Average Medicaid Dental Cleaning & Exam Payments in Marlborough, MA: $39.15
Avg. Paid
$39.15
Range
$29.00 – $53.00
Total Claims
98,331
Providers
23
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 Marlborough, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Neel V Patel
116 Main St Ste 1 |
$37.80 | 14,076 | 13,574 |
|
Tony Haoyu Tong
126 Union St |
$37.20 | 13,089 | 12,271 |
|
Andrea Harrison
116 Main St Ste 1 |
$42.09 | 12,598 | 12,540 |
|
Joy-Ann Simone Deane
116 Main St Ste 1 |
$39.16 | 10,549 | 10,030 |
|
Jenny Kim
11 Court St |
$44.17 | 9,735 | 9,610 |
|
Kai Hu
19 Maple St # 19E |
$41.48 | 8,248 | 8,036 |
|
Jason J Chen
126 Union St |
$35.91 | 7,814 | 7,439 |
|
Jinal Vora
222 E Main St |
$39.38 | 6,392 | 6,077 |
|
Khyati Madia
116 Main St Ste 1 |
$34.65 | 3,841 | 3,163 |
|
Julian Basha
661 Boston Post Rd E |
$36.19 | 2,762 | 2,491 |
|
Maria Cristina Mesquita
116 Main St Ste 1 |
$41.19 | 2,257 | 2,154 |
|
Taylor Darmetko
116 Main St Ste 1 |
$36.55 | 1,887 | 1,836 |
|
George Ghaly
201 Boston Post Rd W Ste 405 |
$37.99 | 1,156 | 1,071 |
|
Min Jung Kim
340 Maple Street |
$32.07 | 1,129 | 1,085 |
|
Sathya Gopal
11 Court St |
$35.63 | 770 | 749 |
|
Rachel Iuster Snook
126 Union St Ofc 1 |
$36.58 | 714 | 699 |
|
Mojgan Rahimi
530 Boston Post Rd E |
$41.15 | 661 | 644 |
|
Basel Badawi
11 Court St |
$41.38 | 512 | 502 |
|
Melissa A Moeckel
11A Florence St |
$34.94 | 69 | 69 |
|
Katherine Elizabeth Moynihan
322 Pleasant St |
$37.34 | 32 | 32 |
|
Donna L Paschalides
250 Main St |
$49.00 | 15 | 15 |
|
Metrowest Dental Center, Inc.
116 Main St |
$53.00 | 13 | 13 |
|
Susan A Ciampa-Albanese
65 Fremont St |
$29.00 | 12 | 12 |
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 Marlborough, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Marlborough, MA is $39.15 per claim, based on 98,331 claims from 23 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 Marlborough, MA?
There are 23 Medicaid providers offering Dental Cleaning & Exam related services in Marlborough, MA according to public payment data.
What is the price range for Dental Cleaning & Exam in Marlborough, MA?
Medicaid reimbursement for Dental Cleaning & Exam in Marlborough, MA ranges from $29.00 to $53.00 per claim, with an average of $39.15. 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 Marlborough, MA
Blood Work & Lab Tests
Avg $5.55
15,353,315 claims
Urinalysis & Urine Tests
Avg $3.06
2,187,745 claims
Culture & Microbiology Tests
Avg $4.42
1,364,285 claims
Pathology & Lab Services
Avg $22.30
429,824 claims
Non-Emergency Medical Transportation
Avg $31.63
214,219 claims
Psychiatric Evaluation
Avg $70.13
170,755 claims
Office Visit
Avg $49.24
84,284 claims
Behavioral & Mental Health Therapy
Avg $176.68
78,442 claims