Average Medicaid Dental Cleaning & Exam Payments in Mount Pleasant, WI: $29.11
Avg. Paid
$29.11
Range
$0.00 – $36.48
Total Claims
144,689
Providers
20
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 Mount Pleasant, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sasan Molavi
6100 Washington Ave Ste F2 |
$29.73 | 54,350 | 50,514 |
|
Arsalan Augend
5201 Washington Ave |
$29.16 | 24,461 | 21,658 |
|
Eliot Vildaver
5201 Washington Ave |
$31.63 | 13,802 | 13,325 |
|
David Eugene Nelson
1320 S Green Bay Rd |
$27.27 | 10,488 | 9,635 |
|
Sanaa Bhimji
5201 Washington Ave |
$28.64 | 9,127 | 8,268 |
|
Tanya Larsen
6722 Green Ridge Dr |
$23.04 | 9,041 | 8,180 |
|
Tirumala Aggarwal
6100 Washington Ave Ste F2 |
$25.62 | 5,593 | 5,171 |
|
Dorina Nastase
5201 Washington Ave |
$31.23 | 4,777 | 4,527 |
|
Tae Ho Kang
5201 Washington Ave Ste A |
$29.38 | 2,912 | 2,641 |
|
Ji Young Yoon
1320 S Green Bay Rd |
$32.25 | 2,546 | 2,329 |
|
Joon Hyuk Kim
6100 Washington Ave Ste F2 |
$36.48 | 2,154 | 1,973 |
|
Mariana Zaric
6100 Washington Ave Ste F2 |
$34.34 | 1,779 | 1,701 |
|
Daniel Ramirez
6100 Washington Ave Ste F2 |
$28.34 | 1,605 | 1,539 |
|
Deepak Joseph Neduvelil
5201 Washington Ave |
$22.69 | 1,142 | 865 |
|
Inna Sokolov
6100 Washington Ave Ste F2 |
$26.77 | 408 | 400 |
|
Lesley Delgado
3807 Spring St |
$17.60 | 216 | 201 |
|
Amanda Toy
6100 Washington Ave Ste F2 |
$21.28 | 152 | 152 |
|
Lisa Lyn Sanfelippo
5201 Washington Ave |
$1.42 | 91 | 91 |
|
Moses Rasberry
6100 Washington Ave Ste F2 |
$28.97 | 30 | 26 |
|
Chelsea Logan Chatman-Zierk
1320 S Green Bay Rd |
$0.00 | 15 | 15 |
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 Mount Pleasant, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Mount Pleasant, WI is $29.11 per claim, based on 144,689 claims from 20 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 Mount Pleasant, WI?
There are 20 Medicaid providers offering Dental Cleaning & Exam related services in Mount Pleasant, WI according to public payment data.
What is the price range for Dental Cleaning & Exam in Mount Pleasant, WI?
Medicaid reimbursement for Dental Cleaning & Exam in Mount Pleasant, WI ranges from $0.00 to $36.48 per claim, with an average of $29.11. 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 Mount Pleasant, WI
Physical Therapy
Avg $38.42
251,161 claims
Substance Abuse Treatment
Avg $11.81
221,842 claims
Office Visit
Avg $34.63
182,605 claims
Speech Therapy
Avg $41.05
124,087 claims
Emergency Room Visit
Avg $52.13
61,592 claims
Dental Filling
Avg $79.47
53,936 claims
Psychiatric Evaluation
Avg $44.78
27,847 claims
Vaccines & Immunizations
Avg $4.76
25,675 claims