Average Medicaid Dental Cleaning & Exam Payments in Ontario, CA: $54.84
Avg. Paid
$54.84
Range
$0.00 – $72.01
Total Claims
216,829
Providers
70
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 Ontario, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rubina Kaur
398 E Holt Blvd |
$54.92 | 13,781 | 13,765 |
|
Ayed J Hawatmeh
3495 Concours |
$60.44 | 12,746 | 12,665 |
|
Marta Calvo
1051 N Mountain Ave |
$55.43 | 11,880 | 11,839 |
|
Ned Paniagua
533 W Holt Blvd |
$51.56 | 9,721 | 9,695 |
|
Michael Min
1921 E 4Th St |
$54.61 | 8,678 | 8,625 |
|
Jui-Min Su
4275 E. Concours, |
$50.99 | 8,355 | 8,315 |
|
Lourdes Cardoso
1051 N Mountain Avenue |
$53.53 | 7,449 | 7,421 |
|
Olga L Reyes
1945 E Riverside Dr |
$55.71 | 7,384 | 7,324 |
|
Asterio Alexander Galvan
750 N Archibald Ave |
$60.90 | 6,799 | 6,762 |
|
Mani Matin
1361 E 4Th St |
$63.34 | 6,785 | 6,760 |
|
Manuel G Figueroa
802 S Mountain Ave |
$52.96 | 6,659 | 6,627 |
|
Tiffany Mar
210 W C St # 100 |
$50.80 | 6,529 | 6,529 |
|
Peter Wenyen Huang
1791 E Holt Blvd Unit 102 |
$55.97 | 5,972 | 5,963 |
|
Amy A Zonoozi
2905 S Euclid |
$64.22 | 5,890 | 5,872 |
|
Emeel Nashed Ghobrial
628 West Holt Blvd |
$47.16 | 5,492 | 5,474 |
|
Calvin Chang
1337 N Mountain Ave Ste 1 |
$60.25 | 5,250 | 5,243 |
|
Terry Tzy-Luih Huang
1630 E 4Th St Ste M |
$43.77 | 4,772 | 4,743 |
|
Sophia Shu Hui Fu
1630 E 4Th St |
$64.24 | 4,504 | 4,484 |
|
Krupakar Yeturu
203 W Francis St |
$50.55 | 4,347 | 4,334 |
|
Tsai-Chun Hong
528 N Fern Ave |
$55.92 | 4,091 | 4,084 |
|
Gundong Lee
2800 E Riverside Dr Apt 113 |
$67.26 | 4,032 | 4,023 |
|
Kazem Fouad Hosny
126 W B St |
$55.89 | 3,960 | 3,939 |
|
Yongjean Shin
1739 S Euclid Ave |
$50.46 | 3,954 | 3,938 |
|
Doo Yong Lim
2200 S Mountain Ave Ste C |
$71.20 | 3,825 | 3,815 |
|
Renan Orlando Chirinos
212 W C St Ste A |
$47.18 | 3,608 | 3,595 |
|
Shreena Mistry
1337 N Mountain Ave Ste 1 |
$45.93 | 3,571 | 3,571 |
|
Mukesh Patel
974 N Mountain Ave |
$55.60 | 3,332 | 3,310 |
|
Jose Ruben Ramirez
524 N Palm Ave |
$48.65 | 3,321 | 3,313 |
|
Sandeep Singh Cheema
1361 E 4Th St |
$63.28 | 3,155 | 3,126 |
|
Summer Q Hafar
2850 Inland Empire Blvd Ste 100 |
$62.94 | 3,124 | 3,119 |
|
Lidia A Mendoza
1511 W Holt Blvd Ste E |
$38.18 | 2,850 | 2,849 |
|
Marianna Ruby Gomez
701 N Milliken Ave Ste B |
$34.45 | 2,690 | 2,501 |
|
Hyung Kim
452 N Mountain Ave |
$53.75 | 2,485 | 2,467 |
|
Devinderpal Singh Nagra
398 E Holt Blvd |
$56.32 | 2,399 | 2,391 |
|
Ingrid Regina Thuyha Mack Cruz
2598 S Archibald Ave Ste C |
$46.58 | 2,110 | 2,087 |
|
Ali Shahzad Ghajar
1361 E 4Th St |
$34.89 | 1,918 | 1,917 |
|
Nevein Elgalad Amer
815 W Holt Blvd Ste 402 |
$63.94 | 1,594 | 1,584 |
|
Hak Cheon Kim
2550 S Archibald Ave |
$45.86 | 1,539 | 1,532 |
|
Daniel Ton
1150 E Philadelphia St Ste 110 |
$64.08 | 1,513 | 1,510 |
|
Jonathan A Stuart
213 W G St |
$58.35 | 1,418 | 1,414 |
|
Maria A. Cruz Agustin
1950 S Grove Ave |
$55.69 | 1,330 | 1,324 |
|
Jatin Prabhudas Shah
2242 S Mountain Ave |
$56.95 | 1,263 | 1,259 |
|
Abbas Hatim Al Jidui
2543 S Euclid Ave |
$58.49 | 1,218 | 1,197 |
|
Rebecca Nicole Lopez
1051 N Mountain Ave |
$65.90 | 934 | 934 |
|
Mark Francis Enverga
2508 S Grove Ave |
$44.72 | 838 | 762 |
|
Yen Shiu Shih
2413 S Grove Ave |
$68.70 | 811 | 810 |
|
M Zaida Carbajal
611 N Euclid Ave |
$72.01 | 738 | 738 |
|
Asha Gurz
1751 E D St |
$34.65 | 712 | 709 |
|
Blanca Esparza
213 W G St |
$29.86 | 640 | 639 |
|
Oscar Esparza
213 W G St |
$29.32 | 634 | 626 |
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 Ontario, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Ontario, CA is $54.84 per claim, based on 216,829 claims from 70 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 Ontario, CA?
There are 70 Medicaid providers offering Dental Cleaning & Exam related services in Ontario, CA according to public payment data.
What is the price range for Dental Cleaning & Exam in Ontario, CA?
Medicaid reimbursement for Dental Cleaning & Exam in Ontario, CA ranges from $0.00 to $72.01 per claim, with an average of $54.84. 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
2,295,389 claims · 350 providers
San Antonio, TX
Avg $40.74
2,116,599 claims · 429 providers
Other Procedures in Ontario, CA
Substance Abuse Treatment
Avg $25.92
554,316 claims
Office Visit
Avg $37.92
498,039 claims
Behavioral & Mental Health Therapy
Avg $159.21
465,128 claims
Speech Therapy
Avg $42.25
216,721 claims
Blood Work & Lab Tests
Avg $2.46
141,892 claims
Psychiatric Evaluation
Avg $137.36
121,883 claims
Vaccines & Immunizations
Avg $3.27
116,444 claims
Prescription Medications
Avg $7.81
58,779 claims