Average Medicaid Dental Cleaning & Exam Payments in Pasadena, CA: $48.59
Avg. Paid
$48.59
Range
$0.00 – $81.24
Total Claims
299,357
Providers
65
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 Pasadena, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ohannes Manuel Tchaboukian
1339 Riviera Dr |
$66.00 | 12 | 12 |
|
Katrina Yuille
625 S Fair Oaks Ave Ste 230 |
$79.62 | 13 | 13 |
|
Sylvia Ofelia Beeman
3858 E Colorado Blvd |
$25.71 | 14 | 13 |
|
Issac Haddad M.D., Inc
2990 E Colorado Blvd |
$0.00 | 17 | 17 |
|
Michael Duckhyun Kim
1092 E Green St |
$81.24 | 21 | 21 |
|
Joshua Eunho Lee
777 S Arroyo Pkwy Ste 104 |
$59.38 | 53 | 52 |
|
Danthanh Hoang Nguyen Fields
2852 Magna Vista St |
$33.13 | 88 | 88 |
|
Stephanie Do
255 S Rosemead Blvd |
$60.74 | 94 | 94 |
|
Sevetlana Shahnazarians
859 N Fair Oaks Ave Ste 120 |
$65.75 | 94 | 93 |
|
Jonathan Galvez
1845 N Fair Oaks Ave |
$59.87 | 301 | 301 |
|
Dr Ibrahim Rabidi
2281 E Washington Blvd |
$0.00 | 314 | 305 |
|
Vicki Hyuna Wang
1282 N Lake Ave |
$36.35 | 337 | 336 |
|
Ranjivendra Nath
1855 E Colorado Blvd |
$37.94 | 343 | 342 |
|
Aisha Marie Akpabio
1855 N Fair Oaks Ave |
$34.36 | 349 | 345 |
|
Tigran Avdalyan
1546 E Washington Blvd |
$69.15 | 414 | 414 |
|
Chia Ching Lin
470 N Los Robles Ave |
$63.73 | 508 | 507 |
|
David Karo Shirinian
2335 E Colorado Blvd Ste 105 |
$71.58 | 600 | 596 |
|
David Martin Marshak
200 S El Molino Ave |
$33.95 | 619 | 616 |
|
Joseph Chihyun Kim
1092 E Green St |
$66.07 | 651 | 648 |
|
Soo Kyung Song
686 E Union Street |
$56.71 | 651 | 646 |
|
Michael Balikyan
600 S Lake Ave |
$55.49 | 682 | 680 |
|
Israel Angeles Navarro
80 N Lake Ave |
$71.48 | 723 | 722 |
|
Alen Bakhtamian
301 South Fairoaks |
$53.80 | 756 | 753 |
|
Khajadour Donabedian
2063 E Foothill Blvd |
$71.05 | 793 | 788 |
|
Michelle Kyongah Kim
2245 E Colorado Blvd |
$47.29 | 812 | 802 |
|
Karen Kevin Khachatryan
1877 E Washington Blvd |
$67.16 | 823 | 823 |
|
Iris Paiso
1855 N Fair Oaks Ave |
$11.05 | 939 | 765 |
|
Chelsea Misha Director
370 S Oakland Ave |
$61.82 | 1,226 | 1,226 |
|
Han Quynh Tran
1213 N Lake Ave Unit 1 |
$63.41 | 1,284 | 1,252 |
|
Ray Ahn
2301 E Washington Blvd |
$64.79 | 1,340 | 1,338 |
|
Ibrahim A Rabadi
2281 E Washington Blvd |
$27.57 | 1,411 | 1,394 |
|
Jack Sabounjian
81 N Lake Ave |
$73.48 | 1,470 | 1,457 |
|
Katherine Elizabeth Nasoff
715 E. Green Street |
$35.33 | 1,517 | 1,512 |
|
Dennis Po Chun
748 Locust St |
$60.66 | 1,549 | 1,545 |
|
Kaveh Ghods
30 N Madison Ave Unit 118 |
$48.88 | 1,552 | 1,531 |
|
Artur Azatyan
255 N Rosemead Blvd |
$62.44 | 1,771 | 1,766 |
|
Mehran Daoudian
470 N Los Robles Ave |
$38.83 | 1,991 | 1,986 |
|
Mohsen Mir
903 E Del Mar Blvd |
$49.31 | 2,063 | 2,057 |
|
Karen E Guinn
1175 E Green St |
$68.79 | 2,117 | 2,103 |
|
Christine Do
255 S Rosemead Blvd |
$57.49 | 2,170 | 2,166 |
|
Rohit Basson
1282 N Lake Ave |
$55.84 | 2,292 | 2,290 |
|
Tigran Arakelyan
720 N Lake Ave Ste 7 |
$68.79 | 2,709 | 2,696 |
|
Raffi Malkounian
1330 Sinaloa Ave |
$63.70 | 2,740 | 2,727 |
|
Julia H.P Lee
742 E Colorado Blvd |
$43.67 | 2,881 | 2,879 |
|
Phillip S.H Park
742 E Colorado Blvd |
$57.23 | 3,249 | 3,249 |
|
Aram Arakelyan
720 N Lake Ave Ste 7 |
$70.81 | 3,576 | 3,570 |
|
Michael Hy Buu Ma
1302 N Altadena Dr |
$27.62 | 3,764 | 3,697 |
|
Rizza Aurica Mindanao Bejasa
310 S Lake Ave Ste B1 |
$53.22 | 3,832 | 3,817 |
|
Afaf Ezzat Iskander
709 N Lake Ave |
$44.62 | 3,918 | 3,885 |
|
Lena Zerounian
3836 E Foothill Blvd |
$48.52 | 4,677 | 4,627 |
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 Pasadena, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Pasadena, CA is $48.59 per claim, based on 299,357 claims from 65 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 Pasadena, CA?
There are 65 Medicaid providers offering Dental Cleaning & Exam related services in Pasadena, CA according to public payment data.
What is the price range for Dental Cleaning & Exam in Pasadena, CA?
Medicaid reimbursement for Dental Cleaning & Exam in Pasadena, CA ranges from $0.00 to $81.24 per claim, with an average of $48.59. 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
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Avg $23.66
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