Average Medicaid Dental Cleaning & Exam Payments in Middletown, NY: $34.48
Avg. Paid
$34.48
Range
$0.00 – $66.59
Total Claims
202,343
Providers
34
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, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Scott C Peters
127 E Main St |
$39.19 | 51,362 | 51,358 |
|
Glenn J Marie
127 E Main St # 131 |
$29.55 | 17,494 | 17,307 |
|
Mark M. Dawoud
75 Dolson Ave |
$34.30 | 14,420 | 14,281 |
|
Paul Anthony Cantelmi
127 E Main St |
$34.69 | 11,578 | 11,577 |
|
Kimberly Anne Rosenfeld
127 E Main St |
$38.60 | 10,984 | 10,980 |
|
Ashfak Uddin
119 Wickham Ave |
$36.23 | 10,471 | 10,471 |
|
Rajendarpal S Duggal
119 Wickham Ave |
$36.04 | 9,963 | 9,959 |
|
Anthony Peter Danas
400 Midway Park Dr |
$39.56 | 9,154 | 9,153 |
|
Janmeet Singh Grover
119 Wickham Ave |
$26.62 | 8,173 | 7,155 |
|
Aman Preet Singh
119 Wickham Ave |
$36.18 | 7,456 | 7,438 |
|
Michael J. Lee
127 E Main St # 131 |
$12.62 | 7,205 | 7,115 |
|
Manohar Shrestha
27 North Street |
$33.92 | 5,367 | 3,741 |
|
Patricia Elizabeth Miller
20 Ridge St |
$23.19 | 5,152 | 4,976 |
|
Vivek Bhatty
127 E Main St Unit 131 |
$38.31 | 4,671 | 4,667 |
|
Betty Margarita Rondon-Trinidad
27 North St |
$36.09 | 4,662 | 2,106 |
|
Eric K Oh
127 E Main St |
$38.66 | 4,115 | 4,113 |
|
Zachary A Katz
674 E Main St |
$34.06 | 3,131 | 3,106 |
|
Mihaela Schiopu
61 Orange Plaza Ln |
$27.38 | 2,924 | 2,364 |
|
James Park
127 E Main St Ste 131 |
$32.59 | 2,420 | 2,416 |
|
Larry Waldman
419 E Main St |
$66.59 | 1,812 | 1,810 |
|
Galleria Mall Dental Pc
1 N Galleria Dr Ste 141 |
$0.00 | 1,532 | 1,532 |
|
Duc Tuan Hoang
127 E Main St # 131 |
$17.02 | 1,378 | 1,377 |
|
Kenyatta Mack-Gates
61 Orange Plaza Ln |
$6.59 | 1,176 | 1,045 |
|
Ryan Wisdom
75 Dolson Ave |
$55.72 | 1,049 | 1,047 |
|
Sarthak Nayyar
127 E Main St # 131 |
$38.54 | 1,040 | 1,040 |
|
Robyn Paige Hemmings
27 North St |
$29.85 | 893 | 888 |
|
Ravneet Hira
700 Stratford Ln |
$38.95 | 688 | 686 |
|
Joonkyu Hwang
9 Bert Crawford Road |
$20.84 | 577 | 548 |
|
Leonard Demetrius Elzey
40 Grove St |
$31.81 | 558 | 553 |
|
Eric Scott Waldman
75 Dolson Avenue |
$57.68 | 366 | 366 |
|
Daniel Marc Katz
674 E Main St |
$36.09 | 362 | 361 |
|
Paul Duggal P.C.
119 Wickham Ave |
$25.65 | 132 | 132 |
|
Renae Smith
75 Dolson Ave |
$59.70 | 53 | 53 |
|
Daniel Benjamin Blau
674 E Main St |
$20.63 | 25 | 25 |
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, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Middletown, NY is $34.48 per claim, based on 202,343 claims from 34 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, NY?
There are 34 Medicaid providers offering Dental Cleaning & Exam related services in Middletown, NY according to public payment data.
What is the price range for Dental Cleaning & Exam in Middletown, NY?
Medicaid reimbursement for Dental Cleaning & Exam in Middletown, NY ranges from $0.00 to $66.59 per claim, with an average of $34.48. 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 Middletown, NY
Office Visit
Avg $89.34
849,019 claims
Blood Work & Lab Tests
Avg $8.75
466,678 claims
Home Health Visit
Avg $130.57
264,098 claims
Emergency Room Visit
Avg $124.41
199,236 claims
Psychiatric Evaluation
Avg $105.46
199,025 claims
Substance Abuse Treatment
Avg $67.54
169,986 claims
X-Ray
Avg $9.37
113,864 claims
Ultrasound
Avg $104.49
112,942 claims