Average Medicaid Dental Cleaning & Exam Payments in Neptune, NJ: $25.14
Avg. Paid
$25.14
Range
$1.00 – $39.03
Total Claims
59,154
Providers
11
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 Neptune, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Barry Ginsberg
2200 State Route 66 Ste 8 |
$28.22 | 33,768 | 33,562 |
|
Adcare Dental Llp
2200 Hwy 66 |
$27.58 | 7,248 | 7,206 |
|
Noelle R Signoriello
1828 W Lake Ave |
$26.00 | 6,167 | 6,044 |
|
Allison Tages
1828 W Lake Ave |
$1.00 | 4,225 | 4,143 |
|
Maria R Jimenez-Duru
2300 State Route 33 |
$21.14 | 4,058 | 4,042 |
|
Jersey Shore Dental Center
1820 Corlies Ave |
$22.39 | 1,483 | 1,453 |
|
Neptune Family Dental
2300 State Route 33 |
$18.35 | 820 | 820 |
|
Hina Khurana
325 Timber Ridge Ct |
$39.03 | 530 | 523 |
|
Sangchin Song
1828 W Lake Ave |
$12.74 | 374 | 346 |
|
Hmh Hospitals Corporation
1945 Route 33 |
$9.76 | 249 | 249 |
|
Akata Patel
1945 State Route 33 |
$32.31 | 232 | 232 |
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 Neptune, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Neptune, NJ is $25.14 per claim, based on 59,154 claims from 11 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 Neptune, NJ?
There are 11 Medicaid providers offering Dental Cleaning & Exam related services in Neptune, NJ according to public payment data.
What is the price range for Dental Cleaning & Exam in Neptune, NJ?
Medicaid reimbursement for Dental Cleaning & Exam in Neptune, NJ ranges from $1.00 to $39.03 per claim, with an average of $25.14. 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
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San Antonio, TX
Avg $40.74
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Other Procedures in Neptune, NJ
Office Visit
Avg $70.63
431,267 claims
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Avg $5.23
384,628 claims
Emergency Room Visit
Avg $224.45
225,797 claims
Behavioral & Mental Health Therapy
Avg $98.04
215,215 claims
Non-Emergency Medical Transportation
Avg $29.45
181,642 claims
Ambulance Transport
Avg $6.47
155,798 claims
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Avg $53.47
126,133 claims
Home Health Visit
Avg $94.88
99,410 claims