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 |
|---|---|---|---|
|
Pallavi Kavety
2620 E Colorado Blvd |
$41.12 | 68,182 | 68,085 |
|
Julie He
201 S Catalina Ave Unit 4 |
$50.55 | 29,596 | 29,549 |
|
Karen A Drosdik
820 Locust St |
$51.90 | 27,191 | 27,047 |
|
Dean Yoshito Mizuno
87 E Green St |
$74.26 | 16,605 | 16,599 |
|
So Yeon Lee
820 Locust St |
$56.71 | 13,046 | 13,021 |
|
Giselle Galanto
267 S Oak Knoll Ave |
$33.09 | 12,798 | 12,559 |
|
Marc Horton
725 N Catalina Ave |
$24.31 | 11,647 | 11,601 |
|
Mher Grigoryan
2036 Lincoln Ave |
$54.84 | 10,344 | 10,313 |
|
Hong Ku Kim
2379 E Colorado Blvd |
$55.70 | 8,052 | 8,021 |
|
Morvarid Rouhani
310 S Lake Ave Lowr Level |
$49.43 | 7,599 | 7,504 |
|
Ninette Hacopian
859 N Fair Oaks Ave Ste 120 |
$34.81 | 6,064 | 6,055 |
|
Gisoo Termechi
929 N Orange Grove Blvd |
$47.12 | 5,980 | 5,980 |
|
Christopher Ngau
115 S Los Robles Ave |
$45.00 | 5,533 | 5,520 |
|
Hector Manuel Jauregui
470 N Los Robles Ave |
$47.47 | 5,470 | 5,425 |
|
Pacita Dionisio Franco
324 N Allen Ave |
$49.18 | 5,130 | 5,100 |
|
Lena Zerounian
3836 E Foothill Blvd |
$48.52 | 4,677 | 4,627 |
|
Afaf Ezzat Iskander
709 N Lake Ave |
$44.62 | 3,918 | 3,885 |
|
Rizza Aurica Mindanao Bejasa
310 S Lake Ave Ste B1 |
$53.22 | 3,832 | 3,817 |
|
Michael Hy Buu Ma
1302 N Altadena Dr |
$27.62 | 3,764 | 3,697 |
|
Aram Arakelyan
720 N Lake Ave Ste 7 |
$70.81 | 3,576 | 3,570 |
|
Phillip S.H Park
742 E Colorado Blvd |
$57.23 | 3,249 | 3,249 |
|
Julia H.P Lee
742 E Colorado Blvd |
$43.67 | 2,881 | 2,879 |
|
Raffi Malkounian
1330 Sinaloa Ave |
$63.70 | 2,740 | 2,727 |
|
Tigran Arakelyan
720 N Lake Ave Ste 7 |
$68.79 | 2,709 | 2,696 |
|
Rohit Basson
1282 N Lake Ave |
$55.84 | 2,292 | 2,290 |
|
Christine Do
255 S Rosemead Blvd |
$57.49 | 2,170 | 2,166 |
|
Karen E Guinn
1175 E Green St |
$68.79 | 2,117 | 2,103 |
|
Mohsen Mir
903 E Del Mar Blvd |
$49.31 | 2,063 | 2,057 |
|
Mehran Daoudian
470 N Los Robles Ave |
$38.83 | 1,991 | 1,986 |
|
Artur Azatyan
255 N Rosemead Blvd |
$62.44 | 1,771 | 1,766 |
|
Kaveh Ghods
30 N Madison Ave Unit 118 |
$48.88 | 1,552 | 1,531 |
|
Dennis Po Chun
748 Locust St |
$60.66 | 1,549 | 1,545 |
|
Katherine Elizabeth Nasoff
715 E. Green Street |
$35.33 | 1,517 | 1,512 |
|
Jack Sabounjian
81 N Lake Ave |
$73.48 | 1,470 | 1,457 |
|
Ibrahim A Rabadi
2281 E Washington Blvd |
$27.57 | 1,411 | 1,394 |
|
Ray Ahn
2301 E Washington Blvd |
$64.79 | 1,340 | 1,338 |
|
Han Quynh Tran
1213 N Lake Ave Unit 1 |
$63.41 | 1,284 | 1,252 |
|
Chelsea Misha Director
370 S Oakland Ave |
$61.82 | 1,226 | 1,226 |
|
Iris Paiso
1855 N Fair Oaks Ave |
$11.05 | 939 | 765 |
|
Karen Kevin Khachatryan
1877 E Washington Blvd |
$67.16 | 823 | 823 |
|
Michelle Kyongah Kim
2245 E Colorado Blvd |
$47.29 | 812 | 802 |
|
Khajadour Donabedian
2063 E Foothill Blvd |
$71.05 | 793 | 788 |
|
Alen Bakhtamian
301 South Fairoaks |
$53.80 | 756 | 753 |
|
Israel Angeles Navarro
80 N Lake Ave |
$71.48 | 723 | 722 |
|
Michael Balikyan
600 S Lake Ave |
$55.49 | 682 | 680 |
|
Soo Kyung Song
686 E Union Street |
$56.71 | 651 | 646 |
|
Joseph Chihyun Kim
1092 E Green St |
$66.07 | 651 | 648 |
|
David Martin Marshak
200 S El Molino Ave |
$33.95 | 619 | 616 |
|
David Karo Shirinian
2335 E Colorado Blvd Ste 105 |
$71.58 | 600 | 596 |
|
Chia Ching Lin
470 N Los Robles Ave |
$63.73 | 508 | 507 |
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
Other Procedures in Pasadena, CA
Non-Emergency Medical Transportation
Avg $23.66
13,387,849 claims
Ambulance Transport
Avg $23.22
11,783,684 claims
Office Visit
Avg $21.48
1,036,760 claims
Behavioral & Mental Health Therapy
Avg $233.66
555,263 claims
Blood Work & Lab Tests
Avg $3.51
521,414 claims
Substance Abuse Treatment
Avg $65.64
408,555 claims
Eye Exam
Avg $22.37
329,869 claims
Vaccines & Immunizations
Avg $4.52
284,723 claims