Average Medicaid Dental Cleaning & Exam Payments in Middletown, OH: $19.56
Avg. Paid
$19.56
Range
$0.00 – $51.97
Total Claims
206,153
Providers
21
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, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Douglas John Brockman
210 S Breiel Blvd |
$20.45 | 41,373 | 40,750 |
|
Matthew Patrick Pollock
210 S Breiel Blvd |
$22.70 | 40,088 | 39,518 |
|
Vineela Redla
210 S Breiel Blvd Ste 2 |
$25.92 | 23,535 | 22,972 |
|
Morgan D. Shankle
1036 S Verity Pkwy |
$19.84 | 16,712 | 10,974 |
|
Lisa Kay Marion
1036 S Verity Pkwy |
$10.90 | 13,358 | 9,116 |
|
Kim M Oberlander
1036 S Verity Pkwy |
$10.87 | 12,700 | 8,450 |
|
Scott M. Everhart
2028 Central Ave |
$24.36 | 11,323 | 11,066 |
|
Digisha Patel
675 N University Blvd |
$24.31 | 7,244 | 7,046 |
|
Obaid Shah
1036 S Verity Pkwy |
$13.98 | 6,746 | 4,488 |
|
Jenny Lafontant Ferdinand
1036 S Verity Pkwy |
$9.95 | 6,293 | 3,711 |
|
Vinod Miriyala
601 N Breiel Blvd Unit B |
$17.77 | 5,650 | 4,709 |
|
Abdul Jabbar Abro
1036 S Verity Pkwy |
$11.95 | 5,275 | 2,906 |
|
Farhad Jamshidi
3420 Atrium Blvd Ste 100 |
$25.10 | 4,797 | 4,662 |
|
Swati Verma
1036 S Verity Pkwy |
$15.36 | 4,640 | 2,999 |
|
Butler County Community Health Consortium, Inc.
1036 S Verity Pkwy |
$0.01 | 2,374 | 2,177 |
|
Richard Edward Johnson
1036 S Verity Pkwy |
$11.67 | 1,513 | 864 |
|
Elizabeth B Newell
3420 Atrium Blvd |
$34.43 | 1,316 | 1,307 |
|
William Patrick Noonan
210 S Breiel Blvd |
$20.30 | 1,173 | 1,129 |
|
Butler County Community Health Consortium, Inc.
601 N Breiel Blvd Ste B |
$0.00 | 18 | 16 |
|
Shreena Jitendra Patel
3420 Atrium Blvd Ste 100 |
$51.97 | 13 | 13 |
|
Diana E Small
331 N Breiel Blvd |
$0.00 | 12 | 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 Middletown, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Middletown, OH is $19.56 per claim, based on 206,153 claims from 21 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, OH?
There are 21 Medicaid providers offering Dental Cleaning & Exam related services in Middletown, OH according to public payment data.
What is the price range for Dental Cleaning & Exam in Middletown, OH?
Medicaid reimbursement for Dental Cleaning & Exam in Middletown, OH ranges from $0.00 to $51.97 per claim, with an average of $19.56. 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, OH
Office Visit
Avg $51.46
490,917 claims
Psychiatric Evaluation
Avg $70.81
237,856 claims
Behavioral & Mental Health Therapy
Avg $64.75
165,798 claims
Substance Abuse Treatment
Avg $66.15
149,917 claims
Physical Therapy
Avg $14.68
93,124 claims
Vaccines & Immunizations
Avg $9.68
78,857 claims
Speech Therapy
Avg $26.42
73,939 claims
X-Ray
Avg $5.86
71,533 claims