Average Medicaid Dental Cleaning & Exam Payments in Middletown, CT: $22.95
Avg. Paid
$22.95
Range
$0.00 – $45.08
Total Claims
98,362
Providers
25
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 Middletown, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mitchell Milone
157 Saybrook Rd |
$45.08 | 12 | 12 |
|
John C Pavlakis
717 Newfield St |
$30.10 | 14 | 14 |
|
Rebecca Eleck
635 Main St |
$0.00 | 27 | 26 |
|
Michele Salonia Boccalatte
955 S Main St |
$34.10 | 29 | 27 |
|
Robert Richard Gatehouse
828 Newfield St |
$37.04 | 30 | 30 |
|
Julie Ann Nocera
11 Ironwood Ln |
$11.76 | 49 | 46 |
|
Stefanie Pellerin
101 Centerpoint Dr Ste 215 |
$16.09 | 135 | 127 |
|
Nevatha Mathialagan
675 Main St |
$0.68 | 364 | 319 |
|
Nicole Adams
438 Main St |
$19.92 | 433 | 391 |
|
Kenneth Michael Patrician
583 Saybrook Rd |
$26.19 | 515 | 492 |
|
Colleen Bouffard
438 Main St |
$19.24 | 1,670 | 1,525 |
|
Tiffany Haim
828 Newfield St |
$36.73 | 1,793 | 1,739 |
|
Mary Shepard
438 Main St |
$19.75 | 3,251 | 3,000 |
|
Z Christopher Religa
828 Newfield St |
$36.84 | 3,422 | 3,359 |
|
Jennifer Feinleib
101 Centerpoint Dr Ste 215 |
$15.55 | 3,810 | 3,673 |
|
Community Health Center Inc
675 Main St |
$0.00 | 3,969 | 3,298 |
|
Ali Khayyer
675 Main Street |
$37.33 | 4,484 | 4,372 |
|
Madison Stevens
101 Centerpoint Dr Ste 215 |
$17.14 | 4,613 | 4,403 |
|
Donald Jeffrey Kohl
438 Main St |
$24.87 | 4,942 | 4,069 |
|
Tabrez Adil
675 Main St. |
$0.00 | 6,255 | 5,414 |
|
Donna Pehmoeller
438 Main St |
$17.72 | 7,684 | 7,141 |
|
Amy Maria O'Callaghan
828 Newfield St |
$35.63 | 9,884 | 9,498 |
|
Raynell A Covello
438 Main St |
$16.85 | 11,773 | 11,006 |
|
Christina Bearish
438 Main St |
$16.86 | 13,188 | 12,506 |
|
Erica Pitera
583 Saybrook Rd |
$37.68 | 16,016 | 15,660 |
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 Middletown, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Middletown, CT is $22.95 per claim, based on 98,362 claims from 25 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 Middletown, CT?
There are 25 Medicaid providers offering Dental Cleaning & Exam related services in Middletown, CT according to public payment data.
What is the price range for Dental Cleaning & Exam in Middletown, CT?
Medicaid reimbursement for Dental Cleaning & Exam in Middletown, CT ranges from $0.00 to $45.08 per claim, with an average of $22.95. 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
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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
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San Antonio, TX
Avg $40.74
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Other Procedures in Middletown, CT
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Avg $3.05
690,000 claims
Office Visit
Avg $37.60
635,282 claims
Psychiatric Evaluation
Avg $39.99
459,562 claims
Emergency Room Visit
Avg $218.69
254,571 claims
Physical Therapy
Avg $37.54
228,637 claims
Ambulance Transport
Avg $28.77
159,133 claims
X-Ray
Avg $18.25
157,475 claims
Non-Emergency Medical Transportation
Avg $1.37
149,564 claims