Average Medicaid Dental Cleaning & Exam Payments in Marshalltown, IA: $17.27
Avg. Paid
$17.27
Range
$0.00 – $27.10
Total Claims
50,156
Providers
15
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 Marshalltown, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Stufflebeam
207 E Church St |
$27.10 | 28,158 | 27,866 |
|
Primary Health Care, Inc.
101 Iowa Ave W |
$0.00 | 11,271 | 10,916 |
|
Richard Martin Burke
112 E Linn St |
$22.00 | 2,680 | 2,367 |
|
Chad Matthew Menke
112 E Linn St |
$0.95 | 2,363 | 1,967 |
|
Jacob Duane Parsons
101 Iowa Avenue W |
$7.66 | 1,594 | 1,548 |
|
Paul Kang
112 E Linn St |
$1.45 | 1,347 | 1,324 |
|
Erik Svend Christensen
112 E Linn St |
$1.56 | 952 | 916 |
|
Mid-Iowa Community Action, Inc
1001 S 18Th Ave |
$18.42 | 528 | 524 |
|
Brian Langston
112 E Linn St |
$2.61 | 523 | 510 |
|
David John Clark
211 West Main Street |
$19.44 | 303 | 298 |
|
Robert Earl Gantz
201 Nicholas Dr |
$23.16 | 287 | 285 |
|
John G Collison
210 W Main St |
$19.36 | 49 | 43 |
|
Bradley D. Price
312 E Linn St |
$23.17 | 48 | 48 |
|
Matthew Robert Downey
201 Nicholas Dr |
$18.37 | 38 | 37 |
|
Stephen Robert Thies
112 E Linn St |
$15.35 | 15 | 15 |
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 Marshalltown, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Marshalltown, IA is $17.27 per claim, based on 50,156 claims from 15 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 Marshalltown, IA?
There are 15 Medicaid providers offering Dental Cleaning & Exam related services in Marshalltown, IA according to public payment data.
What is the price range for Dental Cleaning & Exam in Marshalltown, IA?
Medicaid reimbursement for Dental Cleaning & Exam in Marshalltown, IA ranges from $0.00 to $27.10 per claim, with an average of $17.27. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dental Cleaning & Exam in Other Cities
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Avg $29.76
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Chicago, IL
Avg $29.66
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Avg $27.72
193,666 claims
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Avg $17.11
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Avg $75.92
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