhu
240 Spencer St |
$28.83 | 18,752 | 15,559 |
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 Manchester, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Manchester, CT is $28.62 per claim, based on 113,858 claims from 44 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 Manchester, CT?
There are 44 Medicaid providers offering Dental Cleaning & Exam related services in Manchester, CT according to public payment data.
What is the price range for Dental Cleaning & Exam in Manchester, CT?
Medicaid reimbursement for Dental Cleaning & Exam in Manchester, CT ranges from $0.00 to $60.24 per claim, with an average of $28.62. 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
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