Average Medicaid Dental Cleaning & Exam Payments in Marshfield, WI: $19.37
Avg. Paid
$19.37
Range
$0.00 – $66.12
Total Claims
24,900
Providers
22
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 Marshfield, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Deepak K Neelagiri
1307 N Saint Joseph Ave |
$17.78 | 12,356 | 11,830 |
|
Silpa Bhimireddy
306 W Mcmillan St |
$23.61 | 2,461 | 2,266 |
|
Andrew J Miller
1000 N Oak Ave |
$11.63 | 1,368 | 1,268 |
|
Dennis E Godar
306 W Mcmillan Rd |
$17.07 | 949 | 946 |
|
Cynthia Suarez
306 West Mcmillan Rd |
$15.23 | 947 | 929 |
|
Michael Duplessis Tchida
306 W Mcmillan St |
$34.30 | 878 | 833 |
|
Paul E Bruce
306 West Mcmillan Road |
$15.48 | 803 | 799 |
|
Curtis A Kracht
306 West Mcmillan Road |
$15.69 | 755 | 752 |
|
Christopher T Raasch
306 West Mcmillan Road |
$15.90 | 676 | 674 |
|
John J. O'Brien
1307 N Saint Joseph Ave |
$20.16 | 647 | 646 |
|
Jose A. Rodriguez-Quesada
306 West Mcmillan St. |
$14.99 | 607 | 605 |
|
Weiguang Ma
1000 N Oak Ave |
$66.12 | 559 | 550 |
|
Tony Yang
1000 N Oak Ave |
$21.56 | 511 | 497 |
|
Steven J Larson
306 West Mcmillan Road |
$16.73 | 272 | 272 |
|
Tiffany D. O'Brien
1307 N Saint Joseph Ave |
$20.87 | 258 | 257 |
|
Jacob Briese
306 W Mcmillan St |
$16.63 | 232 | 230 |
|
Jacob Craig Baumgartner
306 W Mcmillan St |
$15.58 | 196 | 196 |
|
Kevin D Mcewen
306 West Mcmillan Road |
$12.14 | 186 | 185 |
|
Robert Albert Kay
314 West Upham Street |
$19.90 | 134 | 133 |
|
Timothy J Coen
306 W Mcmillan Rd |
$13.57 | 56 | 56 |
|
Reena Abraham
2416 N Peach Ave |
$0.00 | 36 | 36 |
|
Milan Nicholas Pastuovic
1000 N. Oak Ave. |
$18.84 | 13 | 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 Marshfield, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Marshfield, WI is $19.37 per claim, based on 24,900 claims from 22 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 Marshfield, WI?
There are 22 Medicaid providers offering Dental Cleaning & Exam related services in Marshfield, WI according to public payment data.
What is the price range for Dental Cleaning & Exam in Marshfield, WI?
Medicaid reimbursement for Dental Cleaning & Exam in Marshfield, WI ranges from $0.00 to $66.12 per claim, with an average of $19.37. 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 Marshfield, WI
Blood Work & Lab Tests
Avg $10.11
440,709 claims
Office Visit
Avg $54.01
420,848 claims
X-Ray
Avg $6.61
125,347 claims
Personal Care Services
Avg $8.28
82,710 claims
Emergency Room Visit
Avg $46.05
71,524 claims
Urinalysis & Urine Tests
Avg $8.11
71,505 claims
EKG / ECG (Electrocardiogram)
Avg $4.29
62,835 claims
Psychiatric Evaluation
Avg $59.01
62,251 claims