Average Medicaid Dental Cleaning & Exam Payments in Monroe, NY: $48.28
Avg. Paid
$48.28
Range
$3.06 – $59.97
Total Claims
142,317
Providers
19
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, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rafael Farkas
49 Forest Rd |
$58.09 | 37,189 | 29,195 |
|
Suresh M Rao
49 Forest Rd |
$59.21 | 29,317 | 22,806 |
|
Ghazala Seedat
49 Forest Rd |
$32.16 | 18,814 | 8,864 |
|
Adam Abdeh
340 Larkin Dr Ste 201 |
$38.48 | 14,593 | 14,568 |
|
Mohammad Naseer Ahmed
49 Forest Rd |
$59.97 | 13,332 | 10,340 |
|
Beni Banbahji
809 Ny-208 |
$36.82 | 7,965 | 7,931 |
|
Harry Monastersky
91 Lakes Rd |
$38.29 | 7,198 | 1,926 |
|
Patrick Wong
49 Forest Rd |
$33.77 | 4,802 | 4,535 |
|
David Glassberg
49 Forest Rd |
$3.06 | 2,533 | 2,488 |
|
Talia Felman
49 Forest Rd |
$54.71 | 1,830 | 1,480 |
|
Ilan Tzur
809 State Route 208 |
$32.51 | 1,191 | 1,190 |
|
Joseph Faber
809 State Route 208 |
$31.95 | 1,175 | 1,172 |
|
Rachna Bajaj
49 Forest Rd |
$43.44 | 977 | 977 |
|
David Alter Diament
809 State Route 208 |
$33.30 | 686 | 686 |
|
Michael Joseph Messina
49 Forest Rd |
$50.43 | 287 | 234 |
|
Jay Lawrence Hirsch
809 Ny-208 |
$31.97 | 193 | 181 |
|
Fred Martin
100 Carpenter Pl |
$32.36 | 158 | 158 |
|
Rebecca Susan Daniel
20 Millpond Pkwy |
$40.08 | 48 | 48 |
|
Arielle Rolon
1200 State Route 208 Ste 4 |
$34.66 | 29 | 29 |
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, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Monroe, NY is $48.28 per claim, based on 142,317 claims from 19 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, NY?
There are 19 Medicaid providers offering Dental Cleaning & Exam related services in Monroe, NY according to public payment data.
What is the price range for Dental Cleaning & Exam in Monroe, NY?
Medicaid reimbursement for Dental Cleaning & Exam in Monroe, NY ranges from $3.06 to $59.97 per claim, with an average of $48.28. 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
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