Average Medicaid Dental Cleaning & Exam Payments in Oneonta, NY: $38.37
Avg. Paid
$38.37
Range
$34.22 – $57.15
Total Claims
35,191
Providers
8
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 Oneonta, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Prosper Kori Bonsi
482 Main St |
$34.85 | 12,730 | 12,712 |
|
Loc Van Nguyen
8 Grand St |
$42.85 | 12,113 | 12,101 |
|
Jamil Ashrafuzzaman
53 Chestnut St Ste 1 |
$34.22 | 7,749 | 4,769 |
|
Scott J. Heiland
53 Chestnut Street |
$49.87 | 1,213 | 1,213 |
|
Michael Freedus
53 Chestnut Street |
$40.88 | 721 | 721 |
|
Amy J Thompson
53 Chestnut St |
$51.96 | 427 | 427 |
|
Esthetics Inc & Tooth Counter Corporation
482 Main St |
$42.19 | 225 | 225 |
|
American Mobile Dental, P.C.
8 Grand St |
$57.15 | 13 | 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 Oneonta, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Oneonta, NY is $38.37 per claim, based on 35,191 claims from 8 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 Oneonta, NY?
There are 8 Medicaid providers offering Dental Cleaning & Exam related services in Oneonta, NY according to public payment data.
What is the price range for Dental Cleaning & Exam in Oneonta, NY?
Medicaid reimbursement for Dental Cleaning & Exam in Oneonta, NY ranges from $34.22 to $57.15 per claim, with an average of $38.37. 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 Oneonta, NY
Office Visit
Avg $95.64
98,169 claims
Blood Work & Lab Tests
Avg $13.07
85,410 claims
Psychiatric Evaluation
Avg $151.17
51,202 claims
Urinalysis & Urine Tests
Avg $22.08
49,736 claims
Emergency Room Visit
Avg $162.90
47,968 claims
Non-Emergency Medical Transportation
Avg $25.73
35,239 claims
X-Ray
Avg $6.46
25,474 claims
Home Health Visit
Avg $157.21
22,871 claims