Average Medicaid Dental Cleaning & Exam Payments in Montclair, NJ: $23.22
Avg. Paid
$23.22
Range
$0.00 – $44.88
Total Claims
55,985
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 Montclair, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Babak Haghighi
63 S Fullerton Ave |
$17.82 | 9,603 | 9,586 |
|
Hari Goo
1 Bay Ave |
$34.89 | 7,139 | 7,123 |
|
Aneta Wojcik Hakimi
1 Bay Ave |
$15.87 | 7,126 | 7,079 |
|
Keel Saul
1 Bay Ave |
$22.72 | 5,004 | 4,966 |
|
William Clavis Warren
127 Pine St |
$24.32 | 4,530 | 4,525 |
|
Deanna R Michael
1 Bay Ave |
$26.79 | 3,745 | 3,705 |
|
Paul Rotunda
83 Park St |
$15.21 | 3,652 | 3,561 |
|
Mary L Voytus
1 Bay Ave |
$21.29 | 3,285 | 3,278 |
|
Pamela Singh
129 Grove St |
$28.49 | 2,649 | 2,649 |
|
Arbnor Kica
480 Valley Rd Apt C12 |
$28.81 | 2,497 | 2,377 |
|
Francis James O'Bosky
39 S Fullerton Ave |
$33.73 | 1,683 | 1,679 |
|
Montclair Hospital Llc
1 Bay Avenue |
$20.04 | 1,302 | 1,297 |
|
Grove Street Care Dental Inc.
129 Grove St |
$17.24 | 954 | 953 |
|
Laurence Clifford Leff
460 Bloomfield Ave |
$21.18 | 936 | 844 |
|
Paul John Levinsky
1 Bay Ave |
$33.13 | 699 | 670 |
|
Laurence Leff Dmd Llc
460 Bloomfield Ave |
$22.93 | 526 | 526 |
|
Bansari Modi Shah
76 Bellevue Ave |
$44.88 | 304 | 304 |
|
Joshua Azar
311 Orange Rd |
$0.00 | 269 | 269 |
|
Essex Endodontics Pc
460 Bloomfield Ave Ste 311 |
$23.00 | 82 | 82 |
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 Montclair, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Montclair, NJ is $23.22 per claim, based on 55,985 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 Montclair, NJ?
There are 19 Medicaid providers offering Dental Cleaning & Exam related services in Montclair, NJ according to public payment data.
What is the price range for Dental Cleaning & Exam in Montclair, NJ?
Medicaid reimbursement for Dental Cleaning & Exam in Montclair, NJ ranges from $0.00 to $44.88 per claim, with an average of $23.22. 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 Montclair, NJ
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Avg $5.17
195,538 claims
Emergency Room Visit
Avg $236.11
144,725 claims
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Avg $83.23
89,200 claims
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Avg $70.61
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Office Visit
Avg $49.62
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Avg $3.13
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Avg $10.08
50,561 claims
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Avg $11.05
47,034 claims