Average Medicaid Dental Cleaning & Exam Payments in Niles, IL: $32.05
Avg. Paid
$32.05
Range
$0.00 – $41.16
Total Claims
54,427
Providers
14
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 Niles, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Seung Eun Baik
9101 N Greenwood Ave |
$33.89 | 14,882 | 14,608 |
|
Nadia Odish
8118 N Milwaukee Ave |
$33.56 | 12,785 | 12,387 |
|
Jamie Y Park
8622 W Golf Rd |
$33.15 | 12,480 | 12,118 |
|
Elizabeth Pajak
8526Q W Golf Rd |
$34.85 | 3,486 | 3,380 |
|
Vrushti Praharsh Patel
5622 W Touhy Ave |
$28.24 | 2,657 | 2,453 |
|
Stephanie S Lee
9101 N Greenwood Ave |
$31.57 | 2,121 | 1,933 |
|
Mark J. Holzer
241 Golf Mill Ctr |
$16.07 | 2,076 | 1,758 |
|
Tejas N Joshi
7763 N Nordica Ave |
$28.96 | 1,647 | 1,571 |
|
Christopher Chung
876 Civic Center Dr |
$34.07 | 1,253 | 1,235 |
|
Asian Human Services Family Health Center, Inc
8321 W Golf Rd |
$0.00 | 758 | 747 |
|
Igor Lubaev
8704 W Golf Rd |
$34.53 | 141 | 127 |
|
Leo Don Morton
9101 N Greenwood Ave |
$36.04 | 76 | 68 |
|
Mary Grace Kim
8321 W Golf Rd |
$41.16 | 53 | 51 |
|
Michael Basheer Albazzaz
400 Golf Mill Ctr |
$15.79 | 12 | 12 |
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 Niles, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Niles, IL is $32.05 per claim, based on 54,427 claims from 14 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 Niles, IL?
There are 14 Medicaid providers offering Dental Cleaning & Exam related services in Niles, IL according to public payment data.
What is the price range for Dental Cleaning & Exam in Niles, IL?
Medicaid reimbursement for Dental Cleaning & Exam in Niles, IL ranges from $0.00 to $41.16 per claim, with an average of $32.05. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dental Cleaning & Exam in Other Cities
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