Average Medicaid Dental Cleaning & Exam Payments in Northborough, MA: $37.51
Avg. Paid
$37.51
Range
$27.43 – $43.07
Total Claims
33,800
Providers
12
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 Northborough, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Islam Mohammad Dehis
205 Bay Dr |
$39.62 | 9,613 | 9,319 |
|
Nadia Muhammad Morad
10010 Shops Way # H |
$30.58 | 8,713 | 6,664 |
|
Timothy James Byrnes
29 South St |
$43.07 | 4,732 | 4,698 |
|
Daniel Nayebi
29 South St |
$40.12 | 3,550 | 3,472 |
|
Ummesalma Dhariwala
25 Dunia Ln # 25 |
$40.75 | 3,028 | 2,891 |
|
David N Moheban
154 Main St |
$38.13 | 1,678 | 1,543 |
|
Ammar Hussain Pabaney
1 E Main St |
$34.20 | 847 | 680 |
|
Mansour Moheban
154 Main St |
$35.84 | 813 | 761 |
|
Jolanta Maria Macdonald
137 West Main Street |
$35.26 | 418 | 393 |
|
Kieun Kim
1 E Main St |
$37.23 | 269 | 252 |
|
Alexander J Moheban
273 Sw Cutoff |
$27.94 | 125 | 116 |
|
Abram Vasershtein
29 South Street |
$27.43 | 14 | 14 |
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 Northborough, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Northborough, MA is $37.51 per claim, based on 33,800 claims from 12 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 Northborough, MA?
There are 12 Medicaid providers offering Dental Cleaning & Exam related services in Northborough, MA according to public payment data.
What is the price range for Dental Cleaning & Exam in Northborough, MA?
Medicaid reimbursement for Dental Cleaning & Exam in Northborough, MA ranges from $27.43 to $43.07 per claim, with an average of $37.51. 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
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Bronx, NY
Avg $31.12
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New York, NY
Avg $30.52
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Phoenix, AZ
Avg $11.18
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San Antonio, TX
Avg $40.74
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Other Procedures in Northborough, MA
Non-Emergency Medical Transportation
Avg $51.61
109,219 claims
Office Visit
Avg $55.74
30,056 claims
Nursing Facility Care
Avg $20.97
23,155 claims
Speech Therapy
Avg $20.71
6,587 claims
Physical Therapy
Avg $10.67
4,394 claims
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Avg $31.25
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Ambulance Transport
Avg $89.91
3,826 claims
Dental Filling
Avg $76.24
3,583 claims