Average Medicaid Dental Cleaning & Exam Payments in Northampton, MA: $37.04
Avg. Paid
$37.04
Range
$27.51 – $49.21
Total Claims
34,347
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 Northampton, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Surendra Reddy Mandapati
12 Center St |
$33.43 | 8,857 | 8,345 |
|
Marie Tremblay
193 Locust St |
$41.32 | 7,015 | 6,916 |
|
Narender S Dudee
12 Center St |
$34.47 | 6,306 | 6,104 |
|
Claire Edwards
243 King St |
$38.29 | 3,849 | 3,772 |
|
Noelle Nubani
12 Center St |
$38.23 | 2,201 | 2,147 |
|
Ali Kasemkhani
41 Locust St |
$40.35 | 1,858 | 1,748 |
|
Alfred Lutaaya
243 King St Ste 112 |
$36.35 | 1,613 | 1,475 |
|
James, Jr. E Clayton
243 King St |
$41.12 | 692 | 676 |
|
Isabel Biernacki
Northampton Pediatric Dentistry Dba- Treehouse Pediatri |
$42.10 | 624 | 623 |
|
Binca C Warren
264 Elm St |
$37.85 | 538 | 489 |
|
Geri Ann Kleinman
243 King St |
$38.88 | 476 | 469 |
|
Sonal Patel
80 Damon Rd |
$27.51 | 166 | 157 |
|
Abhishek Parikh
243 King St Ste 112 |
$35.66 | 138 | 135 |
|
Arch Dental Care, Pc
12 Center St |
$49.21 | 14 | 13 |
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 Northampton, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Northampton, MA is $37.04 per claim, based on 34,347 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 Northampton, MA?
There are 14 Medicaid providers offering Dental Cleaning & Exam related services in Northampton, MA according to public payment data.
What is the price range for Dental Cleaning & Exam in Northampton, MA?
Medicaid reimbursement for Dental Cleaning & Exam in Northampton, MA ranges from $27.51 to $49.21 per claim, with an average of $37.04. 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
2,116,599 claims · 429 providers
Other Procedures in Northampton, MA
Office Visit
Avg $45.84
166,226 claims
Psychiatric Evaluation
Avg $65.18
151,069 claims
Non-Emergency Medical Transportation
Avg $27.44
117,301 claims
Blood Work & Lab Tests
Avg $8.04
104,278 claims
Emergency Room Visit
Avg $95.84
98,711 claims
Ambulance Transport
Avg $87.28
56,038 claims
EKG / ECG (Electrocardiogram)
Avg $4.74
43,039 claims
Physical Therapy
Avg $46.06
36,234 claims