Average Medicaid Dental Cleaning & Exam Payments in Marion, IL: $18.80
Avg. Paid
$18.80
Range
$0.03 – $103.08
Total Claims
40,589
Providers
12
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 Marion, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shawnee Health Service And Development Corp
3115 Williamson County Pkwy |
$0.03 | 18,177 | 17,768 |
|
Rahul Malik
2702 West Deyoung Street |
$37.12 | 7,972 | 7,336 |
|
Nidhi Priya
3115 Williamson County Pkwy |
$23.88 | 3,909 | 3,646 |
|
Ashley Maxam
1501 S Carbon St |
$33.15 | 3,180 | 3,066 |
|
Bradley Cox
3115 Williamson County Pkwy |
$33.95 | 2,999 | 2,980 |
|
Sean Ericson
1504 Sioux Dr |
$25.80 | 1,620 | 1,532 |
|
Melissa Ann Morley
7562 Old Route 13 |
$35.76 | 1,322 | 1,322 |
|
Julie E Burkeen
2401 W Main St |
$31.50 | 849 | 761 |
|
Robert Dale Arnold
200 W Main St |
$103.08 | 418 | 406 |
|
Eun Jin Lee
3115 Williamson County Pkwy |
$59.30 | 99 | 90 |
|
Lauren Cripps
1504 Sioux Dr |
$21.05 | 28 | 28 |
|
Kevin E. Kays
11806 Khoury League Rd |
$40.30 | 16 | 13 |
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 Marion, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Marion, IL is $18.80 per claim, based on 40,589 claims from 12 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 Marion, IL?
There are 12 Medicaid providers offering Dental Cleaning & Exam related services in Marion, IL according to public payment data.
What is the price range for Dental Cleaning & Exam in Marion, IL?
Medicaid reimbursement for Dental Cleaning & Exam in Marion, IL ranges from $0.03 to $103.08 per claim, with an average of $18.80. 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 Marion, IL
Office Visit
Avg $12.55
358,121 claims
Eye Exam
Avg $24.98
218,058 claims
Home Health Visit
Avg $6.40
195,321 claims
Speech Therapy
Avg $12.60
130,364 claims
Vaccines & Immunizations
Avg $1.73
92,173 claims
Blood Work & Lab Tests
Avg $18.16
76,873 claims
Emergency Room Visit
Avg $92.19
65,663 claims
Ultrasound
Avg $42.41
42,393 claims