Average Medicaid Dental Cleaning & Exam Payments in Monroe, MI: $32.45
Avg. Paid
$32.45
Range
$19.59 – $55.43
Total Claims
41,966
Providers
28
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 Monroe, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Petrouneas
122 Cole Rd |
$26.56 | 10,062 | 10,031 |
|
Smile Zone Pllc
5290 Brookshire Dr |
$38.34 | 8,218 | 8,203 |
|
Northside Dental Pllc
132 Cole Rd |
$30.35 | 5,330 | 5,326 |
|
Maria Terese Mcmullin
116 Cole Rd |
$31.92 | 2,926 | 2,926 |
|
Westwood Dental, P.C.
709 Westwood Dr |
$28.76 | 2,868 | 2,868 |
|
Western Lake Erie Oms, Pc
876 Stewart Rd |
$42.74 | 2,193 | 2,176 |
|
Maxine Cannon
1049 N Macomb St |
$35.51 | 2,093 | 2,093 |
|
Kuras Dental Health Associates
132 Cole Rd |
$32.85 | 1,608 | 1,608 |
|
Michael Petrouneas Dds Pc
122 Cole Rd |
$33.34 | 1,098 | 1,085 |
|
Maria T Mcmullin Dds Pllc
116 Cole Rd |
$35.45 | 959 | 957 |
|
Patrick Burkardt
2015 Heiss Rd |
$33.58 | 851 | 848 |
|
Kyle Lambert Dmd Pllc
3749 N Dixie Hwy |
$29.08 | 641 | 641 |
|
Michael Todd Valentine
759 N Monroe St |
$28.03 | 601 | 601 |
|
A & J Dental Associates
709 Westwood Dr |
$29.69 | 380 | 380 |
|
Frenchtown Smiles Pllc
3749 N Dixie Hwy |
$30.89 | 358 | 358 |
|
Lifetouch Smiles
1262 N Macomb St |
$55.43 | 338 | 337 |
|
Calderon Mi Dental Pllc
2165 N Telegraph Rd |
$42.45 | 283 | 282 |
|
Jeremy C. Dull Dds Pc
876 Stewart Rd. |
$27.44 | 226 | 226 |
|
Kayla Maria Myers
530 S Monroe St |
$32.41 | 213 | 213 |
|
Jeremy Christopher Dull
53 Cole Rd |
$30.38 | 143 | 143 |
|
Gregory Alan Balog
1049 N Macomb St |
$19.59 | 127 | 127 |
|
Khurrum Mirza Dds Pc
7500 N Telegraph Rd |
$32.19 | 120 | 120 |
|
Monroe Smiles Dental Pllc
311 Stewart Rd |
$22.74 | 81 | 81 |
|
Adam Yazback
1050 N Monroe St |
$33.66 | 68 | 68 |
|
Ayesha Rafiq
530 S Monroe St |
$29.00 | 66 | 66 |
|
Michael Valentine Dds
311 Stewart Rd |
$22.76 | 62 | 62 |
|
Jeanette C Murphy Dds Plc
1068 S Telegraph Rd |
$30.65 | 40 | 40 |
|
Samantha Klipp
526 N Monroe St |
$40.00 | 13 | 13 |
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 Monroe, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Monroe, MI is $32.45 per claim, based on 41,966 claims from 28 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 Monroe, MI?
There are 28 Medicaid providers offering Dental Cleaning & Exam related services in Monroe, MI according to public payment data.
What is the price range for Dental Cleaning & Exam in Monroe, MI?
Medicaid reimbursement for Dental Cleaning & Exam in Monroe, MI ranges from $19.59 to $55.43 per claim, with an average of $32.45. 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 Monroe, MI
Substance Abuse Treatment
Avg $34.19
401,284 claims
Office Visit
Avg $68.45
391,016 claims
Blood Work & Lab Tests
Avg $4.03
358,215 claims
Behavioral & Mental Health Therapy
Avg $73.35
275,059 claims
Emergency Room Visit
Avg $122.39
179,511 claims
Case Management Services
Avg $199.65
93,654 claims
Psychiatric Evaluation
Avg $150.36
80,310 claims
Urinalysis & Urine Tests
Avg $0.93
69,035 claims