Average Medicaid Dental Cleaning & Exam Payments in Middleton, WI: $19.49
Avg. Paid
$19.49
Range
$0.00 – $45.02
Total Claims
11,470
Providers
11
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 Middleton, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Theresa Marcie Mock
8669 Airport Rd |
$28.88 | 4,870 | 4,867 |
|
Malia Thao
8215 Greenway Blvd Ste 100 |
$1.32 | 3,074 | 3,011 |
|
Courtney Ann Mann
6661 University Ave |
$45.02 | 1,048 | 1,048 |
|
Jennifer Lee Hinshaw
1001 N Gammon Rd Ste 1 |
$2.93 | 811 | 809 |
|
Fred E Zietz
6333 University Ave |
$0.00 | 497 | 497 |
|
Nathanael David Benassi
8391 Greenway Blvd Ste 100 |
$25.78 | 470 | 454 |
|
Marissa Cody
8215 Greenway Blvd Ste 100 |
$27.53 | 327 | 322 |
|
Christian S. Kammer
2275 Deming Way |
$26.52 | 237 | 219 |
|
Syeda Fatima Wasti
6301 University Ave |
$21.56 | 50 | 46 |
|
Nicholas Christianson
7001 W Old Sauk Rd |
$16.27 | 49 | 48 |
|
Dana B Lubet
6661 University Ave |
$0.00 | 37 | 34 |
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 Middleton, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Middleton, WI is $19.49 per claim, based on 11,470 claims from 11 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 Middleton, WI?
There are 11 Medicaid providers offering Dental Cleaning & Exam related services in Middleton, WI according to public payment data.
What is the price range for Dental Cleaning & Exam in Middleton, WI?
Medicaid reimbursement for Dental Cleaning & Exam in Middleton, WI ranges from $0.00 to $45.02 per claim, with an average of $19.49. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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