Average Medicaid Dental Cleaning & Exam Payments in Middlebury, VT: $38.46
Avg. Paid
$38.46
Range
$19.50 – $41.95
Total Claims
44,858
Providers
10
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 Middlebury, VT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brian Darnell Collins
1330 Exchange St |
$37.27 | 21,065 | 20,584 |
|
Brian Andrew Collins
132 S Village Grn |
$41.95 | 15,229 | 15,038 |
|
Andrew J. Daly
152 Maple St |
$35.07 | 3,689 | 3,112 |
|
Erik Karl Koskinen
9 Court St |
$36.00 | 3,298 | 3,038 |
|
Bartley L Larrow
80 Court St |
$34.24 | 1,134 | 1,098 |
|
Scott Martin Bowen
58 Court St |
$37.47 | 235 | 226 |
|
Peter James Hopper
1330 Exchange St |
$23.11 | 85 | 70 |
|
Monica Benjamin
44 Collins Dr |
$33.05 | 80 | 75 |
|
Francisco Jaime Corbalan
1330 Exchange St |
$34.68 | 25 | 24 |
|
Michael David Seaton
1330 Exchange St |
$19.50 | 18 | 16 |
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 Middlebury, VT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Middlebury, VT is $38.46 per claim, based on 44,858 claims from 10 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 Middlebury, VT?
There are 10 Medicaid providers offering Dental Cleaning & Exam related services in Middlebury, VT according to public payment data.
What is the price range for Dental Cleaning & Exam in Middlebury, VT?
Medicaid reimbursement for Dental Cleaning & Exam in Middlebury, VT ranges from $19.50 to $41.95 per claim, with an average of $38.46. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Avg $40.08
70,234 claims
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Avg $0.81
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Avg $76.26
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