Average Medicaid Dental Cleaning & Exam Payments in Ocean, NJ: $24.87
Avg. Paid
$24.87
Range
$15.32 – $42.23
Total Claims
52,431
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 Ocean, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nikitas Lambrinos
7 Oak Tree Ln |
$25.00 | 12,177 | 12,033 |
|
Jeffrey C Elbaum
1125 State Route 35 |
$25.50 | 11,328 | 11,252 |
|
Katherine Varchenko
804 W Park Ave |
$15.32 | 10,725 | 10,544 |
|
Madeline M. Badalaty
105 Berkeley Ave |
$29.37 | 5,233 | 5,232 |
|
Michael Alan Steinle
1125 Rte 35 |
$32.35 | 5,148 | 5,122 |
|
Brian S Krost
1125 State Route 35 |
$28.80 | 3,671 | 3,629 |
|
Elbaum, Krost & Elbaum, Dds, Pa
1125 State Route 35 |
$25.00 | 2,127 | 2,120 |
|
Peter K Henein
1125 Highway 35 |
$37.00 | 749 | 735 |
|
Erik Anderson
1125 Highway 35 |
$30.67 | 654 | 637 |
|
Daniel Marc Krost
1125 Highway 35 |
$30.50 | 570 | 564 |
|
Tender Smiles Of Ocean Pa
105 Berkeley Ave |
$42.23 | 49 | 49 |
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 Ocean, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Ocean, NJ is $24.87 per claim, based on 52,431 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 Ocean, NJ?
There are 11 Medicaid providers offering Dental Cleaning & Exam related services in Ocean, NJ according to public payment data.
What is the price range for Dental Cleaning & Exam in Ocean, NJ?
Medicaid reimbursement for Dental Cleaning & Exam in Ocean, NJ ranges from $15.32 to $42.23 per claim, with an average of $24.87. 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
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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Avg $77.41
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Avg $13.40
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Avg $52.41
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